Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cep America - California (NPI 1396044491)

Field	Value
Entity Type	Organization
Organization	Cep America - California
Address	1700 Coffee Rd
City	Modesto
State	CA
ZIP	95355
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 15, 2011

Payer Source	Total Paid
Medicaid	$31.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	211,950	$60	$11.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	154,570	$70	$11.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	135,840	$50	$6.4M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	14,370	$110	$1.6M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	84,250	$10	$758.2K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	12,420	$10	$62.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	2,980	$10	$20.9K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	170	$80	$12.5K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	140	$10	$830

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Cep America - California — 5 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6	1,570	680	$110	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	7	1,300	510	$100	$943K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	5	1,400	470	$80	$884.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	31	1,080	460	$110	$263.5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	305	1,500	670	$10	$100.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	411	1,490	610	$20	$79.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	18	1,480	560	$10	$62.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	53	150	70	$80	$35.8K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	67	140	120	$10	$7.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cep America - California, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cep America - California	CA	Emergency Medicine Physician	$0	$59.7M
Cep America - California	CA	Emergency Medicine Physician	$0	$32.7M
Cep America - California	CA	Emergency Medicine Physician	$0	$26.1M
Cep America, LLC	ID	Emergency Medicine Physician	$0	$3.9M
Ariel Marks	CA	Emergency Medicine Physician	$142.6K	$0
Karolina Deaugustinis	MD	Emergency Medicine Physician	$129.4K	$0
Seyed Sadeghi	CA	Emergency Medicine Physician	$61.8K	$63.8K
Danielle Davis	MO	Emergency Medicine Physician	$117.2K	$0
Christopher Allen	NC	Emergency Medicine Physician	$104.3K	$0
Brent Castle	NV	Emergency Medicine Physician	$94.6K	$40

Nearby Providers

Other providers in the same ZIP code as Cep America - California, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$76.1M
Sutter Valley Medical Foundation	CA	Clinical Medical Laboratory	$3.7M	$303K
Stephen Liu	CA	Vascular & Interventional Radiology Physician	$2.3M	$0
Cesar Tumakay	CA	Diagnostic Radiology Physician	$1.4M	$0
Kent Wong	CA	Cardiovascular Disease Physician	$499.6K	$0
Raman Moradkhan	CA	Clinical Cardiac Electrophysiology Physician	$499.1K	$0
Patrick Rhoades	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$444.4K	$0
Ronak Shah	CA	Nephrology Physician	$431.3K	$0
Amarjit Dhaliwal	CA	Hematology & Oncology Physician	$407.2K	$16.7K
Binh Quach	CA	Vascular & Interventional Radiology Physician	$400.8K	$0

Cep America - California — Billing Profile & Reimbursement Data

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Cep America - California — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References