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 1639124167)

Cep America - California is a emergency medicine physician provider located in Modesto, California. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Cep America - California
Address	1441 Florida Avenue
City	Modesto
State	CA
ZIP	95350
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	114,040	$90	$10.3M
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.	148,620	$60	$9.1M
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.	119,410	$40	$4.9M
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…	7,780	$120	$917.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	65,900	$10	$659K
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…	21,250	$10	$127.5K
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…	15,870	$10	$111.1K
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…	40	$90	$3.9K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	140	$30	$3.5K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	80	$20	$1.2K

Showing 1–10 of 24

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 — 4 of 24 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

24 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.	12	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.	11	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.	13	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	386	430	1,140	$90	$769.9K
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…	83	1,080	460	$110	$263.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	385	480	270	$110	$230.6K
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…	206	1,500	670	$10	$100.1K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	734	750	720	$40	$94.8K
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…	124	1,490	610	$20	$79.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	28	1,480	560	$10	$62.2K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Medical Center Of Modesto, Inc.	CA	General Acute Care Hospital	$0	$101.2M
Golden Valley Health Centers	CA	Internal Medicine Physician	$0	$79.4M
Valley Children's Medical Group	CA	Pediatrics Physician	$0	$65M
Northern California Cancer Center	CA	Medical Oncology Physician	$0	$40M
County Of Stanislaus	CA	Clinic/Center	$0	$27.4M
Modesto Radiology Imaging, Inc.	CA	Diagnostic Radiology Physician	$2.3M	$10.7M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Aegis Treatment Centers, LLC	CA	Methadone Clinic	$780.3K	$23.7K
Thomas Wallace	CA	Critical Care Medicine (Internal Medicine) Physician	$634.3K	$0
Joselyn Deculing	CA	Nurse Practitioner	$566.2K	$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

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	$31.8M
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