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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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, LLC (NPI 1831564657)

Field	Value
Entity Type	Organization
Organization	Cep America, LLC
Address	2041 Georgia Ave Nw
City	Washington
State	DC
ZIP	20060
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 4, 2015

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Key Findings

CEP AMERICA, LLC is effectively a Medicaid-only biller in the available files: there is no Medicare billing on file and total Medicaid revenue is $15.6M. The provider’s taxonomy is Emergency Medicine Physician and the NPI was enumerated on 2015-12-04 (~11 years ago), so this profile represents roughly a decade of potential market presence under that identifier.

Revenue is highly concentrated in a narrow emergency-department code set: the top three Medicaid codes (99285, 99284, 99283) together account for 96.4% of the provider’s total Medicaid revenue. Individually, 99285 generates $7.1M (45.2% of Medicaid revenue), 99284 generates $6.1M (39.2%), and 99283 generates $1.9M (11.9%).

The code mix identifies a clear ED services business model: 99285/99284/99283 are all emergency department E/M visit codes, and the provider records high claim volumes for these services (55.1K claims for 99285, 63.8K claims for 99284, and 34.5K claims for 99283). Average paid-per-claim figures ($128 for 99285, $96 for 99284, $54 for 99283) show moderate reimbursement per visit that, when combined with the large claim counts, drives the $15.6M Medicaid revenue total.

Competitive standing within the state is upper-tier for the main ED codes but described as "typical, unremarkable volume" in the underlying labels: 99285 ranks #3 of 26 providers in-state at the 92th percentile, 99284 ranks #4 of 34 at the 91th percentile, and 99283 ranks #9 of 38 at the 78th percentile. These placements suggest CEP AMERICA is among the higher-volume Medicaid ED billers in Washington, DC for these codes, but the dataset characterizes those volumes as within the expected peer range rather than anomalously high.

Critical care and ancillary services are present but represent a small share of revenue: 99291 accounts for $377.7K (2.4% of Medicaid revenue) across 2.7K claims and ranks #9 of 27 (69th percentile), while 99292 contributes $8.5K (0.1% of revenue) across 123 claims and ranks #7 of 9 (25th percentile). This pattern indicates occasional critical-care billing layered on top of a predominately ED-focused practice rather than a primary critical-care service line.

Electrocardiogram and basic imaging are ancillary revenue streams consistent with emergency practice: 93010 produced $175.8K (1.1% of revenue) across 29.3K claims and ranks #4 of 26 (88th percentile), while chest x‑ray codes 71045 and 71046 appear at very low revenue levels. These ancillary volumes support the ED service-line narrative and reflect typical in-department diagnostic throughput rather than separate revenue centers.

Taken together, the profile points to a high-throughput emergency department operator that relies almost entirely on Medicaid reimbursement for ED E/M visits, is established (NPI enumerated 2015-12-04 (~11 years ago)), and sits at upper-percentile ranks for core ED codes within the state while still being characterized as operating at typical peer volumes rather than as an extreme outlier.

Medicaid: Complete Services Breakdown

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

8 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.	55,130	$130	$7.1M
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.	63,760	$100	$6.1M
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.	34,510	$50	$1.9M
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…	2,740	$140	$377.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	29,300	$10	$175.8K
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…	120	$70	$8.5K
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…	60	$10	$390
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…	40	$10	$350

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Cep America, LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	3	30	4,480	$140	$3.5M
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.	4	30	540	$140	$3.4M
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.	9	40	190	$150	$3.3M
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…	9	30	1,050	$120	$581.4K
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…	27	40	390	$10	$104K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	4	30	1,150	$1	$68.2K
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…	25	40	390	$1	$65.2K
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…	7	10	150	$50	$17.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$48.2M
Cep America LLC	IN	Emergency Medicine Physician	$0	$28.6M
St Vincents Medical Center Inc	FL	General Acute Care Hospital	$0	$12.7M
Cep America LLC	MD	Emergency Medicine Physician	$0	$12M
Cep America, LLC	VA	Emergency Medicine Physician	$0	$9.7M
Cep America LLC	IN	Emergency Medicine Physician	$0	$9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$6.9M
Cep America LLC	OR	Emergency Medicine Physician	$0	$5.7M
Cep America LLC	WA	Emergency Medicine Physician	$0	$5.5M
Cep America LLC	OR	Emergency Medicine Physician	$0	$4.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard University Hospital Corp	DC	General Acute Care Hospital	$0	$98.7M
Howard University	DC	Multi-Specialty Clinic/Center	$0	$26.1M
Howard University Dialysis Center LLC	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M
Edward Longwe	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$899.8K
Maren Shaw	DC	Dermatology Physician	$415K	$0
Isaac Opoku-asare	DC	Cardiovascular Disease Physician	$333.4K	$0
Surajudeen Bolarinwa	DC	Orthopaedic Surgery Physician	$278.8K	$0
Kristine Dettloff	DC	Diagnostic Radiology Physician	$262.8K	$0
Edris Meda	DC	Internal Medicine Physician	$225.8K	$0
Raymond Young	DC	Cardiovascular Disease Physician	$188.7K	$0

Cep America, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References