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CEP AMERICA - CALIFORNIA

Emergency Medicine·GILROY, CA·NPI: 1093756025Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.6M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-04→2024-11(80 months)

Total Paid

$59.6M

$59,582,721

Total Claims

1.0M

Beneficiaries

952K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+905%
2019
$11.3M
-13%
2020
$9.8M
+16%
2021
$11.4M
+18%
2022
$13.5M
-29%
2023
$9.6M
-71%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 42% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$24.9M

266K claims · 41.7%

Your Cost: $93.65/claim|Median: $85.65
1.1× median
99284Normal range

Emergency dept visit, high complexity

$17.4M

265K claims · 29.2%

Your Cost: $65.68/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$10.6M

220K claims · 17.8%

Your Cost: $48.41/claim|Median: $42.48
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$2.7M

23K claims · 4.5%

Your Cost: $117.74/claim|Median: $101.24
1.2× median
93010Top 5%

Electrocardiogram, interpretation and report only

$1.6M

134K claims · 2.7%

Your Cost: $11.85/claim|Median: $5.60
2.1× median
12001Normal range

$261K

3,723 claims · 0.4%

Your Cost: $70.18/claim|Median: $64.99
1.1× median
71045Normal range

Chest X-ray, single view

$238K

38K claims · 0.4%

Your Cost: $6.22/claim|Median: $4.93
1.3× median
12002Normal range

$201K

2,646 claims · 0.3%

Your Cost: $76.13/claim|Median: $68.89
1.1× median
12011Normal range

$181K

2,480 claims · 0.3%

Your Cost: $73.07/claim|Median: $67.02
1.1× median
29125Normal range

$145K

2,838 claims · 0.2%

Your Cost: $51.22/claim|Median: $28.04
1.8× median
10061Normal range

$135K

2,301 claims · 0.2%

Your Cost: $58.64/claim|Median: $101.03
0.6× median
36556Top 25%

$110K

1,741 claims · 0.2%

Your Cost: $63.38/claim|Median: $43.51
1.5× median
31500Normal range

$106K

2,114 claims · 0.2%

Your Cost: $50.26/claim|Median: $62.71
0.8× median
29515Normal range

$96K

1,777 claims · 0.2%

Your Cost: $54.29/claim|Median: $33.24
1.6× median
99282Normal range

Emergency dept visit, low complexity

$84K

2,252 claims · 0.1%

Your Cost: $37.16/claim|Median: $37.72
1.0× median
93308Normal range

$80K

3,350 claims · 0.1%

Your Cost: $23.79/claim|Median: $20.08
1.2× median
10060Normal range

Incision and drainage of abscess, simple

$71K

1,675 claims · 0.1%

Your Cost: $42.64/claim|Median: $75.72
0.6× median
29505Top 25%

$68K

1,060 claims · 0.1%

Your Cost: $64.31/claim|Median: $22.61
2.8× median
12013Normal range

$62K

744 claims · 0.1%

Your Cost: $82.87/claim|Median: $63.36
1.3× median
99281Normal range

Emergency dept visit, minimal complexity

$61K

2,630 claims · 0.1%

Your Cost: $23.37/claim|Median: $52.03
0.4× median
71046Normal range

Chest X-ray, 2 views

$55K

8,982 claims · 0.1%

Your Cost: $6.17/claim|Median: $8.92
0.7× median
99292Normal range

$52K

802 claims · 0.1%

Your Cost: $65.37/claim|Median: $57.64
1.1× median
92950Normal range

$49K

497 claims · 0.1%

Your Cost: $98.91/claim|Median: $101.60
1.0× median
29105Normal range

$43K

666 claims · 0.1%

Your Cost: $65.17/claim|Median: $36.99
1.8× median
76604Normal range

$34K

2,288 claims · 0.1%

Your Cost: $14.79/claim|Median: $16.47
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$33K

2,177 claims · 0.1%

Your Cost: $15.33/claim|Median: $23.81
0.6× median
29540Normal range

$25K

1,480 claims · 0.0%

Your Cost: $16.82/claim|Median: $13.93
1.2× median
73130Normal range

$17K

3,158 claims · 0.0%

Your Cost: $5.47/claim|Median: $10.69
0.5× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$17K

3,243 claims · 0.0%

Your Cost: $5.25/claim|Median: $12.06
0.4× median
73610Normal range

X-ray of ankle, complete, minimum three views

$14K

2,608 claims · 0.0%

Your Cost: $5.44/claim|Median: $13.55
0.4× median
73030Normal range

$14K

2,247 claims · 0.0%

Your Cost: $6.07/claim|Median: $10.94
0.6× median
62270Normal range

$13K

207 claims · 0.0%

Your Cost: $64.42/claim|Median: $48.88
1.3× median
11730Normal range

$12K

361 claims · 0.0%

Your Cost: $32.49/claim|Median: $24.59
1.3× median
73562Normal range

$11K

2,294 claims · 0.0%

Your Cost: $4.60/claim|Median: $12.28
0.4× median
29530Top 25%

$10K

434 claims · 0.0%

Your Cost: $23.42/claim|Median: $14.43
1.6× median
21310Normal range

$10K

222 claims · 0.0%

Your Cost: $43.35/claim|Median: $29.14
1.5× median
72100Normal range

$9K

1,205 claims · 0.0%

Your Cost: $7.36/claim|Median: $15.14
0.5× median
74018Normal range

$9K

1,417 claims · 0.0%

Your Cost: $6.25/claim|Median: $7.00
0.9× median
G2213Normal range

$8K

147 claims · 0.0%

Your Cost: $56.52/claim|Median: $56.52
1.0× median
73110Normal range

X-ray of wrist, complete, minimum three views

$8K

1,621 claims · 0.0%

Your Cost: $4.86/claim|Median: $12.64
0.4× median
73590Normal range

$7K

1,457 claims · 0.0%

Your Cost: $4.62/claim|Median: $8.92
0.5× median
73090Normal range

$6K

1,247 claims · 0.0%

Your Cost: $5.17/claim|Median: $8.95
0.6× median
99152Top 10%

$6K

173 claims · 0.0%

Your Cost: $36.53/claim|Median: $7.34
5.0× median
73080Normal range

$6K

1,114 claims · 0.0%

Your Cost: $5.53/claim|Median: $10.78
0.5× median
73502Normal range

$6K

906 claims · 0.0%

Your Cost: $6.69/claim|Median: $10.79
0.6× median
26720Normal range

$5K

141 claims · 0.0%

Your Cost: $38.44/claim|Median: $133.16
0.3× median
73564Normal range

$5K

844 claims · 0.0%

Your Cost: $5.87/claim|Median: $15.00
0.4× median
23500Normal range

$4K

54 claims · 0.0%

Your Cost: $69.16/claim|Median: $66.38
1.0× median
10160Normal range

$3K

62 claims · 0.0%

Your Cost: $42.98/claim|Median: $46.28
0.9× median
12004Normal range

$3K

26 claims · 0.0%

Your Cost: $99.57/claim|Median: $90.82
1.1× median

Other Top Providers in California

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

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$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in Emergency Medicine

Presbyterian Healthcare Services

Albuquerque, NM

$345.5M

Mainehealth

Portland, ME

$142.7M

Emergency Coverage, LLC

Newport, TN

$121.6M

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