Cove Family Practice, INC.

Cove Family Practice, INC. was paid $10K by Medicaid between Feb 2021 and Sep 2023, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoCOVE FAMILY PRACTICE, INC.
ROARING SPRING, PA 16673

33aNPI1023081429assigned 02/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$10K

24GClaims655

24DCodes billed4

24AFirst – last monthFeb 2021 – Sep 2023

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,675 of 2,756

Median peer was paid$19K

This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	452	$6K
2022	163	$4K
2023	40	$455.95

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	94%	228	217	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.6%	15	13	$476.00
3074F		<1%	216	189	$50.00
3078F		<1%	196	177	$50.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLOCKE, DARRON (OWNER)