Clinic
Covenant Community Care, INC.
Covenant Community Care, INC. was paid $1.51M by Medicaid between Jan 2018 and Dec 2022, across 54 billing codes. Its largest line is G0467, community health center visit, returning patient — 73% of everything it billed.
33Billing provider infoCOVENANT COMMUNITY CARE, INC.
ROYAL OAK, MI 48067
ROYAL OAK, MI 48067
33aNPI1073834818assigned 06/16/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.51M
24GClaims50,217
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#83 of 241
Median peer was paid$477K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2018 | 10,576 | $330K | |
| 2019 | 10,709 | $310K | |
| 2020 | 9,748 | $287K | |
| 2021 | 10,212 | $298K | |
| 2022 | 8,972 | $287K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 73% | 16,788 | 14,617 | $1.10M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 11% | 2,004 | 1,335 | $161K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 6.2% | 1,449 | 1,410 | $93K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.6% | 752 | 726 | $54K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 9,273 | 8,229 | $31K |
| 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 | 1.5% | 4,718 | 4,445 | $23K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 98 | 87 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 656 | 645 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,051 | 1,009 | $3K |
| 0012A | <1% | 83 | 83 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 335 | 320 | $3K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,085 | 965 | $3K |
42 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 341 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,814 | $2K |
| 0011A | <1% | 92 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 323 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,089 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 311 | $1K |
| 0004A | <1% | 48 | $1K | |
| 0031A | <1% | 43 | $1K | |
| 90686 | <1% | 527 | $562.24 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 72 | $493.16 |
| 90688 | <1% | 199 | $481.68 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 132 | $414.36 |
| 90715 | <1% | 71 | $392.20 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 154 | $367.40 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 144 | $332.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 254 | $295.95 |
| 96127 | <1% | 734 | $286.96 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 163 | $274.00 |
| 90632 | <1% | 26 | $235.84 | |
| 99000 | <1% | 40 | $196.05 | |
| 81025 | <1% | 146 | $185.38 | |
| 83655 | <1% | 51 | $185.03 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $183.44 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 68 | $150.64 |
| 96160 | <1% | 149 | $145.68 | |
| 81002 | <1% | 290 | $143.37 | |
| 90674 | <1% | 15 | $108.00 | |
| 90756 | <1% | 229 | $108.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $85.18 |
| 85018 | <1% | 182 | $75.48 | |
| 92551 | <1% | 13 | $6.54 | |
| 82962 | <1% | 12 | $5.42 | |
| 91301 | 0% | 180 | $0.00 | |
| 90698 | 0% | 39 | $0.00 | |
| 91303 | 0% | 43 | $0.00 | |
| 36416 | 0% | 129 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 39 | $0.00 |
| 99173 | 0% | 85 | $0.00 | |
| 90670 | 0% | 110 | $0.00 | |
| 90461 | 0% | 489 | $0.00 | |
| 90662 | 0% | 12 | $0.00 | |
| 91300 | 0% | 41 | $0.00 |
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 officialPETTWAY, JOSLYN (CHIEF EXECUTIVE OFFICER)