COVENANT FAMILY ALLERGY, PC
NPI: 1205002888
· NORTH AUGUSTA, SC 29841
· Allergy & Immunology Physician
· NPI assigned 05/05/2008
$1.71M
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, MATTHEW (PHYSICIAN/OWNER) |
| NPI Enumeration Date | 05/05/2008 |
Related Entities
Other providers sharing the same authorized official: CLARK, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,865 |
$230K |
| 2019 |
5,831 |
$272K |
| 2020 |
4,713 |
$213K |
| 2021 |
5,296 |
$269K |
| 2022 |
5,754 |
$212K |
| 2023 |
6,057 |
$292K |
| 2024 |
4,542 |
$218K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,946 |
791 |
$776K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,749 |
3,681 |
$298K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
735 |
729 |
$149K |
| 95117 |
|
14,558 |
5,783 |
$107K |
| 94010 |
|
4,003 |
3,944 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
738 |
738 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,597 |
1,548 |
$75K |
| 95012 |
|
3,505 |
3,435 |
$42K |
| 94060 |
|
888 |
877 |
$33K |
| 94664 |
|
2,034 |
1,990 |
$20K |
| 96160 |
|
2,693 |
2,633 |
$20K |
| 96161 |
|
1,561 |
1,537 |
$11K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
27 |
$126.48 |