Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › CLARKSVILLE › COVENANT FAMILY PRACTICE, PC

COVENANT FAMILY PRACTICE, PC

NPI: 1225073166 · CLARKSVILLE, TN 37043 · Family Medicine Physician · NPI assigned 06/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WILSON, ROBERT controls 11+ related entities in our dataset. Read more

$4.98M
Total Medicaid Paid
788,414
Total Claims
589,637
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILSON, ROBERT (PRESIDENT)
NPI Enumeration Date06/17/2006

Related Entities

Other providers sharing the same authorized official: WILSON, ROBERT

ProviderCityStateTotal Paid
BAYOU TOX, LLC GONZALES LA $7.70M
SMILE CENTER FOR KIDS PLLC EL PASO TX $2.10M
SMILE CENTER FOR KIDS I PLLC EL PASO TX $1.97M
ABC FAMILY COUNSELING, INC. ANOKA MN $385K
LAKEVIEW LOCAL SCHOOLS CORTLAND OH $218K
PIEDMONT INTERVENTIONAL PAIN CARE, PA SALISBURY NC $150K
WILSON FAMILY EYECARE PS PROSSER WA $94K
ROBERT L. WILSON DDS, P.A. HEBER SPRINGS AR $41K
KENTON CITY OFFICE OF AUDITOR KENTON OH $32K
ANDERSON CREEK EMERGENCY SERVICES INC. SPRING LAKE NC $15K
DR. ROBERT A WILSON, MD PA GREENVILLE SC $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106,178 $810K
2019 64,999 $758K
2020 74,285 $757K
2021 93,724 $698K
2022 173,772 $715K
2023 176,448 $698K
2024 99,008 $546K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76,995 58,189 $3.25M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,471 20,621 $818K
90460 Immunization administration through 18 years of age via any route, first or only component 2,834 1,679 $77K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,772 1,566 $72K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,148 971 $65K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,140 4,068 $63K
96127 18,026 13,471 $58K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 626 465 $43K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,959 2,095 $43K
1159F 75,109 55,159 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 488 415 $33K
1160F 76,094 55,816 $33K
3008F 85,497 63,403 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 398 304 $28K
99490 Ccm add 20min 12,558 8,196 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,063 2,656 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 298 250 $23K
1126F 44,839 34,708 $23K
92551 3,205 2,596 $21K
80305 5,108 3,926 $20K
96160 1,352 1,026 $19K
99173 3,933 3,121 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 754 562 $16K
90686 1,713 1,359 $14K
1125F 30,526 22,610 $13K
99457 1,909 1,557 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 852 712 $8K
92552 640 456 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 125 101 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 184 167 $8K
99307 1,124 729 $6K
99308 Subsequent nursing facility care, per day, straightforward 816 563 $6K
99215 Prolong outpt/office vis 185 130 $6K
3079F 15,772 12,105 $6K
3074F 36,143 28,411 $6K
3078F 33,080 25,629 $6K
99406 960 691 $6K
81025 1,391 1,072 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 161 140 $4K
81003 3,330 2,604 $3K
3075F 9,313 7,006 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 447 362 $2K
94060 85 68 $2K
3077F 3,849 2,769 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 143 120 $1K
71046 Radiologic examination, chest; 2 views 82 72 $1K
3080F 1,537 1,174 $1K
99454 431 346 $1K
90688 114 86 $970.35
1111F 596 468 $683.21
G0444 Annual depression screening, 5 to 15 minutes 207 152 $672.36
99439 445 256 $547.02
90670 15 12 $415.70
90656 41 36 $401.25
J1885 Injection, ketorolac tromethamine, per 15 mg 239 190 $390.85
J0696 Injection, ceftriaxone sodium, per 250 mg 73 58 $375.48
90734 61 48 $373.13
90715 71 52 $288.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 133 99 $274.92
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 83 64 $268.74
G0008 Administration of influenza virus vaccine 550 407 $229.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 534 428 $216.97
90733 52 40 $212.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 158 101 $153.86
99318 13 13 $144.57
90662 165 122 $114.35
90649 126 98 $106.38
99458 73 66 $103.77
3044F 201 150 $90.00
1034F 14,857 10,761 $85.19
94760 121 88 $73.30
3061F 49 41 $70.00
99453 28 26 $37.02
90461 235 155 $22.52
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 87 70 $20.43
3725F 19,414 12,670 $0.06
1220F 12,849 9,757 $0.06
1036F 44,147 32,733 $0.06
99499 193 173 $0.00
3288F 1,453 911 $0.00
1090F 731 556 $0.00
1003F 1,659 1,288 $0.00
90633 42 37 $0.00
2028F 48 40 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 35 30 $0.00
90713 14 12 $0.00
90707 38 26 $0.00
90700 16 14 $0.00
1124F 18 14 $0.00
2001F 19,008 14,880 $0.00
2010F 36,308 27,500 $0.00
3048F 254 173 $0.00
2002F 1,167 935 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 439 332 $0.00
2000F 25,546 19,907 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 432 352 $0.00
1000F 8,889 6,347 $0.00
4010F 148 110 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 71 46 $0.00
1101F 123 87 $0.00
2023F 75 65 $0.00
1170F 116 64 $0.00
1035F 88 59 $0.00
4000F 209 144 $0.00
90651 21 15 $0.00
1008F 39 28 $0.00
2004F 17 16 $0.00
90716 15 13 $0.00