Physician
Covenant Family Practice, PC
Covenant Family Practice, PC was paid $4.98M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoCOVENANT FAMILY PRACTICE, PC
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1225073166assigned 06/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.98M
24GClaims788,414
24DCodes billed108
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#12 of 754
Median peer was paid$34K
This provider vs. median148×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WILSON, ROBERT controls 11+ related entities in our dataset. Read more
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 | 106,178 | $810K | |
| 2019 | 64,999 | $758K | |
| 2020 | 74,285 | $757K | |
| 2021 | 93,724 | $698K | |
| 2022 | 173,772 | $715K | |
| 2023 | 176,448 | $698K | |
| 2024incomplete | 99,008 | $546K |
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 | 65% | 76,995 | 58,189 | $3.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 25,471 | 20,621 | $818K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 2,834 | 1,679 | $77K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 1,772 | 1,566 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 1,148 | 971 | $65K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 6,140 | 4,068 | $63K |
| 96127 | 1.2% | 18,026 | 13,471 | $58K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 626 | 465 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,959 | 2,095 | $43K |
| 1159F | <1% | 75,109 | 55,159 | $34K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 488 | 415 | $33K |
| 1160F | <1% | 76,094 | 55,816 | $33K |
96 more codes
| 3008F | <1% | 85,497 | $30K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 398 | $28K |
| 99490 | Ccm add 20min | <1% | 12,558 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,063 | $23K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 298 | $23K |
| 1126F | <1% | 44,839 | $23K | |
| 92551 | <1% | 3,205 | $21K | |
| 80305 | <1% | 5,108 | $20K | |
| 96160 | <1% | 1,352 | $19K | |
| 99173 | <1% | 3,933 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 754 | $16K |
| 90686 | <1% | 1,713 | $14K | |
| 1125F | <1% | 30,526 | $13K | |
| 99457 | <1% | 1,909 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 852 | $8K |
| 92552 | <1% | 640 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 125 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 184 | $8K |
| 99307 | <1% | 1,124 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 816 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 185 | $6K |
| 3079F | <1% | 15,772 | $6K | |
| 3074F | <1% | 36,143 | $6K | |
| 3078F | <1% | 33,080 | $6K | |
| 99406 | <1% | 960 | $6K | |
| 81025 | <1% | 1,391 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 161 | $4K |
| 81003 | <1% | 3,330 | $3K | |
| 3075F | <1% | 9,313 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 447 | $2K |
| 94060 | <1% | 85 | $2K | |
| 3077F | <1% | 3,849 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 143 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 82 | $1K |
| 3080F | <1% | 1,537 | $1K | |
| 99454 | <1% | 431 | $1K | |
| 90688 | <1% | 114 | $970.35 | |
| 1111F | <1% | 596 | $683.21 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 207 | $672.36 |
| 99439 | <1% | 445 | $547.02 | |
| 90670 | <1% | 15 | $415.70 | |
| 90656 | <1% | 41 | $401.25 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 239 | $390.85 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 73 | $375.48 |
| 90734 | <1% | 61 | $373.13 | |
| 90715 | <1% | 71 | $288.78 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 133 | $274.92 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 83 | $268.74 |
| G0008 | Administration of influenza virus vaccine | <1% | 550 | $229.53 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 534 | $216.97 |
| 90733 | <1% | 52 | $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) | <1% | 158 | $153.86 |
| 99318 | <1% | 13 | $144.57 | |
| 90662 | <1% | 165 | $114.35 | |
| 90649 | <1% | 126 | $106.38 | |
| 99458 | <1% | 73 | $103.77 | |
| 3044F | <1% | 201 | $90.00 | |
| 1034F | <1% | 14,857 | $85.19 | |
| 94760 | <1% | 121 | $73.30 | |
| 3061F | <1% | 49 | $70.00 | |
| 99453 | <1% | 28 | $37.02 | |
| 90461 | <1% | 235 | $22.52 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 87 | $20.43 |
| 3725F | <1% | 19,414 | $0.06 | |
| 1220F | <1% | 12,849 | $0.06 | |
| 1036F | <1% | 44,147 | $0.06 | |
| 99499 | 0% | 193 | $0.00 | |
| 3288F | 0% | 1,453 | $0.00 | |
| 1090F | 0% | 731 | $0.00 | |
| 1003F | 0% | 1,659 | $0.00 | |
| 90633 | 0% | 42 | $0.00 | |
| 2028F | 0% | 48 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 35 | $0.00 |
| 90713 | 0% | 14 | $0.00 | |
| 90707 | 0% | 38 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 1124F | 0% | 18 | $0.00 | |
| 2001F | 0% | 19,008 | $0.00 | |
| 2010F | 0% | 36,308 | $0.00 | |
| 3048F | 0% | 254 | $0.00 | |
| 2002F | 0% | 1,167 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 439 | $0.00 |
| 2000F | 0% | 25,546 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 432 | $0.00 |
| 1000F | 0% | 8,889 | $0.00 | |
| 4010F | 0% | 148 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 71 | $0.00 |
| 1101F | 0% | 123 | $0.00 | |
| 2023F | 0% | 75 | $0.00 | |
| 1170F | 0% | 116 | $0.00 | |
| 1035F | 0% | 88 | $0.00 | |
| 4000F | 0% | 209 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| 1008F | 0% | 39 | $0.00 | |
| 2004F | 0% | 17 | $0.00 | |
| 90716 | 0% | 15 | $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
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Authorized officialWILSON, ROBERT (PRESIDENT)
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