COVENANT COMMUNITY CARE, INC.
NPI: 1255574265
· DETROIT, MI 48209
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/07/2009
$295K
Total Medicaid Paid
Provider Details
| Authorized Official | CHAVEZ, ANNA (CFO) |
| NPI Enumeration Date | 04/07/2009 |
Related Entities
Other providers sharing the same authorized official: CHAVEZ, ANNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,825 |
$50K |
| 2019 |
1,407 |
$40K |
| 2020 |
1,651 |
$59K |
| 2021 |
1,417 |
$52K |
| 2022 |
1,169 |
$42K |
| 2023 |
876 |
$33K |
| 2024 |
436 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Federally 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 |
4,593 |
4,352 |
$285K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,021 |
1,965 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,977 |
1,877 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
121 |
$177.52 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
51 |
$45.90 |
| 3074F |
|
14 |
14 |
$0.00 |