Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Kernersville › NPI 1265150494
Physician

Covenant Spine and Neurology, PLLC

Covenant Spine and Neurology, PLLC was paid $192K by Medicaid between Aug 2023 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoCOVENANT SPINE AND NEUROLOGY, PLLC
KERNERSVILLE, NC 27284
33aNPI1265150494assigned 08/15/2022
33bProvider typeNeurology Physician
28Total paid$192K
24GClaims6,237
24DCodes billed12
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers

Next to other Neurology Physician providers in North Carolina

Rank by total paid#22 of 86
Median peer was paid$55K
This provider vs. median3.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2023322$9K
2024incomplete5,915$183K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 1,600 1,171 $56K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,555 1,380 $42K
95912 16% 258 229 $30K
95886 13% 553 458 $25K
95911 8.7% 252 198 $17K
20553 8.0% 951 802 $15K
J1010 Injection, methylprednisolone acetate, 1 mg 2.3% 634 577 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 1.0% 302 226 $2K
J0130 Injection abciximab, 10 mg <1% 35 20 $364.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 47 31 $357.46
99199 Unlisted special service, procedure or report <1% 38 38 $95.00
80305 <1% 12 12 $68.05

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 officialBEERS, SHERRY (PRACTICE ADMINISTRATOR)