Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › LUBBOCK › COVENANT MEDICAL GROUP

COVENANT MEDICAL GROUP

NPI: 1376598904 · LUBBOCK, TX 79410 · Surgery Physician · NPI assigned 05/23/2006

$34.48M
Total Medicaid Paid
880,544
Total Claims
751,157
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOTHMANN, KRISTEN (COO)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: KOTHMANN, KRISTEN

ProviderCityStateTotal Paid
COVENANT MEDICAL GROUP ABERNATHY TX $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,396 $313K
2019 11,824 $359K
2020 33,347 $1.16M
2021 188,933 $7.68M
2022 209,649 $8.26M
2023 263,234 $10.24M
2024 162,161 $6.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 143,981 129,249 $7.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 91,524 85,220 $5.89M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 12,218 10,699 $1.67M
99283 Emergency department visit for the evaluation and management, moderate severity 37,258 35,954 $1.62M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 19,927 19,135 $1.45M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 47,869 45,667 $1.30M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 28,033 26,586 $1.27M
99284 Emergency department visit for the evaluation and management, high severity 17,993 17,312 $1.17M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,884 15,592 $1.16M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16,308 15,176 $1.11M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,203 12,514 $898K
99244 Office or other outpatient consultation, moderate to high complexity 6,108 5,962 $857K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,830 8,406 $698K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,150 7,349 $613K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,937 6,753 $526K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,295 1,261 $513K
90460 Immunization administration through 18 years of age via any route, first or only component 75,905 28,764 $481K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,569 3,404 $411K
93320 12,084 10,642 $401K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,549 3,407 $338K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,887 4,586 $300K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,548 2,376 $295K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,973 2,883 $234K
76818 2,666 1,358 $225K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 839 804 $216K
99238 Hospital discharge day management, 30 minutes or less 3,687 3,553 $191K
99232 Subsequent hospital care, per day, moderate complexity 7,676 2,061 $184K
76801 2,042 1,958 $177K
93325 12,397 10,925 $173K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,942 5,646 $170K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,265 6,211 $161K
99215 Prolong outpt/office vis 1,674 1,390 $159K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 679 652 $138K
87634 2,471 2,393 $138K
93000 14,229 13,314 $129K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,447 4,313 $129K
99460 1,923 1,858 $126K
95813 1,611 1,544 $111K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,401 7,960 $106K
90461 22,559 19,439 $102K
95117 10,520 4,286 $91K
99233 Prolong inpt eval add15 m 1,906 550 $75K
99222 Initial hospital care, per day, moderate complexity 659 636 $69K
99239 Hospital discharge day management, more than 30 minutes 916 896 $66K
76825 313 283 $57K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 82 81 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,972 3,413 $42K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 585 526 $40K
87631 349 342 $39K
59430 405 388 $36K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 676 625 $34K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 415 155 $32K
94375 1,269 1,233 $31K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,372 1,032 $30K
20610 1,088 869 $30K
87581 1,063 1,029 $30K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 219 200 $29K
80050 General health panel 895 879 $28K
59514 74 63 $28K
90715 1,104 1,038 $28K
99443 311 278 $27K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,689 1,262 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,754 3,554 $25K
99221 414 407 $24K
54150 384 371 $24K
99243 222 210 $21K
59025 Fetal non-stress test 779 483 $21K
99205 Prolong outpt/office vis 119 119 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,021 3,900 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,186 3,048 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,002 4,252 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 573 374 $17K
99223 Prolong inpt eval add15 m 277 244 $17K
99462 542 501 $16K
99381 223 208 $16K
76827 275 258 $16K
80061 Lipid panel 1,911 1,858 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,752 1,724 $14K
99383 174 166 $14K
71046 Radiologic examination, chest; 2 views 832 802 $14K
80053 Comprehensive metabolic panel 2,938 2,845 $13K
J1050 Injection, medroxyprogesterone acetate, 1 mg 233 213 $13K
76820 314 158 $11K
76819 Fetal biophysical profile; without non-stress testing 268 159 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 187 180 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 93 93 $11K
87486 347 340 $9K
81003 4,899 4,063 $8K
73100 310 293 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 577 554 $8K
84439 1,957 1,889 $8K
J0561 Injection, penicillin g benzathine, 100,000 units 59 56 $8K
87807 749 712 $8K
J0585 Injection, onabotulinumtoxina, 1 unit 15 12 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 589 529 $7K
81001 3,221 3,076 $7K
90686 8,685 8,451 $7K
99385 47 47 $7K
73080 240 203 $6K
81025 723 679 $6K
95816 170 162 $5K
95024 85 83 $5K
90677 3,945 3,447 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 53 48 $5K
83036 Hemoglobin; glycosylated (A1C) 953 929 $5K
93015 114 101 $5K
99442 52 52 $4K
99382 40 38 $4K
82607 453 434 $4K
25600 13 13 $4K
73110 125 116 $4K
90651 446 434 $3K
74018 154 152 $3K
90961 249 249 $3K
92552 170 160 $3K
94010 235 226 $2K
99219 25 25 $2K
99217 37 37 $2K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 40 38 $2K
73610 81 67 $2K
99220 15 15 $2K
99152 147 142 $2K
93458 12 12 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 500 426 $2K
84443 Thyroid stimulating hormone (TSH) 503 493 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 115 109 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 182 130 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 14 14 $1K
36415 Collection of venous blood by venipuncture 7,701 7,201 $1K
96160 660 627 $1K
72170 53 52 $1K
77073 41 40 $1K
90670 9,816 9,395 $1K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 14 12 $1K
76813 12 12 $1K
76830 Ultrasound, transvaginal 13 12 $1K
81002 419 258 $1K
93244 55 52 $1K
82570 314 285 $992.47
96161 2,070 1,823 $908.22
90472 Immunization administration, each additional vaccine (list separately) 137 128 $802.84
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,359 4,029 $771.52
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 166 161 $698.51
90682 45 44 $674.00
96380 139 136 $673.18
73590 27 25 $637.19
88720 175 136 $611.11
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $606.07
93296 51 42 $597.86
99241 13 13 $499.71
J1030 Injection, methylprednisolone acetate, 40 mg 133 124 $409.76
90680 4,608 4,481 $337.53
J0696 Injection, ceftriaxone sodium, per 250 mg 217 182 $322.17
73140 12 12 $312.88
82274 26 26 $275.35
93227 13 12 $268.50
90620 60 58 $238.17
93018 26 25 $185.82
90962 27 27 $159.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg 116 114 $136.81
90656 1,251 1,243 $106.80
93016 12 12 $88.40
90723 6,893 6,635 $76.03
J1040 Injection, methylprednisolone acetate, 80 mg 27 25 $69.12
85014 35 35 $69.06
85018 35 35 $69.06
90647 6,181 5,982 $62.32
92551 14 13 $57.72
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 14 12 $57.32
85652 25 25 $56.40
86308 12 12 $54.18
82043 13 13 $37.54
96127 201 194 $26.02
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 43 39 $23.83
J1885 Injection, ketorolac tromethamine, per 15 mg 15 13 $23.54
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 148 136 $15.46
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 72 70 $10.00
J8540 Dexamethasone, oral, 0.25 mg 13 12 $6.24
90633 3,319 3,242 $0.04
90381 30 30 $0.04
90648 990 961 $0.03
90710 761 740 $0.02
90681 1,206 1,148 $0.02
90380 12 12 $0.01
3078F 16,604 13,365 $0.00
90700 236 230 $0.00
99173 242 227 $0.00
90707 166 164 $0.00
90734 175 171 $0.00
3077F 40 39 $0.00
90662 14 14 $0.00
90621 13 13 $0.00
1036F 5,452 5,148 $0.00
3074F 19,499 15,734 $0.00
90697 1,377 1,335 $0.00
3079F 3,647 3,159 $0.00
90688 32 32 $0.00
3075F 945 841 $0.00
H0049 Alcohol and/or drug screening 344 319 $0.00
90716 179 177 $0.00
G0008 Administration of influenza virus vaccine 108 107 $0.00
90619 79 75 $0.00
90698 109 106 $0.00
3080F 27 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 53 52 $0.00
90696 77 74 $0.00
99429 12 12 $0.00
86580 19 19 $0.00