Physician
Covenant Allergy and Asthma Care PLLC
Covenant Allergy and Asthma Care PLLC was paid $562K by Medicaid between Jan 2018 and May 2021, across 16 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 56% of everything it billed.
33Billing provider infoCOVENANT ALLERGY AND ASTHMA CARE PLLC
CHATTANOOGA, TN 37421
CHATTANOOGA, TN 37421
33aNPI1396994802assigned 09/09/2008
33bProvider typeAllergy & Immunology Physician
28Total paid$562K
24GClaims15,148
24DCodes billed16
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Allergy & Immunology Physician providers in Tennessee
Rank by total paid#9 of 27
Median peer was paid$48K
This provider vs. median12×
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
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 | 4,966 | $196K | |
| 2019 | 5,136 | $186K | |
| 2020 | 3,731 | $137K | |
| 2021 | 1,315 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 56% | 1,558 | 1,223 | $317K |
| 95117 | 17% | 9,971 | 4,495 | $96K | |
| 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 | 13% | 1,506 | 1,344 | $73K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.7% | 209 | 183 | $27K |
| 94010 | 3.2% | 927 | 816 | $18K | |
| 95024 | 3.0% | 204 | 189 | $17K | |
| 96401 | <1% | 65 | 39 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 38 | 37 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 74 | 70 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | 14 | $2K |
| 94375 | <1% | 67 | 59 | $1K | |
| 94060 | <1% | 38 | 35 | $1K |
4 more codes
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 officialRASCHAL, SUSAN (PRESIDENT)