Physician
Covenant Medical Group, INC.
Covenant Medical Group, INC. was paid $17.92M by Medicaid between Jan 2018 and Dec 2024, across 188 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoCOVENANT MEDICAL GROUP, INC.
KNOXVILLE, TN 37932
KNOXVILLE, TN 37932
33aNPI1457302010assigned 05/16/2006
33bProvider typeSurgery Physician
28Total paid$17.92M
24GClaims661,541
24DCodes billed188
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Tennessee
Rank by total paid#1 of 87
Median peer was paid$9K
This provider vs. median1,972×
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 | 70,528 | $1.69M | |
| 2019 | 77,586 | $2.05M | |
| 2020 | 84,202 | $2.18M | |
| 2021 | 102,460 | $2.90M | |
| 2022 | 110,283 | $3.16M | |
| 2023 | 125,145 | $3.23M | |
| 2024incomplete | 91,337 | $2.71M |
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 | 45% | 214,658 | 158,102 | $8.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 136,523 | 102,835 | $4.49M |
| 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 | 4.6% | 11,769 | 9,232 | $827K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.6% | 13,040 | 10,099 | $462K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.2% | 5,480 | 3,943 | $397K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.7% | 3,158 | 2,456 | $305K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 4,945 | 3,894 | $249K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 7,695 | 6,364 | $233K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 5,183 | 4,071 | $210K |
| 95886 | 1.1% | 2,707 | 1,845 | $200K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,621 | 1,464 | $151K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 956 | 733 | $146K |
176 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,694 | $140K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,725 | $125K |
| 36415 | Collection of venous blood by venipuncture | <1% | 78,726 | $112K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 3,484 | $109K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,231 | $104K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,787 | $96K |
| 80061 | Lipid panel | <1% | 14,951 | $93K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 118 | $92K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,293 | $69K |
| 80050 | General health panel | <1% | 2,688 | $55K |
| 99490 | Ccm add 20min | <1% | 3,376 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 642 | $50K |
| 96160 | <1% | 4,563 | $45K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12,064 | $44K |
| 51798 | <1% | 6,179 | $41K | |
| 93000 | <1% | 5,398 | $39K | |
| 80053 | Comprehensive metabolic panel | <1% | 11,498 | $39K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 866 | $36K |
| 95911 | <1% | 302 | $35K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,706 | $35K |
| 99223 | Prolong inpt eval add15 m | <1% | 503 | $34K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,099 | $31K |
| 99442 | <1% | 1,885 | $31K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 98 | $30K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 8,671 | $29K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 751 | $28K |
| 99205 | Prolong outpt/office vis | <1% | 328 | $27K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,150 | $26K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,926 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,674 | $22K |
| 81001 | <1% | 13,207 | $20K | |
| 99401 | <1% | 743 | $19K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 153 | $17K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 266 | $15K |
| 95720 | <1% | 200 | $15K | |
| 96127 | <1% | 3,008 | $15K | |
| 95816 | <1% | 655 | $15K | |
| 52000 | <1% | 222 | $15K | |
| 90686 | <1% | 2,067 | $14K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 351 | $14K |
| 99441 | <1% | 759 | $14K | |
| 99406 | <1% | 2,790 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,179 | $11K |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | <1% | 171 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 257 | $10K |
| 20610 | <1% | 410 | $9K | |
| 84439 | <1% | 2,744 | $9K | |
| 43248 | <1% | 94 | $9K | |
| 94010 | <1% | 721 | $9K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,012 | $8K |
| 97803 | <1% | 234 | $8K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 182 | $8K |
| 81003 | <1% | 8,511 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 698 | $8K |
| 43235 | <1% | 92 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 181 | $7K |
| 90674 | <1% | 563 | $6K | |
| 81025 | <1% | 1,075 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 108 | $6K |
| 90715 | <1% | 204 | $6K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 39 | $6K |
| 97597 | <1% | 515 | $6K | |
| 92551 | <1% | 581 | $5K | |
| 90756 | <1% | 394 | $5K | |
| 0001A | <1% | 146 | $4K | |
| 99402 | <1% | 84 | $4K | |
| 76770 | <1% | 82 | $4K | |
| 99443 | <1% | 211 | $4K | |
| 99407 | <1% | 417 | $4K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 505 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 440 | $3K |
| 74018 | <1% | 211 | $3K | |
| 83525 | <1% | 317 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 417 | $3K |
| 82728 | <1% | 496 | $3K | |
| 0002A | <1% | 91 | $3K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 103 | $3K |
| 93295 | <1% | 169 | $3K | |
| 83540 | <1% | 725 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 598 | $2K |
| 99173 | <1% | 443 | $2K | |
| 83550 | <1% | 424 | $2K | |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 52 | $2K |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 75 | $2K |
| 85027 | <1% | 512 | $2K | |
| 82607 | <1% | 320 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 620 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 140 | $2K |
| 93793 | <1% | 511 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 875 | $2K |
| 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% | 695 | $1K |
| 76857 | <1% | 68 | $1K | |
| 81002 | <1% | 676 | $1K | |
| 93016 | <1% | 125 | $1K | |
| 95819 | <1% | 46 | $1K | |
| 0012A | <1% | 58 | $1K | |
| 93018 | <1% | 125 | $1K | |
| 95909 | <1% | 15 | $1K | |
| 93227 | <1% | 66 | $1K | |
| 87807 | <1% | 97 | $1K | |
| 64615 | <1% | 16 | $1K | |
| 0011A | <1% | 81 | $1K | |
| 92552 | <1% | 53 | $960.66 | |
| 90656 | <1% | 111 | $897.04 | |
| 95813 | <1% | 12 | $856.25 | |
| 93294 | <1% | 160 | $851.81 | |
| 95251 | <1% | 80 | $816.61 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 455 | $800.32 |
| 76882 | <1% | 14 | $750.08 | |
| 90651 | <1% | 514 | $744.86 | |
| 93307 | <1% | 68 | $664.78 | |
| 93296 | <1% | 96 | $659.63 | |
| 95910 | <1% | 14 | $654.98 | |
| 20611 | <1% | 16 | $620.68 | |
| 80076 | <1% | 369 | $614.41 | |
| 99221 | <1% | 30 | $613.68 | |
| G0008 | Administration of influenza virus vaccine | <1% | 789 | $554.35 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 159 | $549.32 |
| 82950 | <1% | 90 | $501.66 | |
| 99497 | <1% | 18 | $456.70 | |
| 93971 | <1% | 45 | $448.21 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 48 | $434.80 |
| 94726 | <1% | 73 | $431.62 | |
| 85610 | <1% | 288 | $341.84 | |
| 84436 | <1% | 156 | $327.15 | |
| 80305 | <1% | 65 | $325.37 | |
| 90461 | <1% | 669 | $321.85 | |
| 94729 | <1% | 73 | $294.75 | |
| 82746 | <1% | 65 | $291.45 | |
| 84466 | <1% | 114 | $286.13 | |
| 0064A | <1% | 12 | $280.00 | |
| 90620 | <1% | 46 | $236.88 | |
| 90688 | <1% | 2,509 | $227.09 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 30 | $198.68 |
| 84479 | <1% | 90 | $186.03 | |
| 99439 | <1% | 13 | $184.68 | |
| 93308 | <1% | 14 | $170.13 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 522 | $154.30 |
| 99307 | <1% | 36 | $149.15 | |
| 93970 | <1% | 16 | $129.44 | |
| 99188 | <1% | 33 | $107.44 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 13 | $96.36 |
| 94618 | <1% | 13 | $91.96 | |
| 83735 | <1% | 17 | $70.97 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 47 | $62.81 |
| 86140 | <1% | 57 | $55.81 | |
| 90662 | <1% | 47 | $55.02 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 25 | $46.98 |
| 85652 | <1% | 59 | $43.60 | |
| 82570 | <1% | 39 | $38.34 | |
| 90633 | <1% | 31 | $37.88 | |
| 82043 | <1% | 39 | $29.34 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 88 | $25.76 |
| 83519 | <1% | 21 | $8.28 | |
| 90671 | <1% | 275 | $0.84 | |
| 90697 | <1% | 190 | $0.33 | |
| 90734 | <1% | 286 | $0.30 | |
| 90670 | <1% | 522 | $0.22 | |
| 90658 | <1% | 267 | $0.10 | |
| 90698 | <1% | 61 | $0.04 | |
| 90681 | <1% | 137 | $0.01 | |
| 99000 | 0% | 1,006 | $0.00 | |
| 1123F | 0% | 268 | $0.00 | |
| 99429 | 0% | 33 | $0.00 | |
| 90694 | 0% | 31 | $0.00 | |
| 90657 | 0% | 21 | $0.00 | |
| 99499 | 0% | 28 | $0.00 | |
| 1124F | 0% | 15 | $0.00 | |
| 0502F | 0% | 1,265 | $0.00 | |
| 90687 | 0% | 15 | $0.00 | |
| 90653 | 0% | 13 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 14 | $0.00 |
| 99397 | 0% | 43 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90661 | 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
Who's on the registration
Authorized officialBRENT, CRAIG (VICE PRESIDENT)