Covenant Medical Center INC
Covenant Medical Center INC was paid $225K by Medicaid between Jan 2018 and Feb 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
ARLINGTON, IA 50606
Next to other Rural Health Clinic/Center providers in Iowa
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 651 | $41K | |
| 2019 | 730 | $52K | |
| 2020 | 482 | $42K | |
| 2021 | 218 | $21K | |
| 2022 | 292 | $25K | |
| 2023 | 460 | $38K | |
| 2024incomplete | 58 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 2,134 | 1,665 | $224K |
| 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% | 371 | 315 | $162.20 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 42 | 37 | $0.00 |
| 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 | 0% | 169 | 153 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 142 | 119 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 18 | 15 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 15 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Covenant Medical Center INC | Waterloo, IA | $63.08M |
| Covenant Medical Center INC | Waterloo, IA | $22.00M |
| Covenant Medical Center INC | Waterloo, IA | $2.06M |
| Mercy Hospital of Franciscan Sisters INC | Oelwein, IA | $1.97M |
| Covenant Medical Center INC | Waterloo, IA | $618K |
| Sartori Memorial Hospital INC | Cedar Falls, IA | $439K |
| Sartori Memorial Hospital INC | Cedar Falls, IA | $313K |
| Mercy Hospital of Franciscan Sisters INC | Oelwein, IA | $139K |
| Sartori Memorial Hospital INC | Cedar Falls, IA | $117K |
| Covenant Medical Center INC | Waterloo, IA | $99K |
| Mercy Hospital of Franciscan Sisters INC | Oelwein, IA | $15K |
| Covenant Medical Center INC | Waterloo, IA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.