The Covington Clinic. PC
The Covington Clinic. PC was paid $283K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoTHE COVINGTON CLINIC. PC
COVINGTON, TN 38019
COVINGTON, TN 38019
33aNPI1518994409assigned 06/27/2006
33bProvider typeLegal Medicine
28Total paid$283K
24GClaims14,307
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in Tennessee
Rank by total paid#6 of 16
Median peer was paid$110K
This provider vs. median2.6×
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 | 5,104 | $87K | |
| 2019 | 3,275 | $67K | |
| 2020 | 1,574 | $38K | |
| 2021 | 1,262 | $24K | |
| 2022 | 1,760 | $38K | |
| 2023 | 401 | $6K | |
| 2024incomplete | 931 | $23K |
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 | 68% | 6,489 | 5,153 | $192K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 3,133 | 2,567 | $74K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 290 | 237 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 215 | 189 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 45 | 40 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,574 | 1,334 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 170 | 143 | $1K |
| 92551 | <1% | 263 | 210 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $815.92 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 68 | 55 | $745.52 |
| 99173 | <1% | 263 | 214 | $718.77 | |
| 3074F | <1% | 661 | 545 | $712.33 |
10 more codes
| 3078F | <1% | 643 | $702.33 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $659.98 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 31 | $255.13 |
| 3079F | <1% | 110 | $142.04 | |
| 3077F | <1% | 77 | $122.04 | |
| 3080F | <1% | 46 | $110.00 | |
| 81002 | <1% | 77 | $63.62 | |
| 3075F | <1% | 59 | $60.00 | |
| 82962 | <1% | 17 | $13.30 | |
| 90688 | 0% | 29 | $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 officialSPRINGFIELD, BRENDA (MEDICAL DIRECTOR)