Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COVENANT MEDICAL CENTER INC

NPI: 1548288160 · WATERLOO, IA 50702 · Counselor · NPI assigned 07/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HUBER, TIMOTHY controls 12+ related entities in our dataset. Read more

$22.00M
Total Medicaid Paid
960,789
Total Claims
857,765
Beneficiaries
156
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUBER, TIMOTHY (CONTROLLER)
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: HUBER, TIMOTHY

ProviderCityStateTotal Paid
COVENANT MEDICAL CENTER INC WATERLOO IA $63.08M
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
COVENANT MEDICAL CENTER INC ARLINGTON IA $225K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114,679 $3.09M
2019 176,800 $3.18M
2020 127,110 $2.68M
2021 140,917 $3.16M
2022 146,858 $3.29M
2023 143,156 $3.51M
2024 111,269 $3.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 247,142 229,621 $6.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 126,340 115,502 $4.40M
90792 Psychiatric diagnostic evaluation with medical services 14,404 13,135 $1.61M
90837 Psychotherapy, 53 minutes with patient 15,807 10,098 $1.19M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,803 12,650 $1.00M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,319 13,226 $994K
90834 Psychotherapy, 45 minutes with patient 11,420 7,944 $672K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,272 8,181 $643K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,451 7,141 $498K
99232 Subsequent hospital care, per day, moderate complexity 10,041 4,281 $356K
99238 Hospital discharge day management, 30 minutes or less 7,051 6,452 $349K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,967 3,903 $340K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,547 7,181 $332K
99231 Subsequent hospital care, per day, straightforward or low complexity 12,395 4,951 $309K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 39,447 35,310 $294K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,428 5,107 $291K
20610 4,912 3,988 $178K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 8,325 8,020 $176K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,206 2,016 $168K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,284 1,171 $156K
95251 2,048 1,913 $125K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,977 1,933 $116K
99222 Initial hospital care, per day, moderate complexity 1,215 1,129 $94K
90847 Family psychotherapy with the patient present, 50 minutes 1,341 966 $92K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 820 786 $88K
99215 Prolong outpt/office vis 1,711 1,610 $77K
90785 14,938 10,207 $62K
00170 Anesthesia for intraoral procedures, including biopsy 357 345 $60K
90791 Psychiatric diagnostic evaluation 534 513 $52K
99205 Prolong outpt/office vis 501 487 $47K
11721 4,074 3,859 $44K
99233 Prolong inpt eval add15 m 849 189 $40K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 877 823 $40K
99217 721 665 $37K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 648 602 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,291 2,174 $36K
Q3014 Telehealth originating site facility fee 1,777 1,660 $32K
95911 348 318 $32K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 358 339 $31K
99218 521 475 $28K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 276 55 $26K
0002A 720 706 $25K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 325 322 $25K
95886 734 672 $22K
0001A 774 758 $21K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 335 311 $21K
99442 679 642 $21K
99220 223 206 $20K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 114 110 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,064 695 $19K
59025 Fetal non-stress test 683 463 $18K
99223 Prolong inpt eval add15 m 206 194 $17K
95909 261 251 $15K
93018 1,215 1,140 $15K
90961 269 261 $14K
73630 1,704 1,511 $13K
99381 187 174 $13K
93016 729 679 $12K
99152 1,331 1,167 $12K
99443 349 331 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 64 58 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 326 302 $11K
93320 343 324 $10K
99308 Subsequent nursing facility care, per day, straightforward 1,144 1,076 $10K
93000 516 482 $10K
95806 104 100 $9K
93325 498 469 $9K
99239 Hospital discharge day management, more than 30 minutes 122 119 $9K
0012A 219 217 $7K
94010 914 868 $7K
99219 88 83 $7K
73562 843 736 $6K
93458 44 37 $6K
77427 58 25 $6K
0011A 264 260 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 63 62 $6K
95885 424 350 $5K
99460 85 78 $5K
99224 215 122 $5K
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) 688 658 $4K
11056 878 830 $4K
76536 224 217 $4K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 645 586 $4K
62323 70 67 $4K
27096 27 25 $4K
93227 130 124 $3K
73564 305 270 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 225 208 $3K
99417 Prolong home eval add 15m 35 34 $3K
64615 42 39 $2K
95811 13 13 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 16 13 $2K
11750 29 27 $2K
31575 42 40 $2K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 121 13 $2K
90832 Psychotherapy, 30 minutes with patient 38 27 $2K
90970 631 196 $2K
99441 86 84 $2K
43249 19 17 $2K
95912 12 12 $1K
92504 213 194 $1K
00126 17 16 $1K
52000 27 25 $1K
99307 66 65 $1K
54150 12 12 $1K
92567 110 101 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 192 184 $925.92
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 41 41 $897.34
99309 Subsequent nursing facility care, per day, low to moderate complexity 41 37 $799.57
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 77 69 $797.83
99310 Prolong nursin fac eval 15m 142 139 $742.64
11057 126 120 $732.67
73030 96 93 $625.41
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 78 71 $561.78
94726 57 51 $442.89
31231 13 12 $409.09
20553 28 26 $372.62
94729 58 51 $291.71
20552 14 12 $230.86
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 48 45 $216.04
94060 12 12 $178.35
97803 87 85 $153.73
99304 18 14 $151.04
73130 14 12 $114.24
73100 12 12 $93.92
92587 20 16 $74.81
3066F 171 168 $20.00
1036F 65,524 58,853 $0.25
0502F 18,564 15,485 $0.25
99153 Mod sedat endo service >5yrs 18 13 $0.12
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 96,217 87,646 $0.09
G8783 Normal blood pressure reading documented, follow-up not required 72,444 66,566 $0.07
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 8,033 7,544 $0.00
3017F 10,969 9,655 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20,180 18,148 $0.00
3008F 3,452 3,287 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 7,029 6,484 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13,949 12,171 $0.00
99459 28 25 $0.00
G8708 Patient not prescribed antibiotic 5,476 5,326 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 69 65 $0.00
99406 24 24 $0.00
87807 15 15 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 10,277 8,978 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 200 181 $0.00
3210F 2,680 2,600 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 857 746 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 359 321 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 468 431 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 333 192 $0.00
G8482 Influenza immunization administered or previously received 70 64 $0.00
4004F 331 312 $0.00
3046F 34 28 $0.00
G8709 Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) 118 110 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 14 13 $0.00