Medicaid Provider Spending

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

COVENANT MEDICAL CENTER, INC

NPI: 1619412376 · SAGINAW, MI 48602 · Internal Medicine Physician · NPI assigned 01/04/2017

$19.31M
Total Medicaid Paid
514,159
Total Claims
469,875
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAINE, PEGGY (DIRECTOR)
NPI Enumeration Date01/04/2017

Related Entities

Other providers sharing the same authorized official: MAINE, PEGGY

ProviderCityStateTotal Paid
COVENANT MEDICAL CENTER, INC. SAGINAW MI $1.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,233 $1.89M
2019 49,278 $2.04M
2020 56,022 $2.21M
2021 73,911 $3.22M
2022 98,637 $3.46M
2023 105,959 $3.54M
2024 87,119 $2.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71,738 66,906 $4.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66,529 61,881 $3.06M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20,447 20,214 $1.74M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,847 13,728 $761K
99232 Subsequent hospital care, per day, moderate complexity 16,011 6,673 $582K
99215 Prolong outpt/office vis 5,517 4,992 $464K
99222 Initial hospital care, per day, moderate complexity 6,609 5,694 $425K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,791 8,695 $409K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,285 4,279 $394K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,484 4,478 $375K
J0585 Injection, onabotulinumtoxina, 1 unit 754 380 $352K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,811 5,794 $351K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,004 345 $328K
99471 423 408 $290K
99205 Prolong outpt/office vis 2,761 2,675 $286K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,716 2,708 $240K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,964 885 $231K
99221 4,429 3,986 $204K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,484 1,480 $185K
99233 Prolong inpt eval add15 m 3,131 1,820 $155K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,432 1,425 $134K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,540 1,540 $128K
99223 Prolong inpt eval add15 m 1,364 1,279 $124K
93458 944 932 $121K
20610 4,479 4,131 $120K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,526 2,731 $118K
90378 176 165 $114K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,353 4,199 $109K
99239 Hospital discharge day management, more than 30 minutes 1,720 1,694 $107K
99254 1,064 1,024 $93K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,101 1,101 $88K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,046 1,044 $85K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,169 1,167 $76K
93000 9,977 9,819 $74K
93351 1,235 1,233 $71K
95816 2,301 2,248 $69K
95886 1,491 1,490 $68K
99253 1,055 989 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 892 878 $62K
99217 1,711 1,690 $60K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,847 5,792 $60K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 533 530 $57K
J2785 Injection, regadenoson, 0.1 mg 432 428 $53K
99218 1,219 1,196 $53K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 458 453 $50K
77427 559 239 $50K
73630 3,245 2,846 $49K
99219 785 779 $49K
99475 97 93 $48K
73564 2,339 2,261 $46K
73610 2,441 2,183 $38K
99443 790 757 $38K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 997 996 $37K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 771 479 $36K
77014 1,662 157 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,363 3,954 $35K
90686 2,290 2,281 $34K
J1040 Injection, methylprednisolone acetate, 80 mg 3,150 3,080 $33K
0002A 862 862 $31K
99442 1,001 972 $30K
0001A 945 944 $30K
99238 Hospital discharge day management, 30 minutes or less 716 698 $30K
94060 2,885 2,875 $28K
64615 401 399 $28K
94726 2,975 2,962 $28K
99244 Office or other outpatient consultation, moderate to high complexity 274 274 $28K
73030 1,918 1,843 $27K
93015 1,028 1,023 $27K
52000 208 208 $26K
94729 2,993 2,983 $25K
93320 2,059 2,039 $23K
43235 398 396 $23K
73502 1,172 1,140 $22K
90715 683 673 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,966 3,846 $20K
93016 1,804 1,790 $19K
95819 544 539 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material 344 330 $17K
73562 873 835 $16K
99476 60 28 $15K
93018 1,981 1,968 $14K
90472 Immunization administration, each additional vaccine (list separately) 913 909 $14K
71046 Radiologic examination, chest; 2 views 1,947 1,888 $13K
73110 691 625 $12K
93308 520 481 $11K
97597 647 425 $11K
93272 840 840 $11K
95811 168 168 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 238 237 $10K
70450 Computed tomography, head or brain; without contrast material 441 424 $10K
95782 145 145 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 801 788 $10K
90688 668 667 $10K
95909 216 215 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 186 183 $9K
99495 92 91 $9K
99441 517 510 $9K
77067 Screening mammography, bilateral, including computer-aided detection 381 380 $9K
71045 Radiologic examination, chest; single view 1,704 1,253 $9K
25600 43 43 $8K
99152 1,192 1,128 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited 421 414 $7K
J0475 Injection, baclofen, 10 mg 12 12 $7K
93325 2,171 2,139 $6K
90651 53 53 $6K
81003 3,660 3,614 $6K
71275 Computed tomographic angiography, chest, with contrast material 117 115 $6K
99457 212 212 $6K
73100 294 225 $6K
47562 15 15 $6K
93312 102 102 $6K
77334 71 50 $5K
51798 987 982 $5K
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 237 150 $5K
76770 235 232 $5K
99406 662 655 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 119 26 $5K
70551 Magnetic resonance imaging, brain; without contrast material 106 105 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 64 64 $4K
88307 69 69 $4K
83036 Hemoglobin; glycosylated (A1C) 632 628 $4K
93356 528 528 $4K
73070 242 217 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 181 177 $4K
88342 125 125 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 861 845 $3K
93227 262 262 $3K
90656 167 167 $3K
29405 104 79 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 71 71 $3K
81025 470 466 $3K
93793 1,896 818 $3K
81002 1,201 1,187 $3K
72125 Computed tomography, cervical spine; without contrast material 101 97 $3K
J1010 Injection, methylprednisolone acetate, 1 mg 280 276 $3K
70496 51 49 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 67 67 $3K
77063 Screening digital breast tomosynthesis, bilateral 144 144 $3K
90756 113 109 $2K
93296 219 219 $2K
0012A 64 64 $2K
72141 56 56 $2K
0124A 71 71 $2K
76642 99 89 $2K
76801 73 67 $2K
99255 18 17 $2K
74174 30 26 $2K
77300 43 37 $2K
74019 272 264 $2K
76536 114 113 $2K
0011A 67 67 $2K
90632 26 26 $2K
73130 304 288 $2K
70498 33 31 $2K
Q9957 Injection, perflutren lipid microspheres, per ml 53 53 $2K
90746 28 28 $2K
94618 122 118 $2K
74018 300 236 $2K
73600 100 88 $2K
76830 Ultrasound, transvaginal 77 74 $2K
90677 13 13 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,067 1,000 $1K
73221 36 35 $1K
95251 93 93 $1K
76882 72 69 $1K
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) 509 458 $1K
93971 111 104 $1K
76881 49 49 $1K
73590 158 143 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 39 39 $1K
93970 63 62 $1K
43450 65 65 $1K
99252 28 28 $1K
71250 38 37 $1K
93975 34 34 $1K
77066 Tomosynthesis, mammo 38 38 $1K
95717 22 21 $1K
72110 124 121 $1K
62370 40 40 $1K
71271 28 28 $906.64
77263 13 13 $895.05
78815 Positron emission tomography (PET) for limited area imaging 12 12 $851.16
72158 12 12 $823.08
72100 119 117 $821.95
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 36 35 $812.88
0003A 24 24 $794.85
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 41 41 $794.58
73090 77 66 $754.51
93298 12 12 $726.35
73560 75 69 $682.17
93294 45 45 $669.58
74022 73 70 $661.71
20550 29 28 $639.68
72040 93 88 $607.15
70491 14 14 $578.48
99283 Emergency department visit for the evaluation and management, moderate severity 14 14 $577.48
93228 43 43 $577.23
73080 91 89 $576.21
99284 Emergency department visit for the evaluation and management, high severity 13 12 $570.17
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 72 41 $554.92
76870 26 25 $492.96
93224 13 13 $460.35
73140 110 100 $451.56
90694 65 65 $403.18
76700 Ultrasound, abdominal, real time with image documentation; complete 15 15 $361.05
93976 17 16 $357.90
95806 12 12 $333.62
88304 48 48 $330.83
73552 52 46 $328.26
96127 112 112 $323.82
99224 47 39 $306.42
70486 12 12 $305.44
72170 55 55 $284.39
76506 14 12 $274.40
76857 16 16 $235.20
73522 14 13 $193.03
74420 13 12 $184.08
72072 27 27 $175.54
88302 28 28 $149.19
71101 18 18 $145.62
94010 30 30 $137.75
73060 27 26 $132.30
73660 13 12 $120.48
G0008 Administration of influenza virus vaccine 386 381 $96.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 12 12 $89.68
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 12 $83.95
93321 15 15 $54.16
99225 13 13 $37.51
36415 Collection of venous blood by venipuncture 12 12 $29.70
1159F 2,155 1,961 $9.48
3008F 4,573 4,262 $8.37
3079F 18,453 17,642 $6.52
3075F 11,270 10,918 $6.47
G0444 Annual depression screening, 5 to 15 minutes 13 13 $5.28
3078F 32,352 29,955 $3.37
3074F 36,405 33,744 $3.27
3077F 9,273 8,778 $0.29
3080F 6,219 5,990 $0.15
1220F 250 243 $0.02
G9007 Coordinated care fee, scheduled team conference 35 29 $0.02
98966 48 47 $0.02
2000F 1,847 1,680 $0.01
3052F 32 32 $0.01
2028F 134 134 $0.01
3044F 828 804 $0.00
1036F 1,195 1,087 $0.00
1034F 378 344 $0.00
99153 Mod sedat endo service >5yrs 191 186 $0.00
1111F 249 235 $0.00
91301 54 54 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 41 39 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 57 56 $0.00
91300 1,084 968 $0.00
3046F 73 72 $0.00
3051F 159 155 $0.00
90653 19 19 $0.00