Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Saginaw › NPI 1619412376
Physician

Covenant Medical Center, INC

Covenant Medical Center, INC was paid $19.31M by Medicaid between Jan 2018 and Dec 2024, across 256 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoCOVENANT MEDICAL CENTER, INC
SAGINAW, MI 48602
33aNPI1619412376assigned 01/04/2017
33bProvider typeInternal Medicine Physician
28Total paid$19.31M
24GClaims514,159
24DCodes billed256
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#6 of 816
Median peer was paid$70K
This provider vs. median274×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201843,233$1.89M
201949,278$2.04M
202056,022$2.21M
202173,911$3.22M
202298,637$3.46M
2023105,959$3.54M
2024incomplete87,119$2.95M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 71,738 66,906 $4.80M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 66,529 61,881 $3.06M
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 9.0% 20,447 20,214 $1.74M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.9% 13,847 13,728 $761K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 16,011 6,673 $582K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.4% 5,517 4,992 $464K
99222 Initial hospital care, per day, moderate complexity 2.2% 6,609 5,694 $425K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.1% 8,791 8,695 $409K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.0% 4,285 4,279 $394K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.9% 4,484 4,478 $375K
J0585 Injection, onabotulinumtoxina, 1 unit 1.8% 754 380 $352K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.8% 5,811 5,794 $351K
244 more codes
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1.7% 1,004 $328K
99471 1.5% 423 $290K
99205 Prolong outpt/office vis 1.5% 2,761 $286K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.2% 2,716 $240K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 1,964 $231K
99221 1.1% 4,429 $204K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,484 $185K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,131 $155K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 1,432 $134K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,540 $128K
99223 Prolong inpt eval add15 m <1% 1,364 $124K
93458 <1% 944 $121K
20610 <1% 4,479 $120K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 5,526 $118K
90378 <1% 176 $114K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,353 $109K
99239 Hospital discharge day management, more than 30 minutes <1% 1,720 $107K
99254 <1% 1,064 $93K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,101 $88K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,046 $85K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,169 $76K
93000 <1% 9,977 $74K
93351 <1% 1,235 $71K
95816 <1% 2,301 $69K
95886 <1% 1,491 $68K
99253 <1% 1,055 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 892 $62K
99217 <1% 1,711 $60K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,847 $60K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 533 $57K
J2785 Injection, regadenoson, 0.1 mg <1% 432 $53K
99218 <1% 1,219 $53K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 458 $50K
77427 <1% 559 $50K
73630 <1% 3,245 $49K
99219 <1% 785 $49K
99475 <1% 97 $48K
73564 <1% 2,339 $46K
73610 <1% 2,441 $38K
99443 <1% 790 $38K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 997 $37K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 771 $36K
77014 <1% 1,662 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,363 $35K
90686 <1% 2,290 $34K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 3,150 $33K
0002A <1% 862 $31K
99442 <1% 1,001 $30K
0001A <1% 945 $30K
99238 Hospital discharge day management, 30 minutes or less <1% 716 $30K
94060 <1% 2,885 $28K
64615 <1% 401 $28K
94726 <1% 2,975 $28K
99244 Office or other outpatient consultation, moderate to high complexity <1% 274 $28K
73030 <1% 1,918 $27K
93015 <1% 1,028 $27K
52000 <1% 208 $26K
94729 <1% 2,993 $25K
93320 <1% 2,059 $23K
43235 <1% 398 $23K
73502 <1% 1,172 $22K
90715 <1% 683 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,966 $20K
93016 <1% 1,804 $19K
95819 <1% 544 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 344 $17K
73562 <1% 873 $16K
99476 <1% 60 $15K
93018 <1% 1,981 $14K
90472 Immunization administration, each additional vaccine (list separately) <1% 913 $14K
71046 Radiologic examination, chest; 2 views <1% 1,947 $13K
73110 <1% 691 $12K
93308 <1% 520 $11K
97597 <1% 647 $11K
93272 <1% 840 $11K
95811 <1% 168 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 238 $10K
70450 Computed tomography, head or brain; without contrast material <1% 441 $10K
95782 <1% 145 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 801 $10K
90688 <1% 668 $10K
95909 <1% 216 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 186 $9K
99495 <1% 92 $9K
99441 <1% 517 $9K
77067 Screening mammography, bilateral, including computer-aided detection <1% 381 $9K
71045 Radiologic examination, chest; single view <1% 1,704 $9K
25600 <1% 43 $8K
99152 <1% 1,192 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 421 $7K
J0475 Injection, baclofen, 10 mg <1% 12 $7K
93325 <1% 2,171 $6K
90651 <1% 53 $6K
81003 <1% 3,660 $6K
71275 Computed tomographic angiography, chest, with contrast material <1% 117 $6K
99457 <1% 212 $6K
73100 <1% 294 $6K
47562 <1% 15 $6K
93312 <1% 102 $6K
77334 <1% 71 $5K
51798 <1% 987 $5K
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass <1% 237 $5K
76770 <1% 235 $5K
99406 <1% 662 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 119 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 106 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 64 $4K
88307 <1% 69 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 632 $4K
93356 <1% 528 $4K
73070 <1% 242 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 181 $4K
88342 <1% 125 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 861 $3K
93227 <1% 262 $3K
90656 <1% 167 $3K
29405 <1% 104 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 71 $3K
81025 <1% 470 $3K
93793 <1% 1,896 $3K
81002 <1% 1,201 $3K
72125 Computed tomography, cervical spine; without contrast material <1% 101 $3K
J1010 Injection, methylprednisolone acetate, 1 mg <1% 280 $3K
70496 <1% 51 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 67 $3K
77063 Screening digital breast tomosynthesis, bilateral <1% 144 $3K
90756 <1% 113 $2K
93296 <1% 219 $2K
0012A <1% 64 $2K
72141 <1% 56 $2K
0124A <1% 71 $2K
76642 <1% 99 $2K
76801 <1% 73 $2K
99255 <1% 18 $2K
74174 <1% 30 $2K
77300 <1% 43 $2K
74019 <1% 272 $2K
76536 <1% 114 $2K
0011A <1% 67 $2K
90632 <1% 26 $2K
73130 <1% 304 $2K
70498 <1% 33 $2K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 53 $2K
90746 <1% 28 $2K
94618 <1% 122 $2K
74018 <1% 300 $2K
73600 <1% 100 $2K
76830 Ultrasound, transvaginal <1% 77 $2K
90677 <1% 13 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,067 $1K
73221 <1% 36 $1K
95251 <1% 93 $1K
76882 <1% 72 $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) <1% 509 $1K
93971 <1% 111 $1K
76881 <1% 49 $1K
73590 <1% 158 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 39 $1K
93970 <1% 63 $1K
43450 <1% 65 $1K
99252 <1% 28 $1K
71250 <1% 38 $1K
93975 <1% 34 $1K
77066 Tomosynthesis, mammo <1% 38 $1K
95717 <1% 22 $1K
72110 <1% 124 $1K
62370 <1% 40 $1K
71271 <1% 28 $906.64
77263 <1% 13 $895.05
78815 Positron emission tomography (PET) for limited area imaging <1% 12 $851.16
72158 <1% 12 $823.08
72100 <1% 119 $821.95
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 36 $812.88
0003A <1% 24 $794.85
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 41 $794.58
73090 <1% 77 $754.51
93298 <1% 12 $726.35
73560 <1% 75 $682.17
93294 <1% 45 $669.58
74022 <1% 73 $661.71
20550 <1% 29 $639.68
72040 <1% 93 $607.15
70491 <1% 14 $578.48
99283 Emergency room visit (moderate) <1% 14 $577.48
93228 <1% 43 $577.23
73080 <1% 91 $576.21
99284 Emergency room visit (serious) <1% 13 $570.17
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 72 $554.92
76870 <1% 26 $492.96
93224 <1% 13 $460.35
73140 <1% 110 $451.56
90694 <1% 65 $403.18
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 15 $361.05
93976 <1% 17 $357.90
95806 <1% 12 $333.62
88304 <1% 48 $330.83
73552 <1% 52 $328.26
96127 <1% 112 $323.82
99224 <1% 47 $306.42
70486 <1% 12 $305.44
72170 <1% 55 $284.39
76506 <1% 14 $274.40
76857 <1% 16 $235.20
73522 <1% 14 $193.03
74420 <1% 13 $184.08
72072 <1% 27 $175.54
88302 <1% 28 $149.19
71101 <1% 18 $145.62
94010 <1% 30 $137.75
73060 <1% 27 $132.30
73660 <1% 13 $120.48
G0008 Administration of influenza virus vaccine <1% 386 $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 <1% 12 $89.68
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 14 $83.95
93321 <1% 15 $54.16
99225 <1% 13 $37.51
36415 Collection of venous blood by venipuncture <1% 12 $29.70
1159F <1% 2,155 $9.48
3008F <1% 4,573 $8.37
3079F <1% 18,453 $6.52
3075F <1% 11,270 $6.47
G0444 Annual depression screening, 5 to 15 minutes <1% 13 $5.28
3078F <1% 32,352 $3.37
3074F <1% 36,405 $3.27
3077F <1% 9,273 $0.29
3080F <1% 6,219 $0.15
1220F <1% 250 $0.02
G9007 Coordinated care fee, scheduled team conference <1% 35 $0.02
98966 <1% 48 $0.02
2000F <1% 1,847 $0.01
3052F <1% 32 $0.01
2028F <1% 134 $0.01
3044F 0% 828 $0.00
1036F 0% 1,195 $0.00
1034F 0% 378 $0.00
99153 Mod sedat endo service >5yrs 0% 191 $0.00
1111F 0% 249 $0.00
91301 0% 54 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 41 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 0% 57 $0.00
91300 0% 1,084 $0.00
3046F 0% 73 $0.00
3051F 0% 159 $0.00
90653 0% 19 $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 officialMAINE, PEGGY (DIRECTOR)
Same official

Other billing entities under MAINE, PEGGY

Full network →
ProviderLocationPaid
Covenant Medical Center, INC.Saginaw, MI$1.33M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.