Medicaid Provider Spending

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

COVENANT PEDIATRICS, PLLC

NPI: 1659670412 · ATHENS, TN 37303 · Rural Health Clinic/Center · NPI assigned 03/19/2011

$1.77M
Total Medicaid Paid
50,817
Total Claims
40,523
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBREEDEN, OMER (BUSINESS MANAGER)
NPI Enumeration Date03/19/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,322 $387K
2019 10,935 $357K
2020 5,489 $199K
2021 4,980 $215K
2022 4,462 $197K
2023 5,197 $212K
2024 5,432 $205K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,667 16,639 $763K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,726 4,757 $330K
90460 Immunization administration through 18 years of age via any route, first or only component 4,598 3,505 $178K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,556 3,516 $130K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,404 1,050 $73K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,147 849 $67K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 919 847 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 338 321 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 510 413 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 717 647 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 971 770 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,034 864 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,301 1,015 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 184 133 $12K
92551 882 693 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 544 462 $5K
96127 1,273 966 $5K
96161 302 170 $4K
92587 151 101 $4K
99238 Hospital discharge day management, 30 minutes or less 54 41 $2K
90832 Psychotherapy, 30 minutes with patient 72 53 $2K
99173 383 277 $2K
87807 189 137 $2K
90847 Family psychotherapy with the patient present, 50 minutes 13 12 $900.65
83655 97 59 $865.47
90670 692 531 $730.58
99177 104 73 $485.71
90686 304 272 $445.03
99462 14 12 $343.48
3008F 174 141 $260.00
90698 237 202 $127.31
36416 90 59 $103.85
90685 354 289 $47.63
90633 60 43 $42.42
90688 303 255 $41.70
90744 180 126 $23.18
81002 18 12 $23.08
90756 65 54 $0.21
90680 165 144 $0.00
90651 25 13 $0.00