Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Covenant Medical Center INC

Covenant Medical Center INC was paid $63.08M by Medicaid between Jan 2018 and Dec 2024, across 254 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 58% of everything it billed.

33Billing provider infoCOVENANT MEDICAL CENTER INC
WATERLOO, IA 50702
33aNPI1700827896assigned 06/09/2006
33bProvider typeAmbulance
28Total paid$63.08M
24GClaims1,081,288
24DCodes billed254
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulance providers in Iowa

Rank by total paid#1 of 45
Median peer was paid$85K
This provider vs. median740×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HUBER, TIMOTHY controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018139,060$8.95M
2019158,578$9.98M
2020134,543$7.82M
2021178,208$9.87M
2022191,546$10.06M
2023174,922$9.71M
2024incomplete104,431$6.69M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 58% 385,656 347,770 $36.55M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.4% 23,697 21,569 $5.27M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.3% 19,757 18,503 $2.74M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.4% 5,071 4,537 $2.13M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.9% 29,780 28,929 $1.20M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.9% 9,987 9,011 $1.20M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.9% 19,239 6,551 $1.20M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 12,428 11,524 $976K
41874 1.5% 456 362 $937K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.3% 10,343 10,148 $824K
20610 1.2% 4,533 3,650 $764K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.1% 2,002 1,681 $693K
242 more codes
90853 Group psychotherapy (other than of a multiple-family group) 1.0% 10,110 $660K
D7311 <1% 653 $583K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,022 $560K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 8,959 $559K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 6,783 $531K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,739 $491K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 12,020 $481K
96361 Intravenous infusion, hydration; each additional hour <1% 6,796 $323K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 5,072 $306K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,039 $278K
G0378 Hospital observation service, per hour <1% 4,194 $273K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,910 $218K
71045 Radiologic examination, chest; single view <1% 3,885 $202K
90834 Psychotherapy session, about 45 minutes <1% 2,713 $201K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 146 $175K
96375 Therapeutic injection; each additional sequential IV push <1% 4,968 $171K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,051 $170K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 600 $150K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 3,987 $130K
95911 <1% 328 $111K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 112 $101K
95250 <1% 1,243 $83K
95117 <1% 2,741 $80K
90686 <1% 6,925 $77K
71046 Radiologic examination, chest; 2 views <1% 1,269 $71K
D2930 Prefabricated stainless steel crown - primary tooth <1% 179 $68K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 6,163 $68K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 3,739 $63K
80061 Lipid panel <1% 5,330 $62K
D7230 <1% 245 $62K
92587 <1% 273 $60K
36415 Collection of venous blood by venipuncture <1% 65,715 $48K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,692 $39K
95909 <1% 207 $37K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 105 $37K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 478 $37K
H0035 Mental health partial hospitalization, treatment, less than 24 hours <1% 429 $37K
11056 <1% 690 $35K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 509 $34K
D7140 Extraction, erupted tooth or exposed root <1% 173 $34K
D1351 Sealant - per tooth <1% 75 $34K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 100 $33K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 850 $33K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 319 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 114 $31K
80053 Comprehensive metabolic panel <1% 47,769 $30K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,690 $29K
62323 <1% 88 $29K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,570 $28K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 38 $26K
84443 Thyroid stimulating hormone (TSH) <1% 9,197 $26K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 168 $26K
92557 <1% 523 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 517 $25K
43249 <1% 27 $24K
11721 <1% 3,337 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,294 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 270 $23K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 58 $19K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 173 $18K
92588 <1% 116 $17K
70450 Computed tomography, head or brain; without contrast material <1% 84 $16K
90792 Psychiatric diagnostic evaluation with medical services <1% 395 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 43,877 $15K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 44 $15K
G0379 Direct admission of patient for hospital observation care <1% 13 $15K
90670 <1% 2,380 $14K
87081 <1% 19,009 $12K
90651 <1% 195 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 6,412 $10K
90837 Psychotherapy session, about an hour <1% 366 $9K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 39 $9K
D7310 <1% 16 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,619 $8K
86900 <1% 391 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 61 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,698 $8K
83655 <1% 2,865 $8K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose <1% 52 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 71 $7K
86780 <1% 529 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 66 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 35,582 $6K
90791 Psychiatric diagnostic evaluation <1% 106 $5K
73562 <1% 746 $5K
A0425 Ground mileage, per statute mile <1% 2,738 $5K
11057 <1% 79 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 121 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,270 $5K
73630 <1% 331 $5K
85027 <1% 5,991 $5K
82728 <1% 1,538 $4K
90847 Family psychotherapy with the patient present, 50 minutes <1% 258 $4K
70320 <1% 33 $4K
90723 <1% 1,191 $3K
0071A <1% 71 $3K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 947 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,696 $3K
83550 <1% 1,000 $2K
97161 <1% 55 $2K
0072A <1% 62 $2K
92567 <1% 2,502 $2K
84481 <1% 372 $2K
59025 Fetal non-stress test <1% 23 $2K
73564 <1% 263 $2K
77336 <1% 30 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,988 $2K
83540 <1% 1,004 $2K
64615 <1% 17 $2K
51798 <1% 1,351 $2K
92579 <1% 167 $2K
87070 <1% 1,811 $2K
84484 <1% 3,699 $2K
84439 <1% 593 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 522 $1K
76801 <1% 15 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,748 $1K
84703 <1% 655 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 15,369 $1K
20552 <1% 23 $956.77
A0427 Emergency ambulance ride, advanced life support <1% 135 $935.09
76830 Ultrasound, transvaginal <1% 14 $879.17
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 19 $768.88
84144 <1% 43 $720.50
73030 <1% 48 $714.39
73130 <1% 14 $683.50
80305 <1% 1,053 $666.86
82950 <1% 112 $636.53
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 33 $633.02
93320 <1% 2,007 $629.00
76536 <1% 204 $610.14
73100 <1% 14 $587.64
80048 Basic metabolic panel (calcium, ionized) <1% 1,251 $488.03
A0429 Emergency ambulance ride, basic life support <1% 90 $411.63
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 470 $404.28
87210 <1% 730 $377.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 36 $372.97
80055 <1% 13 $327.64
83735 <1% 2,193 $325.72
81003 <1% 5,768 $295.71
94762 <1% 160 $294.30
94010 <1% 469 $291.67
99173 <1% 13 $266.00
90677 <1% 42 $262.23
93017 <1% 41 $252.82
82607 <1% 106 $225.71
Q3014 Telehealth originating site facility fee <1% 79 $206.56
84403 <1% 29 $200.05
85007 <1% 353 $181.09
85046 <1% 52 $180.60
82043 <1% 79 $161.47
81025 <1% 160 $152.40
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 946 $135.40
97542 <1% 12 $133.16
88720 <1% 15 $131.22
85018 <1% 260 $96.33
90656 <1% 13 $79.56
83690 <1% 2,995 $77.92
96127 <1% 208 $70.94
83605 <1% 4,242 $66.06
87400 <1% 122 $62.36
86140 <1% 8,080 $47.59
81001 <1% 5,232 $42.64
94761 <1% 3,729 $36.30
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 501 $34.04
87581 <1% 499 $34.04
87486 <1% 499 $34.04
87186 <1% 25 $33.88
86762 <1% 116 $27.61
87807 <1% 725 $25.15
90647 <1% 1,125 $20.91
87340 <1% 118 $19.82
J7030 Infusion, normal saline solution , 1000 cc <1% 8,951 $18.66
82785 <1% 12 $13.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,748 $12.00
85610 <1% 5,265 $10.38
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,743 $9.17
84145 <1% 975 $8.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,069 $8.00
87077 <1% 13 $7.91
83615 <1% 61 $7.08
G0008 Administration of influenza virus vaccine <1% 62 $6.54
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,381 $0.42
J7120 Ringers lactate infusion, up to 1000 cc <1% 635 $0.12
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,614 $0.10
J2704 Injection, propofol, 10 mg <1% 693 $0.09
90785 0% 971 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 1,444 $0.00
93325 0% 2,007 $0.00
99152 0% 1,209 $0.00
90633 0% 316 $0.00
90648 0% 242 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 50 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 53 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 66 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 25 $0.00
81002 0% 38 $0.00
90681 0% 37 $0.00
80179 0% 37 $0.00
A4649 Surgical supply; miscellaneous 0% 41 $0.00
90710 0% 39 $0.00
90715 0% 28 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 138 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 31 $0.00
94664 0% 30 $0.00
88312 0% 30 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 13 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 14 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 12 $0.00
87280 0% 121 $0.00
90474 0% 4,312 $0.00
95885 0% 284 $0.00
36416 0% 4,125 $0.00
90680 0% 804 $0.00
85730 0% 1,365 $0.00
86901 0% 391 $0.00
86850 0% 362 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 64 $0.00
80320 0% 20 $0.00
99153 Mod sedat endo service >5yrs 0% 790 $0.00
95886 0% 666 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 0% 1,659 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 184 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 323 $0.00
88342 0% 568 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 151 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 193 $0.00
87040 0% 334 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 91 $0.00
82150 0% 96 $0.00
86803 0% 48 $0.00
83880 0% 32 $0.00
85379 0% 109 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 41 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 38 $0.00
C1769 Guide wire 0% 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 34 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 13 $0.00
80329 0% 19 $0.00
90696 0% 39 $0.00
82550 0% 15 $0.00
85652 0% 17 $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 officialHUBER, TIMOTHY (CONTROLLER)
Same official

Other billing entities under HUBER, TIMOTHY

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