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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKeitha Covalla
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    Keitha Covalla — Billing Profile & Reimbursement Data

    NPI 1124023221 · New Bern, NC · Optometrist

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    Keitha Covalla is a optometrist provider located in New Bern, North Carolina. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKeitha Covalla
    Address2001 S Glenburnie Rd
    CityNew Bern
    StateNC
    ZIP28562
    TaxonomyOptometrist
    NPI EnumeratedJune 15, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$85.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…540$70$39.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…170$60$9.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$80$6.3K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…280$20$6.1K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.160$20$3.8K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…100$40$3.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$40$3.5K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…2,850$1$2.9K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…130$20$2.8K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…2,670$1$2.7K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698468580230$70$73.7K
    66982313030$100$20.8K
    9201494880110$80$17.7K
    668211431050$100$16.5K
    9201220130080$60$8.9K
    9213423879070$30$7.5K
    992133,66716,32070$50$7.1K
    920048562030$90$4.6K
    9208321477050$40$3.7K
    9225011785080$20$3.5K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Keitha Covalla, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jay SingletonNCOphthalmology Physician$704.5K$0
    Lady AycockNCOptometrist$172.2K$0
    Daniel JonesNCOptometrist$114K$0
    Mark LearyNCOptometrist$96.4K$0
    Tate SaureyNCOphthalmology Physician$89.8K$0
    Bonnie FanelliNCOptometrist$82.5K$2.3K
    Jessica OneilNCOptometrist$79.5K$0
    Jeffrey SuttonNCOptometrist$75.3K$0
    Kimberly OncavageNCOptometrist$63.1K$0
    Shawn DotyNCOptometrist$58.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Keitha Covalla, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$28.2M
    Coastal Childrens ClinicNCPediatrics Physician$0$20.4M
    Home Life Care IncNCIn Home Supportive Care Agency$0$14M
    Robert B. Harrison Dmd Msd PLLCNCMulti-Specialty Clinic/Center$0$7.5M
    Robert B. Miller, Iv, Dds, PLLCNCDentist$0$7.3M
    Christopher FlyeNCDiagnostic Radiology Physician$1.7M$0
    Cchc Endoscopy Center IncNCEndoscopy Clinic/Center$988.7K$57.5K
    Christopher MizelleNCDermatology Physician$924.7K$0
    Nathan SaucierNCNephrology Physician$724.1K$0
    Todd NelsonNCDermatology Physician$494K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Keitha Covalla — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina