Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Darell Covington (NPI 1134128622)

Field	Value
Entity Type	Individual
Organization	Darell Covington
Address	9090 Franklin Hill Rd Ste 201
City	East Stroudsburg
State	PA
ZIP	18301
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicare	$85.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	100	$190	$18.6K
99203	The provider sees a new 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 provider…	260	$70	$16.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	70	$180	$11.9K
99213	The 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…	180	$60	$11.3K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	50	$180	$7.9K
45384	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…	50	$100	$5.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	40	$90	$3.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$110	$3.4K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	20	$140	$2.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$110	$2K

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

Claims Volume vs. Pennsylvania Distribution

Darell Covington — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	194	860	50	$290	$24.3K
99214	17,372	23,230	100	$80	$14.5K
45380	519	840	40	$180	$12.5K
G0105	77	500	30	$270	$12.4K
G0121	57	380	20	$270	$8.1K
99213	4,691	22,370	70	$60	$7.7K
45384	6	30	30	$200	$6.5K
99204	7,092	10,290	30	$110	$5K
45378	162	390	20	$190	$4.6K
99203	71	7,330	30	$70	$3.5K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Eyvazzadeh	PA	Colon & Rectal Surgery Physician	$75.7K	$0
Daniel Latta	PA	Colon & Rectal Surgery Physician	$55.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matrix Behavior Solutions, LLC	PA	Behavior Analyst	$0	$75.6M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$27.4M
Lehigh Valley Hospital Pocono	PA	General Acute Care Hospital	$0	$11.9M
Family Care Centers Inc.	PA	Internal Medicine Physician	$0	$11.1M
Family Care Centers Inc	PA	Family Medicine Physician	$0	$6.1M
Gerald Negvesky	PA	Ophthalmology Physician	$446.1K	$0
Laszlo Szollas	PA	Interventional Pain Medicine Physician	$417.3K	$0
Gordon Fried	PA	Interventional Cardiology Physician	$305.5K	$130
Roger Componovo	PA	Adult Reconstructive Orthopaedic Surgery Physician	$299.8K	$0
Javed Malik	PA	Diagnostic Radiology Physician	$205.4K	$65.7K

Darell Covington — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References