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 Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa 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. Iowa (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.

Covenant Medical Center Inc (NPI 1134411416)

Field	Value
Entity Type	Organization
Organization	Covenant Medical Center Inc
Address	441 E San Marnan Dr
City	Waterloo
State	IA
ZIP	50702
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 5, 2011

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	5,690	$90	$500.6K
E0570	Nebulizer, with compressor	4,280	$90	$398.3K
E0601	Continuous positive airway pressure (CPAP) device	3,100	$60	$192.4K
A7030	Full face mask used with positive airway pressure device, each	1,170	$110	$126.8K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	800	$130	$101.2K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	520	$170	$88.9K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	2,110	$40	$78.2K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	4,270	$20	$72.6K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	540	$120	$66.7K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	1,700	$40	$59.6K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

Claims Volume vs. Iowa Distribution

Covenant Medical Center Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5170	Home delivered meals, including preparation; per meal	59	60	1,150	$20	$14M
E0603	Breast pump, electric (ac and/or dc), any type	5	10	340	$180	$457.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	8	10	250	$80	$278.1K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5	10	530	$90	$275.7K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	17	90	2,410	$70	$258.4K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	9	10	380	$100	$236.3K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	7	10	500	$50	$233.5K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	5	10	190	$170	$150.7K
E0601	Continuous positive airway pressure (CPAP) device	17	110	1,020	$60	$118.8K
A7030	Full face mask used with positive airway pressure device, each	19	80	290	$90	$85.5K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with Covenant Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Medical Center Inc	IA	General Acute Care Hospital	$0	$63.2M
Covenant Medical Center Inc	IA	Family Medicine Physician	$0	$21.9M
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Andrew Pugely	IA	Orthopaedic Surgery of the Spine Physician	$327.4K	$0
Ahsan Maqsood	IA	Interventional Cardiology Physician	$324.4K	$0
Victor Abrich	IA	Clinical Cardiac Electrophysiology Physician	$213.3K	$0
Ravinder Dervesh	IA	Interventional Cardiology Physician	$196.9K	$0
Brendan Coutu	IA	Radiation Oncology Physician	$193.3K	$0
Richard Valente	IA	Cardiovascular Disease Physician	$182.1K	$0
Cristina Pasarin	IA	Nephrology Physician	$177K	$0

Nearby Providers

Other providers in the same ZIP code as Covenant Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black Hawk-grundy Mental Health Center Inc.	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.7M
Waterloo Community School District	IA	Local Education Agency (LEA)	$0	$19.8M
Iowa Emergency Physicians LLP	IA	Emergency Medicine Physician	$0	$5.1M
Jyoti Chowdhury	IA	Pediatric Dentistry	$0	$2.4M
Michael Letkewicz	IA	Oral and Maxillofacial Surgery (Dentist)	$0	$1.7M
Metropolitan Transit Authority Of Black Hawk County	IA	Bus	$0	$1.7M
Michael Puk	IA	Ophthalmology Physician	$1.6M	$0
Carol Halloran	IA	Dentist	$0	$1.6M
Panther Ventures LLC	IA	Non-emergency Medical Transport (VAN)	$0	$1.3M
Thomas Petrie	IA	Ophthalmology Physician	$1.2M	$330

Covenant Medical Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References