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.

Ruth Covington (NPI 1184781445)

Field	Value
Entity Type	Individual
Organization	Ruth Covington
Address	140 W Germantown Pike Ste 160
City	Plymouth Meeting
State	PA
ZIP	19462
Taxonomy	Addiction Psychiatry Physician
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicare	$33K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	190	$70	$13.8K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	110	$90	$10.4K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	80	$70	$5.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	30	$110	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Ruth Covington — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	848	870	180	$100	$23.6K
90836	44	70	120	$70	$13.2K
90838	6	10	50	$90	$9.4K
99213	4,490	22,370	70	$60	$7.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eagleville Hospital	PA	Substance Abuse Rehabilitation Facility	$0	$90M
Andrew Weber	FL	Hematology (Internal Medicine) Physician	$4.5M	$0
Adam Duhl	NJ	Maternal & Fetal Medicine Physician	$128.8K	$1.5M
Jude Ediae	DE	Cardiovascular Disease Physician	$321.1K	$0
Hadiqa Batool	PA	Internal Medicine Physician	$211.3K	$0
Travis Chase	CA	Psychiatric/Mental Health Nurse Practitioner	$126.3K	$84.2K
Kirah Iovanna	PA	Psychiatric/Mental Health Nurse Practitioner	$198.7K	$0
Sophia Kotliar	MD	Clinical Pathology/Laboratory Medicine Physician	$134.5K	$0
Rachel Horvath	PA	Psychiatric/Mental Health Nurse Practitioner	$101.1K	$0
Michele Merdinger	NJ	Clinical Social Worker	$82.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gemma Services	PA	Psychiatric Residential Treatment Facility	$0	$23.8M
Access Services Inc	PA	Community/Behavioral Health Agency	$0	$8.3M
Omesh Gupta	PA	Ophthalmology Physician	$7.1M	$80
Mitchell Fineman	PA	Ophthalmology Physician	$7M	$0
Michael Klufas	PA	Ophthalmology Physician	$7M	$0
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Allen Chiang	PA	Ophthalmology Physician	$6.6M	$0
Carl Regillo	PA	Ophthalmology Physician	$6.5M	$0
Allen Ho	PA	Ophthalmology Physician	$6.4M	$0
Yoshihiro Yonekawa	PA	Ophthalmology Physician	$6.4M	$0

Ruth Covington — Billing Profile & Reimbursement Data

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Ruth 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