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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 Family Practice, PC (NPI 1225073166)

Covenant Family Practice, PC is a family medicine physician provider located in Clarksville, Tennessee. This profile covers 0 Medicare and 108 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Covenant Family Practice, PC
Address	1000 Highway 76
City	Clarksville
State	TN
ZIP	37043
Taxonomy	Family Medicine Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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

108 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	77,000	$40	$3.2M
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…	25,470	$30	$815.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,830	$30	$76.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,770	$40	$70.9K
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…	1,150	$60	$64.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	6,140	$10	$61.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	18,030	$1	$54.1K
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	44,840	$1	$44.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	4,960	$10	$44.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	630	$70	$43.2K

Showing 1–10 of 108

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Covenant Family Practice, PC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	200	610	1,220	$40	$206K
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…	37	3,760	610	$40	$202.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	386	520	470	$70	$187K
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…	168	4,050	620	$30	$183.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	197	510	240	$70	$133.7K
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…	368	1,080	120	$80	$90.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	308	620	740	$20	$88.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	126	420	150	$80	$81.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	82	380	270	$40	$78.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	335	660	190	$60	$53.3K

Showing 1–10 of 108

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nephrology Associates, PC	TN	Nephrology Physician	$0	$3.4M
Vinai Kumar Katragadda	TN	Nephrology Physician	$360.9K	$0
Ling Yu	TN	Nephrology Physician	$280.3K	$0
Oladapo Omitowoju	TN	Nephrology Physician	$237.4K	$0
Christie Green	TN	Nephrology Physician	$237K	$0
Jyotheen Karam	TN	Nephrology Physician	$218.9K	$0
James Wilbeck	TN	Nephrology Physician	$214.6K	$0
Hany Rezk	TN	Nephrology Physician	$214K	$0
Imran Dosani	GA	Nephrology Physician	$211K	$0
Abhijay Jalota	KY	Nephrology Physician	$201.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Perinatal Group PLLC	TN	Obstetrics & Gynecology Physician	$0	$14.9M
Rainbow Enterprise Plc	TN	Pediatrics Physician	$0	$12.8M
Stanford Heights And Associates	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.9M
Oasis In-home Care	TN	In Home Supportive Care Agency	$0	$5.3M
Dr. Dave L. Hippensteel Dmd, PC	TN	General Practice Dentistry	$0	$3.7M
Clarksville Pediatric Dentistry, PC	TN	Pediatric Dentistry	$0	$3.3M
Full Spectrum Pediatric Therapy, Inc.	TN	Physical Therapist	$0	$2.2M
Olaide Ajayi	TN	Hematology & Oncology Physician	$1.6M	$0
Rohit Patel	TN	Medical Oncology Physician	$1.4M	$0
Clarksville Surgery Center LLC	TN	Ambulatory Surgical Clinic/Center	$411.9K	$646.6K

Covenant Family Practice, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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