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

Why is the Medicaid comparison limited to Missouri 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. Missouri (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 Care Services, LLC (NPI 1245370808)

Field	Value
Entity Type	Organization
Organization	Covenant Care Services, LLC
Address	120 S Mine La Motte St
City	Fredericktown
State	MO
ZIP	63645
Taxonomy	Attendant Care Provider
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$103.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file and the lifetime Medicaid revenue totals $103.7M, so all observed claim activity and revenue are driven by Medicaid programs. The absence of Medicare billing combined with the scale of Medicaid receipts indicates the entity operates primarily within state-managed waiver and long‑term services frameworks rather than fee‑for‑service Medicare lines.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes account for 95.3% of the provider’s total Medicaid revenue. T2016 alone represents $83.6M (80.6% of Medicaid revenue), followed by T1019 at $13M (12.5%) and T2021 at $2.3M (2.2%), signaling that a handful of per‑diem and per‑15‑minute waiver services dominate the financial profile.

The operational mix implied by the dominant codes points to a core business of residential and home‑based habilitation and personal care under waiver programs. High volume in T2016 (130.8K claims, $639 avg paid/claim) together with sizable T1019 and T2021 activity suggests the organization runs per‑diem residential habilitation placements and extensive personal‑care/day‑habilitation shifts rather than acute medical or Medicare‑style clinical services.

Competitive standing on the primary revenue driver is substantial within-state by rank but described as unremarkable in the dataset: T2016 ranks #19 of 193 providers in-state (91th percentile) and generates $83.6M. While the rank and dollar magnitude make the provider a significant statewide participant for residential habilitation, the record labels this volume as "typical, unremarkable volume for this code," so its market position is large in dollar terms but not uniquely dominant relative to peers for that specific code.

The provider shows a specialty emphasis in applied behavior analysis (ABA) services relative to peers. 97155 ($1.7M, 11.9K claims) ranks #3 of 69 providers in-state (97th percentile) and 97153 ($1.5M, 13.5K claims) ranks #3 of 56 (96th percentile) — both flagged as "notably above typical state volume" — and 97156 ($318.7K) ranks #1 of 34 (100th percentile) and is labeled an "extreme outlier, far above typical state volume for this code." These signals indicate the provider is a regional leader in practitioner‑delivered and technician‑delivered ABA services and in caregiver‑facing ABA guidance.

Tenure is long enough to be operationally established: the NPI was enumerated on 2007-02-06 (~19 years ago). This longevity, combined with concentrated Medicaid revenue, suggests the organization has an established relationship with state waiver systems and an operational footprint sufficient to sustain high per‑diem residential habilitation volumes.

Smaller ancillary lines are present but immaterial to total revenue: transportation codes (T2001 $372.7K, A0110 $118.3K, A0120 $97.2K), nursing T1002 ($366.1K), and supported employment H2023 ($343.6K) each contribute only fractional shares of total Medicaid revenue. These services appear to support the core waiver and habilitation offerings rather than representing standalone revenue drivers.

From an operational and payer‑strategy perspective, the provider’s heavy dependence on T2016 per‑diem revenue creates sensitivity to changes in waiver program policy or per‑diem rates. Given that the top three codes make up 95.3% of Medicaid revenue, any administrative or reimbursement shifts affecting those codes would likely have an outsized impact on the provider’s financial profile and service delivery model.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	130,820	$640	$83.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	55,470	$230	$13M
T2021	Day habilitation, waiver; per 15 minutes	12,180	$190	$2.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	11,940	$140	$1.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	13,510	$110	$1.5M
T2001	Non-emergency transportation; patient attendant/escort	3,450	$110	$372.7K
T1002	Rn services, up to 15 minutes	5,630	$70	$366.1K
H2023	Supported employment, per 15 minutes	1,580	$220	$343.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	4,430	$70	$318.7K
A0110	Non-emergency transportation and bus, intra or inter state carrier	4,550	$30	$118.3K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Covenant Care Services, LLC — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	19	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	106	170	18,890	$180	$5.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	242	1,330	6,550	$80	$4.6M
H2023	Supported employment, per 15 minutes	25	30	3,120	$180	$1.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3	60	1,810	$160	$587.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	41	120	730	$60	$585.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3	70	2,030	$140	$460.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	39	80	4,520	$10	$331.1K
T2001	Non-emergency transportation; patient attendant/escort	24	150	1,300	$150	$296.4K
H2025	Ongoing support to maintain employment, per 15 minutes	10	10	510	$120	$235.7K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Covenant Care Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Madison County Council For Developmentally Disabled	MO	Developmentally Disabled Services Day Training Agency	$0	$14M
Faith Tabernacle World Outreach Inc	MO	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$12.8M
Safe Harbor Hospice, LLC	MO	Community Based Hospice Care Agency	$0	$5.1M
Covenant Care Services, LLC	MO	Licensed Practical Nurse	$0	$4.7M
Madison County Service Coordination Inc	MO	Case Management Agency	$0	$4.1M
Madison County Ambulance District	MO	Ambulance	$251K	$1.1M
Michael Robbins	MO	Family Medicine Physician	$86K	$25.3K
Nicole Sokolic	MO	Speech-Language Pathologist	$37.8K	$0
Kelsey Kinneman	MO	Family Nurse Practitioner	$27.5K	$710

Covenant Care Services, LLC — Billing Profile & Reimbursement Data

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Covenant Care Services, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References