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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Group (NPI 1376598904)

Covenant Medical Group is a family medicine physician provider located in Lubbock, Texas. This profile covers 0 Medicare and 208 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 Medical Group
Address	2215 Nashville Ave
City	Lubbock
State	TX
ZIP	79410
Taxonomy	Family Medicine Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$34.3M
Medicare	$0

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

208 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…	143,980	$50	$7.1M
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…	91,520	$60	$5.9M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	12,220	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	37,260	$40	$1.6M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	19,930	$70	$1.5M
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	47,870	$30	$1.3M
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…	28,030	$50	$1.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17,990	$70	$1.2M
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…	15,880	$70	$1.2M
99391	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…	16,310	$70	$1.1M

Showing 1–10 of 208

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Covenant Medical Group — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

208 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;…	58	110	90	$270	$3.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	104	710	1,790	$200	$2.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	50	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	56	590	740	$170	$969.2K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	7	70	850	$180	$621.2K
J0585	Injection, onabotulinumtoxina, 1 unit	16	20	200	$1,140	$437.7K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	44	160	200	$280	$321.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	163	270	130	$570	$318.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	35	150	170	$30	$302.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	19	120	310	$220	$302.6K

Showing 1–10 of 208

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Diagnostic Imaging, PC	TN	Internal Medicine Physician	$0	$29.9M
Covenant Medical Group, Inc.	TN	Family Medicine Physician	$0	$17.9M
Sivalingam Kanagasegar	TN	Rheumatology Physician	$1.5M	$46.5K
Juan Kurdi	TX	Interventional Cardiology Physician	$739.1K	$0
Ahmad Sabouni	TX	Neurology Physician	$630.8K	$0
Aurelio Cervera	TX	Clinical Cardiac Electrophysiology Physician	$588.6K	$0
Mohammad Otahbachi	TX	Cardiovascular Disease Physician	$535.4K	$0
Richard Henderson	TX	Internal Medicine Physician	$446.8K	$0
Ramakrishnan Ranganath	TX	Interventional Cardiology Physician	$377.8K	$0
Senthilraj Ganeshan	TX	Clinical Cardiac Electrophysiology Physician	$336K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Children's Hospital	TX	Children's Hospital	$0	$12.7M
Joseph Wolcott	TX	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$3.1M	$0
Lubbock Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$2.9M	$6.9K
Jesus Hidalgo	TX	Surgery Physician	$2.3M	$0
Brent Paulger	TX	Dermatology Physician	$758.8K	$0
Richard Hope	TX	Dermatology Physician	$697.8K	$0
South Plains Endoscopy Center	TX	Endoscopy Clinic/Center	$679K	$0
Ayman Karkoutly	TX	Cardiovascular Disease Physician	$660.2K	$0
Keith Wisniewski	TX	Dermatology Physician	$655.1K	$0
David Shephard	TX	Orthopaedic Surgery Physician	$561.7K	$0

Covenant Medical Group — 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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