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

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

Covington Gynecology, P.C. (NPI 1518137694)

Field	Value
Entity Type	Organization
Organization	Covington Gynecology, P.C.
Address	115 Medical Park Drive
City	Andalusia
State	AL
ZIP	36420
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	March 5, 2008

Payer Source	Total Paid
Medicaid	$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.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	430	$1,310	$560.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	3,240	$50	$152.2K
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…	2,510	$40	$87.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1,040	$70	$70.6K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,250	$20	$49.5K
H1000	Prenatal care, at-risk assessment	210	$90	$18.8K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	350	$50	$16.3K
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…	260	$60	$15.5K
G9357	Post-partum screenings, evaluations and education performed	130	$70	$9.1K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	540	$20	$8.1K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Covington Gynecology, P.C. — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	28	80	150	$1,540	$787.7K
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…	1,271	1,990	680	$60	$201.7K
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…	562	1,990	560	$40	$185.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	189	500	120	$60	$42.2K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	30	150	260	$40	$27.8K
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…	293	660	80	$50	$26.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	14	60	470	$10	$23K
H1000	Prenatal care, at-risk assessment	19	50	150	$60	$21.7K
G9357	Post-partum screenings, evaluations and education performed	27	60	90	$80	$21.5K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	3	80	190	$30	$20.1K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covington Pediatrics PA	AL	Pediatrics Physician	$0	$4.2M
Advanced E.m.s., Inc.	AL	Land Ambulance	$685K	$1.7M
Community Hospital Of Andalusia LLC	AL	General Acute Care Hospital	$0	$2.3M
Moore Emergency Group, LLC	AL	Emergency Medicine Physician	$0	$1.4M
Drs King And Burkhardt, P.C.	AL	Dentist	$0	$1.3M
Cosby & Cosby Counseling & Consultation LLC	AL	Clinical Psychologist	$0	$1.2M
Covington County Health Dept-andalusia Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.1M
Andalusia Physician Practices LLC	AL	Family Medicine Physician	$0	$838.5K
Sadik Yesil	AL	Neurology Physician	$364.3K	$0
Gregory Price	AL	Cardiovascular Disease Physician	$318K	$0

Covington Gynecology, P.C. — Billing Profile & Reimbursement Data

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Covington Gynecology, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References