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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Center, Inc. (NPI 1588656946)

Field	Value
Entity Type	Organization
Organization	Covenant Medical Center, Inc.
Address	1447 N Harrison St
City	Saginaw
State	MI
ZIP	48602
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 21, 2005

Payer Source	Total Paid
Medicaid	$96.6M
Medicare	$0

Key Findings

COVENANT MEDICAL CENTER, INC. shows effectively single‑payer billing: there is no Medicare billing on file while total Medicaid revenue is $96.6M, indicating the provider’s financial footprint in the data is driven almost entirely by Medicaid. That concentration suggests contracting, utilization trends, and reimbursement changes in Medicaid will disproportionately affect its revenue base.

Revenue concentration is highly focused: the precomputed top three Medicaid codes (99285, 99284, 96374) account for 65.0% of the provider’s Medicaid revenue, with 99285 generating $25.6M (33.8%), 99284 generating $20.6M (27.2%), and 96374 generating $3M (4.0%). This level of concentration around a small set of codes indicates the facility’s topline is dependent on a small number of care episodes, making those service lines strategic priorities.

Clinical mix and service‑line implications point to a heavy emergency/acute care orientation: 99285 and 99284 are the two largest revenue drivers and together represent the majority of Medicaid revenue, while related codes such as 99283 ($1.9M, 2.6%), 99291 ($2.2M, 3.0%), and G0378 ($2.1M, 2.8%) further document substantial ED, critical care, and observation activity. The presence of high‑weight E/M and critical care codes implies the hospital operates a high‑acuity emergency service with associated observation and ICU/critical care throughput.

Infusion and procedural support services are meaningful secondary revenue streams: 96374 ($3M, 4.0%) is a top‑three driver, and additional infusion codes 96365 ($1.1M, 1.4%), 96361 ($1.5M, 1.9%), 96360 ($947.3K, 1.2%), and 96375 ($783.7K, 1.0%) show repeated use of IV/infusion services. Combined with high volumes in therapeutic and rehabilitation codes such as 97530 ($1.5M, 2.0%) and 97110 ($1.3M, 1.7%), the pattern points to a facility delivering frequent acute infusions, pain/rehab therapies, and ED‑linked treatment pathways.

Statewide competitive standing is strong for core emergency and ancillary services: 99285 and 99284 each rank #14 in‑state (97th percentile, described as notably above typical state volume), indicating the hospital is a major ED claimant relative to peers. Several other codes rank in very high percentiles—for example, 82947 (glucose testing) ranks #2 of 198 providers (99th percentile; labeled an extreme outlier) and 97110 ranks in the 98th percentile—collectively signifying above‑typical volumes across lab testing, therapy, and ED care compared with in‑state competitors.

Procedure and diagnostic breadth supports inpatient and endoscopy capacity: CPTs for upper endoscopy and colonoscopy (43239 $1.7M, 2.3%; 45380 $1.3M, 1.7%) rank in the mid‑to‑high percentiles (95th and 93rd respectively), while imaging codes such as 74177 ($1M, 1.4%) and 70450 ($728.2K, 1.0%) are also present. These line items indicate availability of endoscopic, procedural, and advanced imaging services consistent with a general acute care hospital supporting both emergency and elective/diagnostic workflows.

Several specific codes are labeled as notable outliers in volume, which has operational implications: 82947 (glucose testing) is an "extreme outlier" (rank #2, 99th percentile), and a set of infusion/therapy and testing codes (e.g., 96361, 96375, 87637) are described as "notably above typical" state volume. High outlier status on lab and infusion claims suggests the hospital processes very large outpatient/ED testing and treatment volumes that could reflect central lab capacity, protocolized ED testing, or a high throughput of short‑stay/infusion encounters.

Tenure and market presence are established: the NPI was enumerated on 2005-08-21 (~21 years ago), indicating two decades of operation under the current NPI record. Coupled with the strong in‑state rankings across emergency, lab, and procedural codes, this tenure supports the view of a stable, established acute care provider with entrenched ED and ancillary service activity within the state Medicaid market.

Medicaid: Complete Services Breakdown

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

583 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	80,150	$320	$25.6M
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.	110,820	$190	$20.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	36,260	$80	$3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	4,910	$460	$2.2M
G0378	Hospital observation service, per hour	15,410	$140	$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.	16,260	$120	$1.9M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	5,570	$310	$1.7M
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	43,010	$40	$1.7M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	47,780	$30	$1.5M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	44,740	$30	$1.5M

Showing 1–10 of 583

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Covenant Medical Center, Inc. — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

583 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	64	150	5,330	$50	$2.8M
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.	14	400	1,510	$190	$2.6M
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.	14	480	1,350	$110	$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.	99	450	1,540	$90	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	15	100	2,820	$180	$1.1M
J2505	Injection, pegfilgrastim, 6 mg	9	10	130	$2,420	$942.2K
J0585	Injection, onabotulinumtoxina, 1 unit	43	40	260	$510	$684.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	20	30	300	$920	$652.6K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	5	10	170	$1,100	$643K

Showing 1–10 of 583

Related Providers

Other providers that share a Tax Identification Number (TIN) with Covenant Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Medical Center, Inc	MI	Family Medicine Physician	$0	$19.3M
Memorial Hospital	MI	General Practice Physician	$0	$17.3M
Covenant Medical Center, Inc.	MI	Emergency Medicine Physician	$0	$14.7M
Covenant Medical Center, Inc.	MI	Urgent Care Clinic/Center	$0	$10.9M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Covenant Medical Center, Inc.	MI	Family Medicine Physician	$0	$6M
Mujahed Abbas	MI	Critical Care Medicine (Internal Medicine) Physician	$649.8K	$0
Assad Sattar	MI	Interventional Cardiology Physician	$630.3K	$0
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Mohammad Saleh	MI	Internal Medicine Physician	$385.4K	$0

Nearby Providers

Other providers in the same ZIP code as Covenant Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saginaw County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$172.1M
Aps Employment Services, Inc.	MI	Home Health Agency	$0	$13.2M
Valley Ob Gyn Clinic PC	MI	Specialist	$0	$10.1M
Great Lakes Bay Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$8M
Saginaw Cooperative Hospitals, Inc	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Parthiv Amin	MI	Cardiovascular Disease Physician	$267.7K	$0
Bhikam Mehta	MI	Internal Medicine Physician	$212.4K	$21.3K
Austin Friswold	MI	Podiatrist	$192.1K	$0
Hossam Eldin Mustafa	MI	Clinical Cardiac Electrophysiology Physician	$164.3K	$0
Daniel Elieff	MI	Family Medicine Physician	$139.5K	$0

Covenant Medical Center, Inc. — Billing Profile & Reimbursement Data

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Covenant Medical Center, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References