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

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

Covert Action LLC (NPI 1700390101)

Field	Value
Entity Type	Organization
Organization	Covert Action LLC
Address	1223 Center St Ste 22
City	Des Moines
State	IA
ZIP	50309
Taxonomy	Methadone Clinic
NPI Enumerated	November 21, 2017

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0109	Methadone, oral, 5 mg	212,720	$10	$1.7M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,590	$20	$91.7K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	2,110	$30	$65.5K
99409	The provider spends more than 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	340	$70	$23.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	80	$60	$4.5K
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…	270	$20	$4.3K
J0575	Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine	580	$10	$2.9K
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	500	$1	$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…	180	$10	$1.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	90	$20	$1.7K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Covert Action LLC — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0575	Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine	2	10	52,870	$60	$3.4M
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	3	10	16,670	$40	$2.1M
S0109	Methadone, oral, 5 mg	3	10	209,770	$10	$1.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	553	680	670	$70	$343.5K
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…	637	1,060	480	$40	$154.5K
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…	937	1,310	760	$20	$153.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	220	400	110	$100	$101.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	38	280	530	$40	$80.1K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	3	10	3,510	$20	$69.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	49	70	320	$10	$18.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Covert Action LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$58M
Eyerly Ball Community Mental Health Services	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$57M
City Of Des Moines Iowa	IA	Land Ambulance	$1.1M	$47.2M
Orchard Place	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.5M
Woodward Youth Corporation	IA	Community/Behavioral Health Agency	$0	$28.2M
Dhs-targeted Case Management	IA	Case Management Agency	$0	$26.2M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
Orchard Place	IA	Adolescent and Children Mental Health Clinic/Center	$0	$6.6M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0

Covert Action LLC — Billing Profile & Reimbursement Data

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Covert Action LLC — 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