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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Case Management Services, LLC (NPI 1982921227)

Field	Value
Entity Type	Organization
Organization	Covenant Case Management Services, LLC
Address	9940 Monroe Rd Ste 201-202
City	Matthews
State	NC
ZIP	28105
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 27, 2010

Payer Source	Total Paid
Medicaid	$72.7M
Medicare	$0

Key Findings

COVENANT CASE MANAGEMENT SERVICES, LLC reports $72.7M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation at scale in this dataset. The absence of Medicare activity suggests the organization’s service mix and revenue generation are concentrated in Medicaid-funded long-term services and supports rather than traditional Medicare-covered clinical services.

Revenue is highly concentrated in a small set of habilitation and community support codes: the top three Medicaid codes (T2012, T2013, H2015) together account for 62.2% of this provider’s total Medicaid revenue. Specifically, T2012 generates $19.8M (27.2%), T2013 generates $17.2M (23.7%), and H2015 generates $8.2M (11.3%), indicating dependence on waiver habilitation and comprehensive community support services for the majority of billed revenue.

The code mix (T2012, T2013, H2015, H2016, T2021, T2025, S5150) points to a business model centered on waiver habilitation, day habilitation, per-diem community supports, and unskilled respite care. High volumes in per-hour and per-diem habilitation codes (T2013, T2012) combined with per-15-minute community support codes (H2015, T2021, H2025) signal a field-based, community/home delivery infrastructure focused on developmental disability and behavioral health support services.

Competitive standing within North Carolina is mixed by service line: the provider ranks #9 of 110 for T2012 (93th percentile; typical, unremarkable volume) and #27 of 185 for T2013 (86th percentile; typical, unremarkable volume), showing strong but not dominant placement for the two largest revenue drivers. By contrast, the provider is a clear outlier in specific niche services—T2025 ranks #2 of 81 in-state (99th percentile; notably above typical state volume) and H2015 ranks #11 of 251 (96th percentile; notably above typical state volume)—which suggests market leadership in certain waiver NOS and comprehensive community support segments.

Several additional codes show above-typical state presence for this provider: S5150 (unskilled respite care) ranks #11 of 168 (94th percentile; notably above typical state volume), reinforcing that respite and in-home support are meaningful parts of the portfolio. At the same time, codes such as H2016 (26 of 65, 61th percentile; typical, unremarkable) and T2021 (73 of 199, 64th percentile; typical, unremarkable) indicate the provider’s footprint is uneven across related service lines rather than uniformly dominant across all community support categories.

Operational and payer risk is concentrated because a majority of revenue derives from a few codes: with 62.2% of Medicaid revenue coming from the top three codes, shifts in Medicaid policy, rate changes, or utilization controls affecting habilitation or comprehensive community support services could materially impact revenue. The presence of high-volume per-hour and per-15-minute codes also implies billing sensitivity to documentation and authorization practices common to waiver and community-based service programs.

The provider’s NPI was enumerated on 2010-04-27 (~16 years ago), indicating it is an established market participant with a multi-year operating history in Medicaid waiver and community support services. This tenure, combined with concentrated high-volume activity in specific waiver and community support codes, suggests institutional experience delivering these services even as competitive strength varies by code and niche.

Beyond the dominant habilitation and community support codes, the organization bills a range of related services (supports brokerage T2041, employment supports H2025, targeted case management T1017, attendant care S5125) at smaller dollar shares. This breadth indicates a diversified service catalog within Medicaid long-term services and supports, which may help mitigate some concentration risk but does not change the fact that a handful of codes drive most revenue.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2012	Habilitation, educational; waiver, per diem	95,160	$210	$19.8M
T2013	Habilitation, educational, waiver; per hour	100,720	$170	$17.2M
H2015	Comprehensive community support services, per 15 minutes	72,160	$110	$8.2M
H2016	Comprehensive community support services, per diem	37,660	$190	$7.3M
T2021	Day habilitation, waiver; per 15 minutes	34,400	$160	$5.5M
T2025	Waiver services; not otherwise specified (nos)	15,370	$270	$4.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	41,060	$90	$3.7M
H2025	Ongoing support to maintain employment, per 15 minutes	21,500	$120	$2.6M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	14,850	$160	$2.4M
S5125	Attendant care services; per 15 minutes	5,420	$160	$873.3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Covenant Case Management Services, LLC — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	27	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	26	70	28,040	$220	$8.2M
T2012	Habilitation, educational; waiver, per diem	9	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	73	200	25,740	$130	$4.6M
S5125	Attendant care services; per 15 minutes	277	400	15,030	$100	$3M
H2015	Comprehensive community support services, per 15 minutes	11	250	10,060	$130	$2.4M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,139	1,450	23,320	$50	$2.3M
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…	79	80	2,380	$160	$1.8M
H2025	Ongoing support to maintain employment, per 15 minutes	7	60	6,380	$120	$1.3M
T1017	Targeted case management, each 15 minutes	162	220	1,700	$150	$1.3M

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$16.7M
Robert Mccammon	NC	Radiation Oncology Physician	$938.9K	$0
Matthews Surgery Center, LLC	NC	Ambulatory Surgical Clinic/Center	$405.3K	$0
Luke Peterson	NC	Ophthalmology Physician	$379K	$0
Veena Rao	NC	Ophthalmology Physician	$303.1K	$0
Ronald Vandernoord	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$291.8K	$0
Baptiste Marino	NC	General Practice Physician	$202.5K	$0
Christine Annunziata	NC	Plastic Surgery Physician	$200.2K	$0
Matthew Gullickson	NC	Orthopaedic Surgery Physician	$188.4K	$0
Maureen Andreassi	NC	Internal Medicine Physician	$181K	$0

Covenant Case Management Services, LLC — Billing Profile & Reimbursement Data

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Covenant Case Management 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