Is COVENANT CARE SERVICES, LLC flagged for Medicaid fraud?

COVENANT CARE SERVICES, LLC (NPI: 1245370808) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COVENANT CARE SERVICES, LLC bill Medicaid?

COVENANT CARE SERVICES, LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Technician, Attendant Care Provider provider. Located in FREDERICKTOWN, MO.

What is NPI 1245370808?

NPI 1245370808 is the National Provider Identifier for COVENANT CARE SERVICES, LLC. They are a Technician, Attendant Care Provider provider based in FREDERICKTOWN, MO. This NPI is registered with the CMS NPI Registry.

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COVENANT CARE SERVICES, LLC

Technician, Attendant Care Provider·FREDERICKTOWN, MO·NPI: 1245370808Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$103.8M

$103,759,361

Total Claims

246K

Beneficiaries

26K

9.6 claims/patient

Avg Cost/Claim

$423

Monthly Spending Trend

Yearly Spending

2018

$8.0M

+31%

2019

$10.5M

+20%

2020

$12.6M

+3%

2021

$12.9M

+27%

2022

$16.4M

+30%

2023

$21.2M

+4%

2024

$22.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 81% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2016Habilitation, residential, waiver; per diemSee all providers →

$83.6M

131K claims

$638.85

$331.94

1.9×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$83.6M

131K claims · 80.5%

Your Cost: $638.85/claim|Median: $331.94

1.9× median

T1019Personal care services, per 15 minSee all providers →

$13.0M

55K claims

$234.49

$82.47

2.8×

Top 25%

T1019Top 25%

Personal care services, per 15 min

$13.0M

55K claims · 12.5%

Your Cost: $234.49/claim|Median: $82.47

2.8× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$2.3M

12K claims

$191.42

$150.51

1.3×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$2.3M

12K claims · 2.2%

Your Cost: $191.42/claim|Median: $150.51

1.3× median

97155Adaptive behavior treatment with protocol modification, per 15 minutesSee all providers →

$1.7M

12K claims

$140.26

$146.45

1.0×

Normal range

97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.7M

12K claims · 1.6%

Your Cost: $140.26/claim|Median: $146.45

1.0× median

97153Adaptive behavior treatment by protocol, per 15 minSee all providers →

$1.5M

14K claims

$109.72

$167.38

0.7×

Normal range

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.5M

14K claims · 1.4%

Your Cost: $109.72/claim|Median: $167.38

0.7× median

T2001Non-emergency transportation, patient attendant or aideSee all providers →

$372K

3,451 claims

$107.85

$19.61

5.5×

Top 25%

T2001Top 25%

Non-emergency transportation, patient attendant or aide

$372K

3,451 claims · 0.4%

Your Cost: $107.85/claim|Median: $19.61

5.5× median

T1002RN services, per 15 minutesSee all providers →

$366K

5,632 claims

$64.92

$37.42

1.7×

Normal range

T1002Normal range

RN services, per 15 minutes

$366K

5,632 claims · 0.4%

Your Cost: $64.92/claim|Median: $37.42

1.7× median

H2023Supported employment, per 15 minSee all providers →

$343K

1,576 claims

$217.54

$103.94

2.1×

Top 25%

H2023Top 25%

Supported employment, per 15 min

$343K

1,576 claims · 0.3%

Your Cost: $217.54/claim|Median: $103.94

2.1× median

97156 See all providers →

$320K

4,427 claims

$72.23

$88.65

0.8×

Normal range

97156Normal range

$320K

4,427 claims · 0.3%

Your Cost: $72.23/claim|Median: $88.65

0.8× median

A0110Non-emergency taxi transportSee all providers →

$119K

4,549 claims

$26.23

$9.27

2.8×

Top 25%

A0110Top 25%

Non-emergency taxi transport

$119K

4,549 claims · 0.1%

Your Cost: $26.23/claim|Median: $9.27

2.8× median

A0120Non-emergency mini-bus transportSee all providers →

$97K

1,104 claims

$87.97

$16.09

5.5×

Top 25%

A0120Top 25%

Non-emergency mini-bus transport

$97K

1,104 claims · 0.1%

Your Cost: $87.97/claim|Median: $16.09

5.5× median

H2025Ongoing support to maintain employment, per 15 minSee all providers →

$32K

314 claims

$102.42

$100.49

1.0×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$32K

314 claims · 0.0%

Your Cost: $102.42/claim|Median: $100.49

1.0× median

0369T See all providers →

$21K

260 claims

$80.71

$102.36

0.8×

Normal range

0369TNormal range

$21K

260 claims · 0.0%

Your Cost: $80.71/claim|Median: $102.36

0.8× median

0368T See all providers →

$11K

246 claims

$46.02

$44.63

1.0×

Normal range

0368TNormal range

$11K

246 claims · 0.0%

Your Cost: $46.02/claim|Median: $44.63

1.0× median

0370T See all providers →

$7K

96 claims

$71.02

$88.49

0.8×

Normal range

0370TNormal range

$7K

96 claims · 0.0%

Your Cost: $71.02/claim|Median: $88.49

0.8× median

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