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COVENANT MEDICAL CENTER INC

Family Medicine·WATERLOO, IA·NPI: 1548288160Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.0M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.0M

$22,001,965

Total Claims

961K

Beneficiaries

858K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+3%
2019
$3.2M
-16%
2020
$2.7M
+18%
2021
$3.2M
+4%
2022
$3.3M
+7%
2023
$3.5M
-12%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$6.3M

247K claims · 28.6%

Your Cost: $25.46/claim|Median: $37.81
0.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$4.4M

126K claims · 20.0%

Your Cost: $34.79/claim|Median: $53.41
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.6M

14K claims · 7.3%

Your Cost: $112.04/claim|Median: $108.91
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$1.2M

16K claims · 5.4%

Your Cost: $75.43/claim|Median: $85.66
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

13K claims · 4.6%

Your Cost: $78.30/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$994K

14K claims · 4.5%

Your Cost: $69.45/claim|Median: $69.35
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$672K

11K claims · 3.1%

Your Cost: $58.81/claim|Median: $63.65
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$643K

8,272 claims · 2.9%

Your Cost: $77.72/claim|Median: $74.82
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$498K

7,451 claims · 2.3%

Your Cost: $66.88/claim|Median: $84.03
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$356K

10K claims · 1.6%

Your Cost: $35.46/claim|Median: $23.99
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$349K

7,051 claims · 1.6%

Your Cost: $49.43/claim|Median: $37.22
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$340K

3,967 claims · 1.5%

Your Cost: $85.78/claim|Median: $80.15
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$332K

7,547 claims · 1.5%

Your Cost: $43.99/claim|Median: $57.85
0.8× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$309K

12K claims · 1.4%

Your Cost: $24.95/claim|Median: $16.77
1.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$294K

39K claims · 1.3%

Your Cost: $7.45/claim|Median: $5.60
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$291K

5,428 claims · 1.3%

Your Cost: $53.63/claim|Median: $54.68
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$178K

4,912 claims · 0.8%

Your Cost: $36.29/claim|Median: $29.03
1.3× median
S0280Normal range

Medical home program, comprehensive care management

$176K

8,325 claims · 0.8%

Your Cost: $21.16/claim|Median: $48.38
0.4× median
43239Normal range

Upper GI endoscopy with biopsy

$168K

2,206 claims · 0.8%

Your Cost: $76.17/claim|Median: $151.68
0.5× median
45380Normal range

Colonoscopy with biopsy

$156K

1,284 claims · 0.7%

Your Cost: $121.76/claim|Median: $200.68
0.6× median
95251Top 5%

$125K

2,048 claims · 0.6%

Your Cost: $61.08/claim|Median: $18.02
3.4× median
96110Top 5%

Developmental screening, per standardized instrument

$116K

1,977 claims · 0.5%

Your Cost: $58.67/claim|Median: $9.10
6.4× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$94K

1,215 claims · 0.4%

Your Cost: $77.33/claim|Median: $51.25
1.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$92K

1,341 claims · 0.4%

Your Cost: $68.92/claim|Median: $77.33
0.9× median
95004Normal range

Percutaneous allergy skin tests, each

$88K

820 claims · 0.4%

Your Cost: $107.66/claim|Median: $134.97
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$77K

1,711 claims · 0.3%

Your Cost: $44.90/claim|Median: $74.09
0.6× median
90785Normal range

$62K

15K claims · 0.3%

Your Cost: $4.13/claim|Median: $6.43
0.6× median
00170Normal range

Anesthesia for intraoral procedures

$60K

357 claims · 0.3%

Your Cost: $167.38/claim|Median: $132.89
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$52K

534 claims · 0.2%

Your Cost: $97.37/claim|Median: $99.21
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$47K

501 claims · 0.2%

Your Cost: $93.40/claim|Median: $111.09
0.8× median
11721Normal range

$44K

4,074 claims · 0.2%

Your Cost: $10.79/claim|Median: $8.56
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$40K

849 claims · 0.2%

Your Cost: $47.60/claim|Median: $35.30
1.3× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$40K

877 claims · 0.2%

Your Cost: $45.94/claim|Median: $106.14
0.4× median
99217Top 25%

$37K

721 claims · 0.2%

Your Cost: $51.41/claim|Median: $31.89
1.6× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$37K

648 claims · 0.2%

Your Cost: $56.38/claim|Median: $38.83
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$36K

2,291 claims · 0.2%

Your Cost: $15.88/claim|Median: $25.06
0.6× median
Q3014Normal range

Telehealth originating site facility fee

$32K

1,777 claims · 0.1%

Your Cost: $17.90/claim|Median: $15.37
1.2× median
95911Normal range

$32K

348 claims · 0.1%

Your Cost: $91.04/claim|Median: $122.86
0.7× median
93303Normal range

Echocardiography, transthoracic, limited

$31K

358 claims · 0.1%

Your Cost: $85.60/claim|Median: $112.83
0.8× median
99218Normal range

$28K

521 claims · 0.1%

Your Cost: $53.65/claim|Median: $51.50
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$26K

276 claims · 0.1%

Your Cost: $95.42/claim|Median: $101.24
0.9× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$25K

720 claims · 0.1%

Your Cost: $35.29/claim|Median: $36.70
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$25K

325 claims · 0.1%

Your Cost: $77.76/claim|Median: $72.71
1.1× median
95886Normal range

$22K

734 claims · 0.1%

Your Cost: $30.28/claim|Median: $67.70
0.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$21K

774 claims · 0.1%

Your Cost: $27.60/claim|Median: $33.72
0.8× median
90960Normal range

End-stage renal disease services, per month, age 20+

$21K

335 claims · 0.1%

Your Cost: $62.28/claim|Median: $52.76
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$21K

679 claims · 0.1%

Your Cost: $30.37/claim|Median: $22.44
1.4× median
99220Normal range

$20K

223 claims · 0.1%

Your Cost: $91.29/claim|Median: $73.56
1.2× median
69436Normal range

Tympanostomy, general anesthesia

$20K

114 claims · 0.1%

Your Cost: $178.35/claim|Median: $205.50
0.9× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$19K

1,064 claims · 0.1%

Your Cost: $18.27/claim|Median: $36.13
0.5× median

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