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COVENANT MEDICAL CENTER, INC

Family Medicine·SAGINAW, MI·NPI: 1619412376Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.3M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$19.3M

$19,312,927

Total Claims

514K

Beneficiaries

470K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+8%
2019
$2.0M
+9%
2020
$2.2M
+46%
2021
$3.2M
+8%
2022
$3.5M
+2%
2023
$3.5M
-17%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.

99214Normal range

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

$4.8M

72K claims · 24.9%

Your Cost: $66.93/claim|Median: $53.41
1.3× median
99213Normal range

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

$3.1M

67K claims · 15.9%

Your Cost: $46.04/claim|Median: $37.81
1.2× median
99204Normal range

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

$1.7M

20K claims · 9.0%

Your Cost: $84.86/claim|Median: $84.03
1.0× median
99203Normal range

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

$761K

14K claims · 3.9%

Your Cost: $54.99/claim|Median: $57.85
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$582K

16K claims · 3.0%

Your Cost: $36.38/claim|Median: $23.99
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$464K

5,517 claims · 2.4%

Your Cost: $84.02/claim|Median: $74.09
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$425K

6,609 claims · 2.2%

Your Cost: $64.29/claim|Median: $51.25
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$409K

8,791 claims · 2.1%

Your Cost: $46.58/claim|Median: $54.68
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$394K

4,285 claims · 2.0%

Your Cost: $92.00/claim|Median: $76.06
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$375K

4,484 claims · 1.9%

Your Cost: $83.64/claim|Median: $72.71
1.2× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$352K

754 claims · 1.8%

Your Cost: $467.21/claim|Median: $470.36
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$351K

5,811 claims · 1.8%

Your Cost: $60.42/claim|Median: $151.68
0.4× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$328K

1,004 claims · 1.7%

Your Cost: $326.49/claim|Median: $307.98
1.1× median
99471Normal range

$290K

423 claims · 1.5%

Your Cost: $684.48/claim|Median: $680.99
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$286K

2,761 claims · 1.5%

Your Cost: $103.49/claim|Median: $111.09
0.9× median
45380Normal range

Colonoscopy with biopsy

$240K

2,716 claims · 1.2%

Your Cost: $88.29/claim|Median: $200.68
0.4× median
99291Normal range

Critical care, first 30-74 minutes

$231K

1,964 claims · 1.2%

Your Cost: $117.70/claim|Median: $101.24
1.2× median
99221Normal range

Initial hospital care, straightforward/low

$204K

4,429 claims · 1.1%

Your Cost: $46.01/claim|Median: $39.96
1.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$185K

1,484 claims · 1.0%

Your Cost: $124.85/claim|Median: $255.17
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$155K

3,131 claims · 0.8%

Your Cost: $49.57/claim|Median: $35.30
1.4× median
45378Normal range

Colonoscopy, diagnostic

$134K

1,432 claims · 0.7%

Your Cost: $93.69/claim|Median: $225.49
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$128K

1,540 claims · 0.7%

Your Cost: $83.41/claim|Median: $80.15
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$124K

1,364 claims · 0.6%

Your Cost: $91.17/claim|Median: $67.32
1.4× median
93458Normal range

Left heart catheterization with imaging

$121K

944 claims · 0.6%

Your Cost: $127.79/claim|Median: $183.33
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$120K

4,479 claims · 0.6%

Your Cost: $26.81/claim|Median: $29.03
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$118K

5,526 claims · 0.6%

Your Cost: $21.36/claim|Median: $16.77
1.3× median
90378Normal range

$114K

176 claims · 0.6%

Your Cost: $645.82/claim|Median: $1,627.19
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$109K

4,353 claims · 0.6%

Your Cost: $24.95/claim|Median: $25.06
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$107K

1,720 claims · 0.6%

Your Cost: $62.03/claim|Median: $43.85
1.4× median
99254Normal range

$93K

1,064 claims · 0.5%

Your Cost: $87.36/claim|Median: $81.43
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$88K

1,101 claims · 0.5%

Your Cost: $80.03/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$85K

1,046 claims · 0.4%

Your Cost: $81.23/claim|Median: $75.18
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$76K

1,169 claims · 0.4%

Your Cost: $64.86/claim|Median: $233.73
0.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$74K

9,977 claims · 0.4%

Your Cost: $7.39/claim|Median: $9.70
0.8× median
93351Normal range

$71K

1,235 claims · 0.4%

Your Cost: $57.36/claim|Median: $140.02
0.4× median
95816Normal range

$69K

2,301 claims · 0.4%

Your Cost: $29.95/claim|Median: $56.87
0.5× median
95886Normal range

$68K

1,491 claims · 0.4%

Your Cost: $45.46/claim|Median: $67.70
0.7× median
99253Normal range

$65K

1,055 claims · 0.3%

Your Cost: $61.76/claim|Median: $55.16
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$62K

892 claims · 0.3%

Your Cost: $69.11/claim|Median: $69.35
1.0× median
99217Normal range

$60K

1,711 claims · 0.3%

Your Cost: $35.32/claim|Median: $31.89
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$60K

5,847 claims · 0.3%

Your Cost: $10.20/claim|Median: $9.80
1.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$57K

533 claims · 0.3%

Your Cost: $107.13/claim|Median: $106.14
1.0× median
J2785Top 25%

$53K

432 claims · 0.3%

Your Cost: $122.44/claim|Median: $61.83
2.0× median
99218Normal range

$53K

1,219 claims · 0.3%

Your Cost: $43.35/claim|Median: $51.50
0.8× median
A9502Top 25%

$50K

458 claims · 0.3%

Your Cost: $110.26/claim|Median: $54.60
2.0× median
77427Normal range

$50K

559 claims · 0.3%

Your Cost: $90.29/claim|Median: $83.73
1.1× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$49K

3,245 claims · 0.3%

Your Cost: $15.16/claim|Median: $12.06
1.3× median
99219Normal range

$49K

785 claims · 0.3%

Your Cost: $61.95/claim|Median: $63.35
1.0× median
99475Normal range

$48K

97 claims · 0.2%

Your Cost: $494.52/claim|Median: $477.80
1.0× median
73564Normal range

$46K

2,339 claims · 0.2%

Your Cost: $19.86/claim|Median: $15.00
1.3× median

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