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Timothy Covell, DO

Emergency Medicine · Fremont

NPI 1588030969

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Emergency Physicians Associates Fremont PC · Emergency Physicians Associates San Jose PC

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Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Covell’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$14,724

Medicare paid this office $14,724 for 92 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making60$9,239$147
Critical care, first 30-74 minutes18$3,270$182
Emergency department visit with moderate level of medical decision making17$1,664$98

Who their Medicare patients are

92 Original Medicare patients in 2024. Average age 72 · Under 65 20% · 85 and older 14% · Women 61% · Also on Medicaid 26% · Health risk score 2.25. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 50% · Depression 48% · Coronary heart disease 47% · Chronic kidney disease 46% · Heart failure 41% · Dementia 35% · COPD 34% · Stroke 29% · Atrial fibrillation 28% · Cancer 18%.

The office billed $99,067, Medicare allowed $18,685 and paid $14,724; for 106 services of 10 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202492106722.25$99,067$14,724
2023114132713.42$242,291$17,634
2022140169712.64$310,989$24,250
2021152173703.01$329,406$27,336
2020159176713.07$338,473$25,258
2019152186702.21$226,052$19,173

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making70$10,084$144
Critical care, first 30-74 minutes26$4,924$182
Emergency department visit with moderate level of medical decision making17$1,564$92

2022: 4 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making92$14,718$157
Critical care, first 30-74 minutes23$4,548$198
Emergency department visit with moderate level of medical decision making18$1,970$104
Emergency department visit with low level of medical decision making12$748$62

2021: 3 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making103$17,734$166
Critical care, first 30-74 minutes27$5,877$218
Emergency department visit with moderate level of medical decision making16$1,723$108

2020: 3 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making102$15,255$147
Critical care, first 30-74 minutes32$6,420$201
Emergency department visit with moderate level of medical decision making16$1,546$91

2019: 5 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making88$12,209$137
Emergency department visit with moderate level of medical decision making35$3,293$91
Critical care, first 30-74 minutes11$1,966$179
Emergency department visit with low level of medical decision making16$737$46
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only18$139$7

Medicaid work

$365,119 in 2024

Medicaid paid $365,119 for 3,113 billed services this clinician did in 2024, up to 60 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
EMERGENCY DEPT VISIT MOD MDM471$248,814
EMERGENCY DEPT VISIT LOW MDM467$70,585
EMERGENCY DEPARTMENT VISIT HIGH MDM176$10,772
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each320$8,269
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM37$5,601
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique326$4,293
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism143$3,691
Radiologic examination, chest; single view99$3,270
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A256$3,263
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)211$2,458
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)218$1,395
Infusion, normal saline solution , 1000 cc17$1,164
Medicaid work by year
20243,1131860$365,119
20237,3312997$788,263
20229,13428156$806,343
20216,43725106$793,073
20207901739$111,677
2019294621$12,584
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM1,095$527,904
EMERGENCY DEPT VISIT LOW MDM866$123,086
EMERGENCY DEPARTMENT VISIT HIGH MDM287$22,446
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report99$18,268
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM102$15,281
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique299$13,753
Infusion, normal saline solution , 1000 cc233$11,681
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each489$9,586
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL41$9,140
SARSCOV CORONAVIRUS AG IA222$5,859
Radiologic examination, chest; single view258$5,143
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism181$4,343

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM737$431,932
EMERGENCY DEPT VISIT LOW MDM1,700$170,674
EMERGENCY DEPARTMENT VISIT HIGH MDM734$65,950
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM196$31,287
SARSCOV CORONAVIRUS AG IA810$21,895
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each723$14,590
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report57$11,716
Infusion, normal saline solution , 1000 cc172$8,977
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism364$8,595
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL14$7,986
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A514$5,877
Radiologic examination, chest; single view247$4,518

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM679$462,985
EMERGENCY DEPT VISIT LOW MDM1,077$113,145
EMERGENCY DEPARTMENT VISIT HIGH MDM796$77,871
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM290$38,595
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug204$23,172
SARSCOV CORONAVIRUS AG IA570$20,481
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL39$9,813
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each323$9,598
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report27$6,105
Radiologic examination, chest; single view198$4,591
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)357$4,224
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism117$3,598

2020

Largest Medicaid services in 2020
EMERGENCY DEPT VISIT MOD MDM54$77,625
EMERGENCY DEPT VISIT LOW MDM170$12,744
EMERGENCY DEPARTMENT VISIT HIGH MDM84$6,791
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug18$4,007
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM12$2,444
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc58$2,148
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each39$1,129
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)66$882
Radiologic examination, chest; single view32$761
HEPATIC FUNCTION PANEL46$685
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)67$673
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism15$571

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM103$7,017
EMERGENCY DEPT VISIT LOW MDM47$2,802
EMERGENCY DEPARTMENT VISIT HIGH MDM46$2,451
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)19$314
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy29$0
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count50$0

Drugs they prescribed that Part D paid

$3,951

Pharmacies billed $3,951 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 14% of their Part D prescriptions (35 of 260) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

246 generic and fewer than 11 brand-name prescriptions · $3,951 in drug cost · 82 antibiotic prescriptions to 67 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Cephalexin34$278$8
Amoxicillin-Clavulanate Potass16$191$12
Azithromycin12$68$6
Acetaminophen-Codeine24$48$2
Ondansetron12$47$4
See all 7 drugs
Every Part D drug this clinician prescribed
Cephalexin34$278$8
Amoxicillin-Clavulanate Potass16$191$12
Azithromycin12$68$6
Acetaminophen-Codeine24$48$2
Ondansetron12$47$4
Prednisone32$44$1
Naproxen11$9$1

Year by year

Part D prescribing by year
202426015514% (35)None$3,951
202321213816% (34)None$1,370
202225015511% (28)None$2,822
202117311812% (21)None$2,306
20201439513% (19)None$3,060
2019967722% (21)None$1,500
2018665018% (12)None$833
201719310624% (46)13%$6,175
20162721NoneNone$956

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Cephalexin34$233$7
Amoxicillin-Clavulanate Potass11$151$14
Ondansetron Odt13$89$7
Famotidine13$76$6
Acetaminophen-Codeine28$61$2
Azithromycin12$41$3
Prednisone12$28$2

2022: 8 drugs

Part D drugs prescribed in 2022
Cephalexin35$323$9
Amoxicillin-Clavulanate Potass14$203$14
Paxlovid (Eua)11$121$11
Acetaminophen-Codeine23$65$3
Prednisone26$61$2
Dicyclomine11$39$4
Naproxen11$31$3
Cyclobenzaprine11$30$3

2021: 3 drugs

Part D drugs prescribed in 2021
Cephalexin22$145$7
Prednisone25$56$2
Acetaminophen-Codeine18$53$3

2020: 3 drugs

Part D drugs prescribed in 2020
Cephalexin29$131$5
Acetaminophen-Codeine17$54$3
Prednisone11$30$3

2019: 2 drugs

Part D drugs prescribed in 2019
Cephalexin13$92$7
Acetaminophen-Codeine14$34$2

2017: 3 drugs

Part D drugs prescribed in 2017
Oxycodone-Acetaminophen23$92$4
Cephalexin12$81$7
Hydrocodone-Acetaminophen12$49$4

Money from drug and device companies

$97 in 2025

Industry payments by year
202511None$97
202344None$226
202212None$135

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Fisher & Paykel HealthcareFisher & Paykel Healthcare$97
1 payment
  • Meals for Fisher & Paykel Healthcare · 2025-11-24 · $97
See the published payment
Every published payment
Fisher & Paykel HealthcareMeals · 2025-11-24Fisher & Paykel Healthcare$97
See earlier years (2023, 2022)

2023: $226

Payments by company in 2023
Inari MedicalFlowtriever Catheter, S$107
1 payment
  • Meals for Flowtriever Catheter, S · 2023-12-14 · $107
CeribellCeribell Rapid Response Eeg$72
1 payment
  • Meals for Ceribell Rapid Response Eeg · 2023-05-26 · $72
BrainScope CompanyBrainscope One$30
1 payment
  • Meals for Brainscope One · 2023-08-17 · $30
Gilead SciencesNone$18
1 payment
  • Meals · 2023-03-24 · $18

2022: $135

Payments by company in 2022
Silk Road MedicalEnroute Transcarotid Neuroprotection System$135
2 payments
  • Meals for Enroute Transcarotid Neuroprotection System · 2022-03-19 · $106
  • Meals for Enroute Transcarotid Stent · 2022-03-19 · $28

Professional record

NPI
1588030969
Licence
OH 34.013336
Group
Emergency Physicians Associates Fremont PC · Emergency Physicians Associates San Jose PC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
Mailing address
1843 Whispering Way, Perrysburg, OH, 43551
NPI first listed
2015-08-19
NPI last updated
2018-11-21

This is when the NPI record was last certified, not a medical board exam.