Physician

Darell T. Covington, M.D.

According to 2025 Medicare claims, Darell Covington, M.D. (NPI: 1134128622) practices colorectal surgery (formerly proctology), with the plurality of this provider's patient population coming from Monroe, PA. This provider's primary affiliated billing organization is ST LUKE'S PHYSICIAN GROUP INC (NPI: 1306563838) and primary practice location at 18301-9105. Covington is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560), participating under the MSSP model.

Covington's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 445 traditional Medicare patients, billed 817 HCPCS/CPT codes, and received $85,766 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 629 prescription claims across 343 beneficiaries totaling $113,195 in drug costs, led by Mesalamine (Mesalamine). DME data shows 43 claims. Open Payments data shows 51 records totaling $957. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $167,951 to $85,766. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $274,201 and ending at $113,195. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $269 and ending at $155.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	768	1,536	$167,951
2016	745	1,495	$159,083
2017	707	1,418	$142,186
2018	712	1,477	$170,628
2019	738	1,435	$151,930
2020	540	983	$91,018
2021	615	1,202	$124,384
2022	591	1,148	$115,860
2023	498	896	$91,409
2024	445	817	$85,766

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	452	972	$274,201
2016	479	1,023	$274,425
2017	512	1,023	$183,672
2018	480	1,050	$202,574
2019	532	1,003	$352,270
2020	392	798	$211,829
2021	504	870	$180,681
2022	491	849	$288,392
2023	383	713	$133,979
2024	343	629	$113,195

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	104	$7,885
2016	N/R	91	$5,879
2017	N/R	100	$5,733
2018	N/R	59	$3,834
2019	N/R	49	$3,260
2020	N/R	24	$1,065
2021	N/R	57	$2,514
2022	N/R	40	$1,245
2023	N/R	53	$1,605
2024	N/R	43	$1,501

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	96	96	$211
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	71	71	$180
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$71
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	120	154	$64
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	92	92	$47

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mesalamine	Mesalamine	71	4,805	$27,681
Apriso	Mesalamine	11	330	$5,558
Clenpiq	Sod Picosulf/Mag Ox/Citric Ac	32	76	$5,423
Gavilyte-G	Peg3350/Sod Sulf,bicarb,cl/Kcl	159	161	$2,487
Colestipol Hcl	Colestipol Hcl	25	1,350	$1,962

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	13	$1,197
A4456	Adhesive remover, wipes, any type, each	N	N/R	17	$155
A5120	Skin barrier, wipes or swabs, each	N	N/R	13	$149

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$957	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Darell T. Covington, M.D.?

Tedicare shows public-source Medicare data for Darell T. Covington, M.D. (NPI 1134128622), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Darell T. Covington, M.D. have ACO affiliation data?

Darell T. Covington, M.D. is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560).

What billing organization is linked to Darell T. Covington, M.D.?

Darell T. Covington, M.D. is linked to ST LUKE'S PHYSICIAN GROUP INC (billing NPI 1306563838) in the available physician profile data.

Does Darell T. Covington, M.D. have Open Payments data?

Darell T. Covington, M.D. has 51 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.