Active NPI 1265800023 Individual Practitioner Male Practitioner

Andre Covacha , PA-C

Physician Assistant • Cumberland, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andre Covacha, PA-C is a certified Physician Assistant practicing in Cumberland, RI. With approximately 11 years of clinical experience since completing medical education in 2015, Andre Covacha delivers high-quality medical care to the local community at 2140 MENDON RD.

Andre Covacha maintains professional affiliations with Silver Spring Health Care Management Inc, Rhode Island Medical Imaging Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include drainage of fluid from abdominal cavity using imaging guidance, established patient outpatient office visit, fluoroscopic guidance for insertion, replacement or removal of central venous access device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2140 Mendon Rd

Cumberland, RI 02864

Telephone 4016422072

Fax 4013053958

Associated Practice Facility / Clinic

🏢 Primary Care Of Northern Rhode Island Facility NPI 1568669869

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cumberland, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +4.4 yrs vs City Avg

City Avg: 6.6 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Cumberland, RI (687 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Covacha (11 Years) 11 Yrs

Cumberland Specialty Average (6.6 Years) 6.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	44	18	$895.00	$88.18
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$194.16	$78.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	24	$75.00	$14.89
32555 Aspiration of fluid from chest cavity using imaging guidance	23	11	$940.00	$90.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$130.00	$25.27
76937 Ultrasonic guidance for blood vessel access	19	19	$55.00	$11.53
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$3175.00	$275.07
77012 Review by radiologist of ct guidance for needle placement	16	16	$240.00	$58.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$276.79	$109.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$241.83	$95.45
77002 Fluoroscopic guidance for needle placement	11	11	$105.00	$21.92
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	11	11	$136.27	$68.88
20610 Aspiration and/or injection of fluid from large joint	11	11	$190.00	$38.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	38	20	$871.32	$90.47
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	37	37	$71.35	$15.31
76937 Ultrasonic guidance for blood vessel access	28	28	$52.86	$12.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$3042.71	$283.50
77012 Review by radiologist of ct guidance for needle placement	18	18	$228.89	$60.29
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$127.06	$26.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$227.75	$96.96
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$183.83	$78.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	42	22	$715.00	$92.76
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$191.00	$79.81
32555 Aspiration of fluid from chest cavity using imaging guidance	26	18	$750.00	$96.08
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$60.00	$16.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$105.00	$26.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$235.00	$98.69
76937 Ultrasonic guidance for blood vessel access	11	11	$45.00	$11.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	33	33	$60.00	$16.56
49083 Drainage of fluid from abdominal cavity using imaging guidance	30	17	$443.67	$94.64
76937 Ultrasonic guidance for blood vessel access	29	29	$45.00	$12.27
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$2540.00	$299.85
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$175.43	$78.91
32555 Aspiration of fluid from chest cavity using imaging guidance	21	20	$550.00	$96.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$231.94	$100.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$105.00	$27.61
77012 Review by radiologist of ct guidance for needle placement	12	12	$180.00	$63.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$105.45	$50.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	40	22	$345.00	$96.37
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$142.13	$66.83
76937 Ultrasonic guidance for blood vessel access	25	25	$45.00	$12.84
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	24	$60.00	$16.57
32555 Aspiration of fluid from chest cavity using imaging guidance	20	16	$450.00	$100.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$2540.00	$304.87
77012 Review by radiologist of ct guidance for needle placement	17	17	$180.00	$66.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$105.00	$28.25
20610 Aspiration and/or injection of fluid from large joint	12	12	$145.00	$41.04
77002 Fluoroscopic guidance for needle placement	11	11	$85.00	$24.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$194.58	$65.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	55	51	$81.45	$23.16
49083 Drainage of fluid from abdominal cavity using imaging guidance	42	24	$345.00	$93.41
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	29	28	$60.00	$16.49
76937 Ultrasonic guidance for blood vessel access	25	24	$45.00	$12.75
32555 Aspiration of fluid from chest cavity using imaging guidance	24	20	$450.00	$100.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	16	$2540.00	$299.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$105.00	$27.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$262.50	$95.83
77002 Fluoroscopic guidance for needle placement	16	16	$85.00	$24.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$105.00	$28.35
36471 Injection of chemical agent into multiple incompetent veins of leg	16	15	$550.00	$164.99
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	15	15	$275.00	$76.16
20610 Aspiration and/or injection of fluid from large joint	13	13	$145.00	$41.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	88	85	$923.69	$103.04
99285 Emergency department visit for life threatening or functioning severity	42	40	$1383.83	$151.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	36	$78.51	$21.66
99283 Emergency department visit with low level of medical decision making	31	31	$527.30	$54.39
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$217.67	$64.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$135.00	$38.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	11	$167.50	$32.69
36471 Injection of chemical agent into multiple incompetent veins of leg	12	11	$550.00	$168.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$295.45	$94.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$85.94	$7.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	110	106	$1348.43	$149.85
99284 Emergency department visit with moderate level of medical decision making	75	75	$952.81	$101.60
99283 Emergency department visit with low level of medical decision making	54	51	$535.23	$53.61

Medical Specialties & State Licenses

CMS Verified: 2020-10-30

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI CPA00837

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA7807

Hospital & Practice Group Affiliations

Silver Spring Health Care Management Inc

120 Centerville Rd, Warwick, RI 028864336

Phone: 4015621017

Silver Spring Health Care Management Inc

3461 S County Trl, East Greenwich, RI 028181465

Phone: 4014716740

Rhode Island Medical Imaging Inc

200 High Service Ave, North Providence, RI 029045113

Phone: 4014563000

Rhode Island Medical Imaging Inc

1 Kettle Point Ave, East Providence, RI 029145375

Phone: 4016263900

Secondary Practice Locations

400 Putnam Pike

Smithfield, RI 029172408

Phone: 4017576160

67 Valley Rd

Middletown, RI 028427274

Phone: 4018474950

310 Maple Ave

Barrington, RI 028063430

Phone: 4019030300

125 Metro Center Blvd Fl 2

Warwick, RI 028861768

Phone: 4014322500

211 Park St

Attleboro, MA 027033137

Phone: 5082225200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Gina La Prova , MD

Family Medicine

NPI 1184690299

Doctor of Medicine (M.D.)

Sarah Shaw , NP

Nurse Practitioner - Family

NPI 1275350696

Nurse Practitioner

Amanda Laflamme , PA-C

Physician Assistant

NPI 1780316315

Physician Assistant (Certified)

Jordan Raheb

Physician Assistant

NPI 1821650136

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Physician Assistant (License #PA7807 in MA)

👤

Provider Name / Credentials Updated September 28, 2018

Recorded as ANDRE COVACHA, PA-C

📍

Updated Practice Location August 08, 2018

Registered at 2140 MENDON RD, CUMBERLAND, RI 02864 (Tel: 4016422072)

📍

Updated Business Mailing Address August 08, 2018

Registered at 2140 MENDON RD, CUMBERLAND, RI 028643843 (Tel: 4016422072)

✅

NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 10, 2015

Registered at 111 BREWSTER ST, PAWTUCKET, RI 028604474

📍

Updated Practice Location September 10, 2015

Registered at 111 BREWSTER ST, PAWTUCKET, RI 028604474 (Tel: 4017292000)

👤

Provider Name / Credentials Updated September 10, 2015

Recorded as ANDRE COVACHA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Physician Assistant (License #CPA00837 in RI)

🟢

Initial NPI Registration & Enumeration September 10, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265800023

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 10, 2015

Last Update: October 30, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2140 Mendon Rd

Cumberland, RI 028643843

Phone: 4016422072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.