Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Genesis Medical Group LLC (NPI 1063663433)

Genesis Medical Group LLC is a general practice physician provider located in Zanesville, Ohio. This profile covers 0 Medicare and 207 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Genesis Medical Group LLC
Address	945 Bethesda Dr Ste 200
City	Zanesville
State	OH
ZIP	43701
Taxonomy	General Practice Physician
NPI Enumerated	October 3, 2008

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

207 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	138,340	$30	$4.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	117,290	$40	$4.3M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	20,160	$50	$987.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	10,680	$60	$598.1K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	5,670	$70	$402.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	12,740	$30	$394.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,920	$70	$344.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,960	$130	$258.5K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	5,080	$30	$132K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	5,870	$20	$129.1K

Showing 1–10 of 207

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

Genesis Medical Group LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

207 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	50	80	100	$860	$719.1K
J0585	Injection, onabotulinumtoxina, 1 unit	33	60	250	$730	$707.7K
30802	In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.	4	10	130	$1,400	$388.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	37	4,510	500	$60	$377.8K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	8	10	140	$1,070	$335.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	34	5,080	560	$40	$323.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	9	280	570	$250	$276.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	129	190	430	$70	$258.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	16	330	630	$80	$231.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	11	170	240	$360	$217K

Showing 1–10 of 207

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Central Ohio Family Care Center, Inc	OH	Specialist	$0	$15.3M
Genesis Primary Care Physicians LLC	OH	Family Medicine Physician	$0	$7.1M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Phu Tran	FL	Hematology & Oncology Physician	$1.2M	$10.9K
Daniel Lynch	KY	Interventional Pain Medicine Physician	$312.4K	$52.2K
Shaun Bhatty	OH	Clinical Cardiac Electrophysiology Physician	$341.6K	$0
Benjamin Martin	OH	Urology Physician	$299.7K	$0
Jay Mcdonald	MS	Anesthesiology Physician	$281.8K	$380
Michael Danko	OH	Pain Medicine (Anesthesiology) Physician	$273.5K	$0
Grant Chow	OH	Clinical Cardiac Electrophysiology Physician	$242.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Healthcare System	OH	General Acute Care Hospital	$0	$101.8M
Spero Health Of Ohio, LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$46M
Allwell Behavioral Health Services	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35M
Muskingum Valley Health Centers	OH	Federally Qualified Health Center (FQHC)	$0	$28.7M
Mid-ohio Behavioral Health LLC	OH	Mental Health Counselor	$0	$28.6M
Genesis Emergency Physicians LLC	OH	Emergency Medicine Physician	$0	$10.8M
Muskingum Valley Health Centers	OH	Federally Qualified Health Center (FQHC)	$0	$9.7M
Coler Hospice, Ltd	OH	Community Based Hospice Care Agency	$0	$6.7M
Community Ambulance Service	OH	Ambulance	$1.2M	$3.7M
Pinnacle Treatment Centers Oh-iv, LLC	OH	Methadone Clinic	$123.4K	$4.1M

Genesis Medical Group LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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