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 Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa 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. Iowa (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 Health System (NPI 1295196798)

Genesis Health System is a anatomic pathology & clinical pathology physician provider located in Davenport, Iowa. This profile covers 0 Medicare and 69 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 Health System
Address	1227 E Rusholme St
City	Davenport
State	IA
ZIP	52803
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	March 10, 2016

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

69 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	7,210	$80	$554.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2,830	$40	$124.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	23,080	$1	$92.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19,570	$1	$78.3K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	8,160	$1	$32.6K
83605	The lab analyst measures the lactate, most often in a blood or plasma sample. Lactate, also known as lactic acid, is the end product of anaerobic carbohydrate metabolism produced primarily by muscle…	6,210	$10	$31.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	6,110	$10	$30.6K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	4,210	$10	$25.2K
83690	The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat.	5,670	$1	$22.7K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	2,780	$10	$19.5K

Showing 1–10 of 69

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Genesis Health System — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

69 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10	90	740	$60	$155.6K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	28	40	370	$40	$61K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	17	180	1,660	$10	$58.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	20	240	1,930	$10	$40.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	8	50	620	$20	$36.5K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	30	40	60	$110	$33.7K
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	16	30	320	$20	$30.7K
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	16	30	300	$20	$29.8K
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	16	30	300	$20	$29.5K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	18	120	210	$10	$22.7K

Showing 1–10 of 69

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Health System	IA	General Acute Care Hospital	$0	$44.3M
Genesis Health System	IA	Family Medicine Physician	$0	$23.2M
Genesis Health System	IA	Surgery Physician	$0	$9.1M
Genesis Health System	IL	Ambulance	$0	$4M
Genesis Health System	IA	Critical Access Hospital	$0	$1.9M
Robert Mixsell	IA	Family Medicine Physician	$427.8K	$1.4M
Genesis Health System	IA	Home Health Agency	$0	$1.8M
May Yazeji	IL	Specialist	$18.8K	$1.6M
Sora Reddy	IL	Interventional Cardiology Physician	$1.3M	$81K
Aswartha Pothula	IL	Interventional Cardiology Physician	$870.4K	$121.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medic Ems	IA	Land Ambulance	$2.5M	$6.3M
Davenport Community School District	IA	Local Education Agency (LEA)	$0	$8.2M
Family Empowerment Services, Inc	IA	Social Worker	$0	$3.6M
Leonardo Antaris	IA	Ophthalmology Physician	$2.6M	$0
Child Protection Response Center	IA	Child Abuse Pediatrics Physician	$0	$1.8M
Clyfee Dialysis LLC	IA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Cardiovascular Medicine PLLC	IA	Cardiovascular Disease Physician	$0	$1.3M
Vituity-iowa PLLC	IA	Emergency Medicine Physician	$0	$982.9K
Srikanth Kasula	IA	Interventional Cardiology Physician	$861.7K	$9.8K
Rafat Padaria	IA	Cardiovascular Disease Physician	$705.1K	$0

Genesis Health System — Billing Profile & Reimbursement Data

Sign up for Genesis Health System — Billing Profile & Reimbursement Data policy alerts

Genesis Health System — Billing Profile & Reimbursement Data

Sign up for Genesis Health System — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References