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    OpenPayerNPI Medicare & MedicaidGenesis Healthcare, Inc.
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    Genesis Healthcare, Inc. — Billing Profile & Reimbursement Data

    NPI 1437484862 · Darlington, SC · Federally Qualified Health Center (FQHC)

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    Genesis Healthcare, Inc. is a federally qualified health center (fqhc) provider located in Darlington, South Carolina. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGenesis Healthcare, Inc.
    Address201 Cashua St
    CityDarlington
    StateSC
    ZIP29532
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedOctober 2, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive20,680$90$1.9M
    99213The 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…5,920$200$1.2M
    99214The 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…1,200$200$236.8K
    99212The 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,…10$220$2.7K
    93306The 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…30$70$1.9K
    A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base…50$40$1.7K
    A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe50$30$1.4K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.50$10$730
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…60$10$380
    99442N/A30$10$310

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive633503,560$30$525.5K
    99213The 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…3262,770210$60$254.5K
    99214The 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…8352,480350$80$246K
    93306The 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…127140690$80$153.6K
    99212The 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,…590610190$50$98.4K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…205260420$20$58.1K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…931104,640$1$27.8K
    A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base…71070$50$24.3K
    A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe92050$40$16.5K
    99442N/A659060$20$6.7K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Genesis Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lower Florence County HospitalSCGeneral Acute Care Hospital$0$5.1M
    Genesis Health Care, IncSCFederally Qualified Health Center (FQHC)$0$2.1M
    Genesis Healthcare, Inc.SCFederally Qualified Health Center (FQHC)$0$2M
    Genesis Healthcare, IncSCFederally Qualified Health Center (FQHC)$0$1.9M
    John RazookSCDiagnostic Radiology Physician$710.6K$0
    Gregory MenckenSCDiagnostic Radiology Physician$346.9K$0
    Russell DerrickSCDiagnostic Radiology Physician$293.1K$240
    Steven PirttimaSCDiagnostic Radiology Physician$277.5K$470
    Jeffrey LackeySCDiagnostic Radiology Physician$260.7K$80
    Elizabeth KelleySCDiagnostic Radiology Physician$244.2K$240

    Nearby Providers

    Other providers in the same ZIP code as Genesis Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eastern Carolina Pediatric AssociatesSCPediatric Dentistry$0$7.2M
    Noc Home Care, LLCSCNursing Care Agency$0$6M
    Eastern Carolina Pediatric Associates PCSCPediatrics Physician$0$4.5M
    Darlington County EmsSCLand Ambulance$988.4K$1.8M
    Darlington County School DistrictSCLocal Education Agency (LEA)$0$2.4M
    Mcleod Physician Associates IiSCUrgent Care Clinic/Center$0$2.3M
    Pee Dee Professional Intervention Services, LLCSCEarly Intervention Provider Agency$0$1.8M
    Medone Medical Transport, LLCSCLand Ambulance$583.1K$13.1K
    Medic Of South Carolina, LLCSCLand Ambulance$281.5K$109K
    Delori KnightSCSpeech-Language Pathologist$49.3K$156.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Genesis Healthcare, Inc. — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina