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 1477654945)

Genesis Health System is a family medicine physician provider located in Davenport, Iowa. This profile covers 0 Medicare and 179 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	1351 W Central Park Ave Ste 4100
City	Davenport
State	IA
ZIP	52804
Taxonomy	Family Medicine Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$23.2M
Medicare	$0

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

179 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…	135,760	$40	$4.8M
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…	80,710	$50	$3.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	31,060	$70	$2.3M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	15,340	$100	$1.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11,690	$100	$1.2M
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.	26,630	$50	$1.2M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	26,050	$40	$1.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,200	$80	$939.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	17,820	$50	$908.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13,000	$70	$897.3K

Showing 1–10 of 179

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 — 19 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

179 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	56	60	16,120	$150	$3.8M
T1015	Clinic visit/encounter, all-inclusive	315	330	3,960	$170	$2.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15	280	850	$140	$801.8K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	21	180	340	$170	$722K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	38	60	2,110	$70	$570.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	32	310	1,320	$100	$543.4K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	7	10	330	$120	$539.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	208	680	670	$70	$343.5K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	7	10	310	$110	$328.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	38	120	1,100	$30	$162.6K

Showing 1–10 of 179

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Health System	IA	General Acute Care Hospital	$0	$44.3M
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
Genesis Health System	IA	Anatomic Pathology & Clinical Pathology Physician	$0	$1.2M
Aswartha Pothula	IL	Interventional Cardiology Physician	$870.4K	$121.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vera French Community Mental Health	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.9M
Family Resources Inc	IA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.8M
Signature Management	IA	Assisted Living Facility	$0	$923.2K
Manisha Fenzl	IA	Family Medicine Physician	$123.1K	$111.7K
Mitchell Binkley	IA	Family Medicine Physician	$186.8K	$0
Joanne Miller	IA	Emergency Medicine Physician	$65K	$99.4K
Kiwhoon Lee	IA	Radiation Oncology Physician	$162.5K	$0
Antonio Vigliotti	IA	Radiation Oncology Physician	$146.8K	$1.3K
Christine Sharis	IA	Radiation Oncology Physician	$97.3K	$0
Thomas Staley	IA	Family Medicine Physician	$87.7K	$2.5K

Genesis Health System — Billing Profile & Reimbursement Data

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Genesis Health System — 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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