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NPI 1710367222 · Renton, WA · Long Term Care Pharmacy
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Genoa Healthcare LLC is a long term care pharmacy provider located in Renton, Washington. This profile covers 12 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Genoa Healthcare LLC |
| Address | 707 S Grady Way Ste 400 |
| City | Renton |
| State | WA |
| ZIP | 98057 |
| Taxonomy | Long Term Care Pharmacy |
| NPI Enumerated | June 1, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.1M |
| Medicare | $1.5M |
This provider reports Total Medicare revenue: $1.5M and Total Medicaid revenue: $3.1M, indicating that Medicaid is the larger payer relationship on file. The presence of meaningful revenue from both programs suggests dual-payer operations rather than a single-payer focus, with Medicaid representing the dominant revenue source by absolute dollars.
Medicare revenue is highly concentrated: precomputed top 3 Medicare codes by revenue account for 65.1% of this provider's total Medicare revenue. Those three leading Medicare codes are 91320 (30.8%), 90694 (18.4%), and G0008 (15.9%), signaling that a small set of vaccine and vaccine-administration services drive the bulk of Medicare billings.
The Medicare code mix is dominated by immunization products and administration services, with high-volume entries such as G0008 (7.8K claims, $234.2K revenue), 90694 (3.6K claims, $271.3K revenue), and 91320 (3.5K claims, $453.1K revenue). This pattern—multiple product codes (e.g., 91320, 90694, 90686, 91322) plus administration codes (G0008, G0009, 90480)—is consistent with an operation that delivers vaccines and on-site administration services to Medicare beneficiaries.
On national competitive standing for Medicare immunization codes, the provider is a high-volume outlier: 90694 ranks #6 of 51679 providers nationally (100th percentile; extreme outlier), 90686 ranks #6 of 10508 (100th percentile; extreme outlier), and 91320 ranks #14 of 27083 (100th percentile; notably above typical national volume for this code). Those rank/percentile signals indicate the provider is a major national player for several vaccine-related codes rather than a modest participant.
Medicaid billing is extremely concentrated in a single service line: precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and H2015 alone represents $3M (94.6% of total Medicaid revenue) on 85K claims. H2015 ranks #6 of 138 providers in-state (96th percentile; notably above typical state volume), demonstrating that the provider is a leading state-level supplier of comprehensive community support services under Medicaid.
The Medicaid code mix (dominated by H2015 – Comprehensive community support services) and a secondary line T1999 ($168.7K, 5.4% of Medicaid revenue; 1.5K claims) suggest substantial billing for behavioral health or community support interventions rather than solely pharmacy-dispensing transactions within Medicaid. T1999’s rank (#30 of 48 in-state, 38th percentile; typical, unremarkable volume) shows the miscellaneous supplies line is present but not a competitive strength relative to H2015.
NPI enumeration date is 2015-06-01 (~11 years ago), indicating roughly a decade of recorded activity under this identifier. Combined with multi-million-dollar lifetime revenue in both Medicare and Medicaid, the tenure supports an established operational footprint rather than a newly entered market participant.
Taken together, the profile shows a bifurcated footprint: nationally high-volume vaccine/product and administration activity under Medicare (with extreme-outlier ranks for several codes) alongside a dominant, in-state role in Medicaid-funded comprehensive community support services (H2015). The provider therefore appears to leverage distinct service lines across payers—immunizations and administrable products for Medicare beneficiaries and community support services for Medicaid enrollees—resulting in diversified but payer-specific revenue drivers.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 3,540 | $130 | $453.1K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 3,570 | $80 | $271.3K |
| G0008 | Administration of influenza virus vaccine | 7,810 | $30 | $234.2K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 4,190 | $40 | $171.7K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 410 | $280 | $114.5K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 4,230 | $20 | $93.1K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 650 | $140 | $92.8K |
| G0009 | Administration of pneumococcal vaccine | 440 | $30 | $13.7K |
| 0134A | N/A | 280 | $40 | $11.3K |
| 0124A | N/A | 260 | $40 | $10.5K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 6 | 140 | 1,820 | $20 | $283.8K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 30 | 50 | 2,160 | $10 | $158K |
Other providers in the same ZIP code as Genoa Healthcare LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kaiser Foundation Health Plan Of Washington | WA | Clinical Medical Laboratory | $587K | $11.8M |
| Northwest Kidney Centers | WA | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $8.2M |
| Kaiser Foundation Health Plan Of Washington | WA | Multi-Specialty Clinic/Center | $0 | $7.6M |
| Pain Care Physicians PLLC | WA | Interventional Pain Medicine Physician | $1.2M | $2.7M |
| Jollys Pharmacy Inc | WA | Long Term Care Pharmacy | $195.8K | $3M |
| Ghafghazi Dds,p.s. | WA | Pediatric Dentistry | $0 | $3M |
| Naixi Chen | WA | Hematology & Oncology Physician | $886.7K | $0 |
| Jamison Ridgeley | WA | Ophthalmology Physician | $388.9K | $0 |
| Nicole Kageyama | WA | Dermatology Physician | $279.5K | $0 |
| Nobuyoshi Kageyama | WA | MOHS-Micrographic Surgery Physician | $264.2K | $0 |
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