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    OpenPayerNPI Medicare & MedicaidGenesis Primary Care Physicians LLC
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    Genesis Primary Care Physicians LLC — Billing Profile & Reimbursement Data

    NPI 1790061513 · Zanesville, OH · Family Medicine Physician

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    Genesis Primary Care Physicians LLC is a family medicine physician provider located in Zanesville, Ohio. This profile covers 0 Medicare and 125 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 Primary Care Physicians LLC
    Address860 Bethesda Dr
    CityZanesville
    StateOH
    ZIP43701
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 25, 2011

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

    Payer SourceTotal Paid
    Medicaid$7.1M
    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.

    125 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…73,950$40$3.3M
    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…31,610$50$1.7M
    90460In 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.10,270$30$308K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…310$720$222.8K
    99391Preventive 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…2,840$60$161.8K
    99392Preventive 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…2,360$60$148.5K
    99460The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.1,510$80$126.4K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.1,720$70$120.5K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…1,070$100$110.3K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.3,890$20$89.5K

    Showing 1–10 of 125

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    125 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1504,510500$60$377.8K
    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…795,080560$40$323.9K
    99391Preventive 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…111430560$60$303.2K
    99392Preventive 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…134480450$70$292.9K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…134270420$90$276K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.104190430$70$258.6K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…6590770$100$250.1K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.29200570$90$189.8K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.287480280$70$181.7K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…125080$630$152.6K

    Showing 1–10 of 125

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Genesis Primary Care Physicians LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Douglas MyersOHFamily Medicine Physician$148.5K$0
    Angela GrayOHFamily Nurse Practitioner$136.1K$0
    Michael WooleryOHFamily Medicine Physician$123.6K$0
    Trevor ShortOHInternal Medicine Physician$98.7K$0
    Betty Gwinn-hallOHWomen's Health Nurse Practitioner$9.8K$0
    Kelly WycinskiOHWomen's Health Nurse Practitioner$6.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Genesis Primary Care Physicians LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Healthcare SystemOHGeneral Acute Care Hospital$0$101.8M
    Spero Health Of Ohio, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$46M
    Allwell Behavioral Health ServicesOHMental Health Clinic/Center (Including Community Mental Health Center)$0$35M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$28.7M
    Mid-ohio Behavioral Health LLCOHMental Health Counselor$0$28.6M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$9.7M
    Coler Hospice, LtdOHCommunity Based Hospice Care Agency$0$6.7M
    Community Ambulance ServiceOHAmbulance$1.2M$3.7M
    Pinnacle Treatment Centers Oh-iv, LLCOHMethadone Clinic$123.4K$4.1M

    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. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Genesis Primary Care Physicians LLC — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio