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

Why is the Medicaid comparison limited to Florida 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. Florida (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 Rehabilitation Hospital, Inc. (NPI 1912947748)

Key Findings

Field	Value
Entity Type	Organization
Organization	Genesis Rehabilitation Hospital, Inc.
Address	3599 University Blvd S
City	Jacksonville
State	FL
ZIP	32216
Taxonomy	Rehabilitation Hospital
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$40.8M
Medicare	$0

This provider is effectively single‑payer in the dataset: there is no Medicare billing on file and Total Medicaid revenue is $40.8M, so financial performance and utilization patterns are driven entirely by Medicaid activity in the available data. The absence of Medicare claims means any competitive or volume conclusions apply only to the Medicaid market rather than to a mixed payer footprint.

Revenue is highly concentrated in a few outpatient therapy and clinic visit codes: the top three Medicaid codes by revenue account for 76.3% of this provider's total Medicaid revenue. Those top contributors are G0463 ($13.4M, 32.8%), 92507 ($9.4M, 23.0%), and 97530 ($8.4M, 20.5%), indicating a narrow set of services that drive the bulk of billed Medicaid dollars.

The mix of high‑revenue codes points to a rehabilitation hospital operating substantial outpatient clinic and therapy volumes: G0463 is a hospital outpatient clinic visit for assessment and management, while 97530 and 97110 are high‑volume, minutes‑based therapy interventions and 92507 represents speech/language therapy. The presence of large dollar volumes in both clinic assessment (G0463) and repeated therapy codes (97530, 97110) suggests a care model built around frequent, billed therapy encounters in an organized outpatient rehabilitation setting.

Statewide competitive standing is strong for multiple therapy and clinic codes: G0463 ranks #2 of 133 providers in‑state (99th percentile; extreme outlier), 97530 ranks #10 of 2314 (100th percentile; extreme outlier), and 92507 ranks #14 of 2245 (99th percentile; extreme outlier), which together indicate this provider is a major regional player in hospital outpatient rehab services and high‑volume therapy delivery. Those rank/percentile positions imply volumes far above typical state peers for the same codes.

Beyond the headline top three, other therapy codes also show outsized state presence: 97110 accounts for $7.1M (17.4%) of Medicaid revenue and ranks #10 of 2099 providers in‑state (100th percentile; extreme outlier), and 97750 ranks #1 of 26 providers in‑state (100th percentile; extreme outlier) despite smaller revenue contribution. This pattern shows both scale in high‑volume therapy and pockets of specialized testing or evaluation services where the provider leads local peers.

Several codes are explicitly flagged as statistical outliers for reporting and outcome measurement: G8987 and G8988 each rank #2 in‑state at the 99th percentile (both labeled extreme outlier), signaling unusually high use of functional limitation reporting at therapy episode outset and interval/goal reporting. Heavy use of these reporting codes alongside very large therapy volumes suggests robust episode tracking and administrative processes tied to therapy outcomes and billing.

Operational implications follow from very large claim counts for core therapy codes: 92507 has 102.1K claims, 97530 has 97.2K claims, and 97110 has 66.4K claims, which implies substantial throughput and staffing requirements for one‑on‑one and minutes‑based therapy services. High claim volumes of this magnitude are consistent with a facility that runs high‑frequency outpatient therapy clinics and would require capacity in scheduling, documentation, and therapy staff to sustain.

The provider has an established footprint in the market: NPI enumerated 2006-06-08 (~20 years ago), which, combined with the concentrated Medicaid revenue ($40.8M) and top state rankings on multiple therapy and clinic codes, indicates a sustained, Medicaid‑focused rehabilitation operation. That longevity plus heavy Medicaid dependence suggests stability in service delivery but also concentration of payer risk given the lack of Medicare billing in the record.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	180,960	$70	$13.4M
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…	102,090	$90	$9.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	97,170	$90	$8.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	66,350	$110	$7.1M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,250	$210	$685.8K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	16,580	$40	$679.6K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	2,830	$60	$167.2K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	3,820	$40	$164.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	9,900	$20	$148.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	3,030	$40	$118.1K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Genesis Rehabilitation Hospital, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	14	2,250	1,250	$50	$324.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	10	2,310	1,910	$40	$315.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	130	1,860	$30	$301.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	10	2,100	1,280	$40	$206.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	158	570	830	$30	$103.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	23	560	880	$30	$98.6K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	36	200	490	$40	$62.4K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	4	10	310	$60	$52.8K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	1	10	110	$60	$42.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	11	560	50	$100	$35.1K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Care Home Nursing Services, LLC	FL	Home Health Agency	$0	$39.7M
Family First Homecare, LLC	FL	Nursing Care Agency	$0	$26.9M
Memorial Healthcare Group Inc	FL	General Acute Care Hospital	$0	$19.4M
Daniel Memorial, Inc.	FL	Community/Behavioral Health Agency	$0	$16.6M
Ellis-moore Coroporation	FL	Pediatric Skilled Nursing Facility	$0	$9M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.8M
Social Care Services, LLC	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.5M
Ameripro Ems Of Florida, LLC	FL	Land Ambulance	$4.4M	$2.2M
Ace Biomedical Labs, LLC	FL	Clinical Medical Laboratory	$5.7M	$222.4K
George Camacho	FL	Internal Medicine Physician	$5.3M	$2.1K

Genesis Rehabilitation Hospital, Inc. — Billing Profile & Reimbursement Data

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Genesis Rehabilitation Hospital, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References