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 1972542264)

Key Findings

Field	Value
Entity Type	Organization
Organization	Genesis Health System
Address	1227 E Rusholme St
City	Davenport
State	IA
ZIP	52803
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$44.3M
Medicare	$0

GENESIS HEALTH SYSTEM is effectively a single-payer Medicaid reporter: there is no Medicare billing on file while total Medicaid revenue is $44.3M, indicating the provider’s observable payer volume in these datasets is concentrated entirely in Medicaid rather than Medicare. This makes the facility’s public billing profile and competitive position in-state driven by Medicaid activity alone.

Revenue concentration is high: the top 3 Medicaid codes (99284, 99283, 99285) account for 69.9% of the provider’s total Medicaid revenue, which signals that emergency department E/M visits at varying acuity levels are the primary revenue drivers for this hospital. Operational planning and reimbursement risk for the organization will be sensitive to changes in ED utilization or Medicaid ED payment policies because nearly seven in ten Medicaid dollars come from those three codes.

The code mix points to a heavy emergency and acute care orientation. 99284 ($15.1M), 99283 ($8.4M), and 99285 ($7.2M) together dominate revenue and are descriptions of ED evaluation and management at moderate, low, and high complexity respectively; this suggests the hospital handles large ED volumes across the acuity spectrum rather than being primarily an outpatient or specialty-only site. Ancillary services that commonly attach to ED care—IV push/infusion codes like 96374 ($4.3M) and IV hydration codes 96361 (ranked #1) also appear as significant contributors, reinforcing a high-throughput emergency and observation workstream.

GENESIS is a statewide outlier on multiple Medicaid codes, indicating market dominance for certain ED and infusion services. It ranks #2 of 275 for 99284 (100th percentile; extreme outlier), #3 of 305 for 99283 (99th percentile; extreme outlier), #9 of 179 for 99285 (96th percentile; notably above typical state volume), and #1 of 86 for 96374 (100th percentile; extreme outlier). These ranks and percentile labels show the provider operates at volumes far above most in-state peers for ED E/M and rapid IV administration, consistent with being a major ED hub in its market.

Several additional procedure codes further characterize service intensity and outpatient throughput. High-ranking volumes on 96361 (rank #1), 96375 (rank #1), and 97597 (rank #1) indicate frequent IV fluid/medication administration and wound care; routine diagnostic imaging and monitoring codes like 93010 (rank #2; extreme outlier) and chest x-ray codes 71046/71045 are also present at high absolute claim counts, supporting a profile of continuous ED diagnostic and treatment activity. This code mix suggests substantial ancillary revenue streams tied to emergency visits, including diagnostics, therapeutic infusions, and rehabilitation/wound services.

Competitive standing is geographically strong but lacks national Medicare comparators: within Iowa Medicaid the provider is consistently in the top percentiles for its highest-revenue codes (many 100th/99th percentile placements), portraying GENESIS as a dominant in-state provider for ED and infusion services. However, because it has no Medicare billing on file, there is no national Medicare peer signal to assess how the hospital competes at the federal-payer level; any strategic assessment should therefore prioritize Medicaid market share and state-level referral patterns.

The provider has stable tenure in the public NPI registry, enumerated approximately 20 years ago (NPI enumerated: 2006-06-05), which supports interpreting these high-volume Medicaid patterns as an established operation rather than a short-term or newly created billing entity. Long tenure combined with extreme state outlier volumes for core ED codes suggests entrenched ED and outpatient acute-care capacity in the local market.

Medicaid: Complete Services Breakdown

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

156 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	63,780	$240	$15.1M
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.	56,470	$150	$8.4M
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.	21,690	$330	$7.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	32,810	$130	$4.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18,490	$70	$1.3M
71046	In 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…	17,520	$50	$893.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	15,590	$50	$810.8K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	18,640	$40	$689.5K
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…	15,570	$40	$622.8K
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…	15,130	$40	$605.2K

Showing 1–10 of 156

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 — 10 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

156 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11	70	1,440	$90	$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.	2	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.	9	180	340	$170	$722K
J0585	Injection, onabotulinumtoxina, 1 unit	7	20	380	$700	$687.3K
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…	10	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.	3	310	1,320	$100	$543.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1	90	320	$120	$327.7K
93306	The 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…	35	40	900	$90	$249.3K
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…	340	1,060	480	$40	$154.5K
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…	648	1,310	760	$20	$153.1K

Showing 1–10 of 156

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Health System	IA	Family Medicine Physician	$0	$23.2M
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
Medic Ems	IA	Land Ambulance	$2.5M	$6.3M
Davenport Community School District	IA	Local Education Agency (LEA)	$0	$8.2M
Family Empowerment Services, Inc	IA	Social Worker	$0	$3.6M
Leonardo Antaris	IA	Ophthalmology Physician	$2.6M	$0
Child Protection Response Center	IA	Child Abuse Pediatrics Physician	$0	$1.8M
Clyfee Dialysis LLC	IA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Cardiovascular Medicine PLLC	IA	Cardiovascular Disease Physician	$0	$1.3M
Vituity-iowa PLLC	IA	Emergency Medicine Physician	$0	$982.9K
Srikanth Kasula	IA	Interventional Cardiology Physician	$861.7K	$9.8K
Rafat Padaria	IA	Cardiovascular Disease Physician	$705.1K	$0

Genesis Health System — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References