Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GENESIS MEDICAL GROUP LLC

NPI: 1063663433 · ZANESVILLE, OH 43701 · Allergy Physician · NPI assigned 10/03/2008

$15.15M
Total Medicaid Paid
1,617,342
Total Claims
1,492,274
Beneficiaries
207
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNORMAN, MIKE (CFO)
NPI Enumeration Date10/03/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 92,084 $2.13M
2019 223,037 $2.51M
2020 300,672 $1.92M
2021 248,776 $1.97M
2022 265,343 $1.92M
2023 288,403 $2.45M
2024 199,027 $2.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 138,342 126,895 $4.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 117,294 110,678 $4.28M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20,155 19,377 $981K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,680 10,142 $600K
99244 Office or other outpatient consultation, moderate to high complexity 5,671 5,565 $401K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,735 12,361 $398K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,922 4,636 $345K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,958 1,835 $258K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,077 4,947 $132K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,542 10,851 $132K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,867 5,604 $129K
99215 Prolong outpt/office vis 3,420 2,821 $116K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 20,845 17,910 $114K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,056 2,006 $112K
99232 Subsequent hospital care, per day, moderate complexity 6,075 2,570 $103K
51701 3,914 3,611 $101K
92557 3,536 3,351 $94K
20610 2,456 2,227 $91K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,247 912 $81K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,026 1,007 $80K
52000 1,414 1,355 $78K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 354 317 $74K
J0585 Injection, onabotulinumtoxina, 1 unit 166 75 $72K
99243 1,392 1,352 $72K
95811 1,215 1,192 $65K
51729 556 509 $64K
20611 1,289 1,157 $60K
95886 2,569 2,480 $59K
93000 6,340 6,081 $58K
93458 686 658 $57K
93971 3,660 3,196 $52K
93970 2,552 2,466 $52K
51784 933 766 $48K
92567 4,307 4,080 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,552 2,563 $41K
52281 439 430 $40K
51797 556 509 $37K
94060 3,888 3,760 $35K
93296 3,352 3,247 $34K
99406 5,389 5,104 $33K
36475 103 66 $31K
99152 3,689 3,402 $30K
31575 583 561 $30K
43248 308 300 $29K
73110 1,779 1,448 $29K
93018 3,072 2,989 $26K
95913 199 192 $24K
93294 1,405 1,369 $24K
62323 371 350 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 383 358 $23K
99442 1,421 1,400 $22K
93295 691 667 $21K
73030 1,436 1,306 $21K
93298 1,217 1,169 $19K
99443 845 829 $19K
95816 966 928 $18K
51700 515 341 $18K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,801 3,506 $16K
99350 Prolong home eval add 15m 440 415 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 450 441 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,023 992 $13K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 924 884 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 200 186 $13K
31231 162 158 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 384 359 $12K
95911 209 194 $12K
94729 4,086 3,952 $12K
73130 715 619 $12K
51798 1,584 1,415 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 447 381 $11K
36415 Collection of venous blood by venipuncture 5,797 5,504 $11K
94726 3,267 3,161 $11K
99233 Prolong inpt eval add15 m 520 298 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,225 2,115 $10K
99441 976 922 $10K
95251 1,496 1,428 $9K
27096 159 152 $9K
93350 219 218 $9K
97597 1,475 1,020 $8K
81003 6,453 6,013 $8K
95909 223 216 $8K
73564 454 403 $8K
99245 82 80 $8K
71046 Radiologic examination, chest; 2 views 396 388 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 721 433 $8K
11721 762 733 $8K
73620 497 438 $7K
90686 654 629 $7K
93880 495 488 $6K
29848 25 25 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 360 338 $6K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 42 39 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 91 82 $6K
93272 285 276 $5K
93280 249 183 $5K
43249 105 99 $5K
93016 337 323 $5K
99254 55 55 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 65 62 $4K
95908 129 128 $4K
52260 47 44 $4K
77014 152 36 $4K
73630 214 192 $3K
22853 15 14 $3K
20553 134 130 $3K
64493 67 46 $3K
81002 1,376 1,315 $3K
95910 66 61 $3K
76801 42 37 $3K
69210 177 135 $3K
59025 Fetal non-stress test 97 51 $3K
77427 28 13 $3K
52356 14 14 $3K
51741 612 560 $3K
99255 26 26 $2K
93922 278 271 $2K
99223 Prolong inpt eval add15 m 45 44 $2K
95885 222 211 $2K
99349 98 91 $2K
99222 Initial hospital care, per day, moderate complexity 49 46 $2K
93925 127 123 $2K
99459 169 164 $2K
52310 13 12 $2K
80305 221 216 $2K
64494 58 41 $2K
73562 98 90 $1K
93299 104 99 $1K
95912 20 18 $1K
99205 Prolong outpt/office vis 13 13 $1K
73560 65 55 $1K
30802 24 24 $1K
73502 48 43 $980.83
77334 16 12 $979.01
76942 26 24 $923.39
92579 42 37 $816.06
99231 Subsequent hospital care, per day, straightforward or low complexity 71 40 $804.64
64615 14 12 $744.27
81025 115 106 $708.37
97598 57 40 $679.86
96127 198 193 $668.17
77263 14 13 $648.33
95970 33 29 $573.62
74420 46 39 $472.23
11720 93 89 $407.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 24 $400.18
99242 12 12 $390.00
93308 41 40 $341.28
93227 12 12 $314.76
90756 20 20 $312.00
43450 13 13 $303.65
73600 25 24 $302.03
99407 31 29 $272.93
73610 13 13 $269.12
83036 Hemoglobin; glycosylated (A1C) 54 53 $258.58
94618 13 13 $232.42
73140 12 12 $187.02
92504 14 14 $138.31
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 120 109 $119.10
94664 13 13 $87.81
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 12 12 $65.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 98 95 $47.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 515 483 $22.26
1036F 122,792 112,981 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 118,483 109,111 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 62,155 57,710 $0.00
G8432 Depression screening not documented, reason not given 43,173 40,021 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 54,078 50,217 $0.00
3044F 180 174 $0.00
3017F 63,372 59,534 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 29,671 27,793 $0.00
G8756 No documentation of blood pressure measurement, reason not given 10,481 9,847 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 10,089 9,156 $0.00
99024 17,679 13,380 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 32,382 30,211 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 17,757 16,545 $0.00
1101F 4,877 4,418 $0.00
G8405 Lower extremity neurological exam not performed 142 132 $0.00
1111F 149 128 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 25 24 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,636 1,541 $0.00
3052F 13 12 $0.00
0503F 80 68 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 114 106 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 14 $0.00
4004F 60,060 55,692 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 77,434 72,677 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 226,008 209,657 $0.00
G8484 Influenza immunization was not administered, reason not given 112,341 103,376 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 18,397 17,311 $0.00
3046F 3,651 3,485 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 9,203 8,634 $0.00
G8482 Influenza immunization administered or previously received 9,765 8,624 $0.00
4040F 5,383 4,884 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 2,323 1,648 $0.00
0502F 1,650 1,068 $0.00
G9709 Hospice services used by patient any time during the measurement period 296 223 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 1,126 1,059 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,858 1,748 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 2,095 1,908 $0.00
G8598 Aspirin or another antiplatelet therapy used 1,970 1,831 $0.00
G8421 Bmi not documented and no reason is given 877 839 $0.00
3045F 94 91 $0.00
2022F 421 404 $0.00
3078F 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 53 53 $0.00
20930 27 26 $0.00
3051F 14 12 $0.00