Supplier
Genesis Healthcare, INC.
Genesis Healthcare, INC. was paid $3.34M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
33Billing provider infoGENESIS HEALTHCARE, INC.
DARLINGTON, SC 29532
DARLINGTON, SC 29532
33aNPI1437484862assigned 10/02/2009
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3.34M
24GClaims28,110
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Carolina
Rank by total paid#14 of 160
Median peer was paid$125K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,057 | $630K | |
| 2019 | 4,685 | $608K | |
| 2020 | 4,162 | $489K | |
| 2021 | 3,676 | $482K | |
| 2022 | 4,142 | $472K | |
| 2023 | 3,551 | $403K | |
| 2024incomplete | 2,837 | $252K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 57% | 20,683 | 14,954 | $1.90M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 5,918 | 5,326 | $1.19M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.1% | 1,202 | 1,135 | $237K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 28 | 25 | $2K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 45 | 39 | $2K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 45 | 39 | $1K |
| 90688 | <1% | 52 | 52 | $737.17 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 64 | 58 | $364.76 |
| 99442 | <1% | 28 | 17 | $303.16 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 21 | 13 | $272.90 |
| 90686 | <1% | 12 | 12 | $197.04 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMEGNA, TONY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Genesis Health Care, INC | Walterboro, SC | $2.07M |
| Genesis Healthcare, INC. | Olanta, SC | $2.03M |
| Genesis Healthcare, INC | Walterboro, SC | $1.91M |
| Genesis Healthcare, INC. | Goose Creek, SC | $1.05M |
| Genesis Healthcare, INC. | Florence, SC | $746K |
| Genesis Healthcare, INC. | Darlington, SC | $445K |
| Genesis Healthcare, INC. | Lamar, SC | $438K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.