Clinic
Genesis Healthcare, INC.
Genesis Healthcare, INC. was paid $1.05M by Medicaid between Jan 2023 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoGENESIS HEALTHCARE, INC.
GOOSE CREEK, SC 29445
GOOSE CREEK, SC 29445
33aNPI1447975966assigned 10/06/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.05M
24GClaims10,818
24DCodes billed38
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#35 of 85
Median peer was paid$746K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2023 | 5,234 | $485K | |
| 2024incomplete | 5,584 | $561K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 1,658 | 1,559 | $374K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 25% | 1,220 | 1,074 | $258K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 478 | 472 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 452 | 439 | $96K |
| 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 | 7.0% | 325 | 313 | $73K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 298 | 289 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 275 | 267 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 1,497 | 1,282 | $15K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 203 | 203 | $8K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 118 | 116 | $7K |
| 90677 | <1% | 69 | 67 | $257.25 | |
| 92552 | <1% | 74 | 70 | $89.72 |
26 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 125 | $64.45 |
| 96127 | <1% | 52 | $35.55 | |
| 85018 | <1% | 616 | $28.27 | |
| 88738 | <1% | 415 | $21.70 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 31 | $14.52 |
| 36416 | <1% | 468 | $8.25 | |
| 99173 | 0% | 299 | $0.00 | |
| 1160F | 0% | 229 | $0.00 | |
| 90461 | 0% | 426 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 120 | $0.00 |
| 90649 | 0% | 50 | $0.00 | |
| 1159F | 0% | 235 | $0.00 | |
| 3078F | 0% | 120 | $0.00 | |
| 90670 | 0% | 103 | $0.00 | |
| 90633 | 0% | 90 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 3074F | 0% | 129 | $0.00 | |
| 3008F | 0% | 136 | $0.00 | |
| 90686 | 0% | 120 | $0.00 | |
| 92551 | 0% | 196 | $0.00 | |
| 90698 | 0% | 77 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90656 | 0% | 47 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90619 | 0% | 13 | $0.00 |
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 Healthcare, INC. | Darlington, SC | $3.34M |
| 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. | 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.