Physician
Genesis Health Care, INC
Genesis Health Care, INC was paid $2.07M by Medicaid between Mar 2019 and Sep 2022, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoGENESIS HEALTH CARE, INC
WALTERBORO, SC 29488
WALTERBORO, SC 29488
33aNPI1558831198assigned 11/27/2018
33bProvider typePediatrics Physician
28Total paid$2.07M
24GClaims16,841
24DCodes billed36
24AFirst – last monthMar 2019 – Sep 2022
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#44 of 471
Median peer was paid$18K
This provider vs. median117×
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 | |
|---|---|---|---|
| 2019 | 2,372 | $445K | |
| 2020 | 4,512 | $506K | |
| 2021 | 5,908 | $677K | |
| 2022 | 4,049 | $439K |
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 | 32% | 3,341 | 3,043 | $655K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 32% | 3,106 | 2,779 | $652K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,100 | 1,083 | $213K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 918 | 901 | $177K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 770 | 757 | $150K |
| 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 | 4.2% | 420 | 410 | $86K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 397 | 387 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 114 | 112 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | 53 | $10K |
| 99383 | <1% | 37 | 37 | $8K | |
| 99384 | <1% | 31 | 31 | $6K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 52 | 51 | $3K |
24 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 26 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,783 | $316.81 |
| 83655 | <1% | 147 | $208.52 | |
| 85018 | <1% | 277 | $172.50 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 104 | $142.63 |
| 92551 | <1% | 461 | $133.91 | |
| 90688 | <1% | 13 | $92.34 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $86.44 |
| 90633 | <1% | 392 | $80.64 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 247 | $42.66 |
| 90686 | <1% | 408 | $16.42 | |
| 90734 | 0% | 74 | $0.00 | |
| 90670 | 0% | 636 | $0.00 | |
| 90461 | 0% | 766 | $0.00 | |
| 90649 | 0% | 142 | $0.00 | |
| 99173 | 0% | 401 | $0.00 | |
| 90715 | 0% | 42 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90698 | 0% | 237 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90680 | 0% | 147 | $0.00 | |
| 36416 | 0% | 55 | $0.00 | |
| 90744 | 0% | 71 | $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 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.