Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Genesis Healthcare, INC.

Genesis Healthcare, INC. was paid $445K by Medicaid between Oct 2021 and Nov 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 33% of everything it billed.

33Billing provider infoGENESIS HEALTHCARE, INC.
DARLINGTON, SC 29532
33aNPI1720636012assigned 08/29/2019
28Total paid$445K
24GClaims2,303
24DCodes billed4
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in South Carolina

Rank by total paid#52 of 85
Median peer was paid$746K
This provider vs. median0.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
202154$7K
2022764$143K
2023864$169K
2024incomplete621$126K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 33% 956 805 $145K
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 30% 598 585 $135K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 619 593 $134K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 6.8% 130 93 $30K

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)
Same official

Other billing entities under MEGNA, TONY

Full network →
ProviderLocationPaid
Genesis Healthcare, INC.Darlington, SC$3.34M
Genesis Health Care, INCWalterboro, SC$2.07M
Genesis Healthcare, INC.Olanta, SC$2.03M
Genesis Healthcare, INCWalterboro, SC$1.91M
Genesis Healthcare, INC.Goose Creek, SC$1.05M
Genesis Healthcare, INC.Florence, SC$746K
Genesis Healthcare, INC.Lamar, SC$438K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.