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

Genesis Primary Care Physicians LLC

Genesis Primary Care Physicians LLC was paid $7.08M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoGENESIS PRIMARY CARE PHYSICIANS LLC
ZANESVILLE, OH 43701
33aNPI1790061513assigned 10/25/2011
28Total paid$7.08M
24GClaims554,032
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#7 of 663
Median peer was paid$17K
This provider vs. median406×

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$100K$200K2018201920202021202220232024
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
201846,138$1.53M
201960,073$1.24M
202074,042$1.00M
202159,630$542K
2022113,462$904K
2023122,828$1.04M
2024incomplete77,859$825K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 73,949 59,938 $3.24M
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 24% 31,614 29,273 $1.67M
90460 Immunization administration through 18 years of age via any route, first or only component 4.4% 10,268 7,779 $310K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3.1% 309 300 $223K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.3% 2,838 2,663 $161K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.1% 2,357 2,273 $147K
99460 1.8% 1,505 1,389 $127K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.7% 1,721 1,489 $120K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.6% 1,071 1,012 $110K
99218 1.2% 2,400 1,608 $88K
59025 Fetal non-stress test 1.2% 3,892 1,890 $88K
99238 Hospital discharge day management, 30 minutes or less 1.2% 2,476 2,281 $87K
113 more codes
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.2% 1,168 $83K
59410 1.0% 97 $73K
76801 <1% 658 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,572 $48K
36415 Collection of venous blood by venipuncture <1% 16,801 $44K
H1000 Prenatal care, at-risk assessment <1% 667 $37K
99204 Doctor's office visit, new patient (more involved) <1% 511 $36K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 348 $24K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 260 $20K
80305 <1% 1,861 $18K
90686 <1% 2,901 $18K
90670 <1% 1,766 $17K
51701 <1% 606 $16K
99215 Doctor's office visit, returning patient (complex) <1% 257 $16K
54150 <1% 261 $14K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 84 $13K
59514 <1% 15 $13K
99402 <1% 249 $11K
52281 <1% 101 $11K
51700 <1% 274 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 143 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 549 $9K
99203 Doctor's office visit, new patient (routine) <1% 169 $9K
99462 <1% 193 $7K
99221 <1% 166 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 476 $6K
81025 <1% 890 $6K
90698 <1% 1,022 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 308 $5K
D1206 Topical application of fluoride varnish <1% 292 $5K
51729 <1% 43 $5K
51784 <1% 89 $5K
92551 <1% 585 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 116 $4K
99235 <1% 40 $3K
85018 <1% 1,434 $3K
90633 <1% 229 $3K
36416 <1% 1,155 $3K
51797 <1% 40 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 224 $3K
96127 <1% 700 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 39 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 197 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 26 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 73 $1K
99234 <1% 21 $1K
90656 <1% 104 $1K
59430 <1% 14 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 226 $1K
99222 Initial hospital care, per day, moderate complexity <1% 18 $1K
90685 <1% 458 $1K
90680 <1% 934 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 15 $992.25
76830 Ultrasound, transvaginal <1% 14 $910.53
99406 <1% 89 $827.76
87428 <1% 31 $795.02
82950 <1% 210 $757.04
99217 <1% 15 $613.89
99173 <1% 183 $492.31
90744 <1% 366 $490.00
90716 <1% 26 $281.70
83036 Hemoglobin; glycosylated (A1C) <1% 51 $258.85
99442 <1% 13 $247.76
90707 <1% 26 $187.32
J1644 Injection, heparin sodium, per 1000 units <1% 46 $173.98
99024 <1% 1,485 $163.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 83 $148.60
90648 <1% 27 $128.22
51741 <1% 41 $115.88
90700 <1% 16 $100.00
81003 <1% 33 $71.01
82962 <1% 12 $34.61
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 47,545 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 24,367 $0.00
1036F 0% 48,865 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 10,662 $0.00
G8432 Depression screening not documented, reason not given 0% 8,889 $0.00
G8405 Lower extremity neurological exam not performed 0% 580 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 4,749 $0.00
3017F 0% 13,595 $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) 0% 21,588 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 9,854 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 1,924 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 4,157 $0.00
1101F 0% 208 $0.00
3074F 0% 1,028 $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) 0% 262 $0.00
3014F 0% 65 $0.00
0503F 0% 281 $0.00
0500F 0% 55 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 45 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 48 $0.00
3044F 0% 28 $0.00
0501F 0% 70 $0.00
3075F 0% 25 $0.00
3079F 0% 194 $0.00
1111F 0% 13 $0.00
4004F 0% 23,674 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 72,186 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 33,024 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 23,880 $0.00
0502F 0% 2,695 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 1,874 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 8,087 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 3,198 $0.00
G8482 Influenza immunization administered or previously received 0% 5,281 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 113 $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) 0% 1,169 $0.00
90461 0% 169 $0.00
3078F 0% 643 $0.00
4040F 0% 290 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 28 $0.00
90672 0% 12 $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 officialNORMAN, MICHAEL (CFO)
Same official

Other billing entities under NORMAN, MICHAEL

Full network →
ProviderLocationPaid
Genesis Healthcare SystemZanesville, OH$101.92M
Genesis Emergency Physicians LLCZanesville, OH$10.78M
Genesis Healthcare SystemZanesville, OH$4.27M
Community Ambulance ServiceZanesville, OH$3.75M
Professionals PRN LLCZanesville, OH$3.21M
Elm Family Dental Associates LLCWest Haven, CT$1.26M
Genesis Anesthesia Providers, LLCZanesville, OH$288K
Genesis Healthcare SystemZanesville, OH$4K
Genesis Healthcare SystemZanesville, OH$582.68

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