Supplier
Genesis Healthcare, INC
Genesis Healthcare, INC was paid $1.91M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 49% of everything it billed.
33Billing provider infoGENESIS HEALTHCARE, INC
WALTERBORO, SC 29488
WALTERBORO, SC 29488
33aNPI1942757844assigned 09/08/2016
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.91M
24GClaims14,061
24DCodes billed35
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#22 of 160
Median peer was paid$125K
This provider vs. median15×
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 | 1,153 | $168K | |
| 2019 | 1,013 | $145K | |
| 2020 | 755 | $112K | |
| 2021 | 984 | $160K | |
| 2022 | 2,786 | $341K | |
| 2023 | 4,874 | $610K | |
| 2024incomplete | 2,496 | $374K |
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 | 49% | 6,173 | 4,469 | $938K |
| 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% | 2,829 | 2,503 | $613K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 547 | 532 | $118K |
| 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 | 4.1% | 375 | 334 | $79K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 266 | 261 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 257 | 249 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | 85 | $19K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 267 | 267 | $14K |
| 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% | 28 | 28 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 919 | 892 | $3K |
| 99383 | <1% | 12 | 12 | $3K | |
| 99442 | <1% | 70 | 69 | $2K |
23 more codes
| 90686 | <1% | 151 | $262.72 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 271 | $193.64 |
| 90688 | <1% | 14 | $184.68 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 62 | $182.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | $124.24 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 513 | $60.84 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $44.90 |
| 92552 | <1% | 45 | $20.68 | |
| 85018 | <1% | 15 | $2.05 | |
| 1159F | <1% | 20 | $0.01 | |
| 1160F | <1% | 17 | $0.01 | |
| 90698 | 0% | 97 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 3074F | 0% | 20 | $0.00 | |
| 92551 | 0% | 105 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 90680 | 0% | 50 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| 90461 | 0% | 246 | $0.00 | |
| 90670 | 0% | 183 | $0.00 | |
| 99173 | 0% | 178 | $0.00 | |
| 90633 | 0% | 128 | $0.00 | |
| 3078F | 0% | 22 | $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. | 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.