Physician
Sentara Medical Group
Sentara Medical Group was paid $1.70M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoSENTARA MEDICAL GROUP
SUFFOLK, VA 23434
SUFFOLK, VA 23434
33aNPI1013117340assigned 07/24/2007
33bProvider typeHospitalist Physician
28Total paid$1.70M
24GClaims49,099
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in Virginia
Rank by total paid#4 of 56
Median peer was paid$28K
This provider vs. median62×
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 | 5,391 | $138K | |
| 2019 | 4,945 | $231K | |
| 2020 | 7,514 | $331K | |
| 2021 | 10,657 | $372K | |
| 2022 | 11,048 | $386K | |
| 2023 | 7,359 | $242K | |
| 2024incomplete | 2,185 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 23,575 | 5,365 | $590K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 11,250 | 3,635 | $405K |
| 99223 | Prolong inpt eval add15 m | 23% | 5,389 | 4,240 | $388K |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 5,827 | 4,618 | $225K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 735 | 639 | $49K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 875 | 349 | $13K |
| 99220 | <1% | 190 | 155 | $13K | |
| 99217 | <1% | 368 | 307 | $10K | |
| 99225 | <1% | 187 | 93 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 87 | 76 | $3K |
| 99358 | Prolong nursin fac eval 15m | <1% | 326 | 215 | $2K |
| 99497 | <1% | 290 | 221 | $77.50 |
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 officialTAYLOR, CINDY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sentara Medical Group | Hampton, VA | $412K |
| Sentara Medical Group | Williamsburg, VA | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.