Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › NORFOLK › SENTARA MEDICAL GROUP

SENTARA MEDICAL GROUP

NPI: 1265485270 · NORFOLK, VA 23502 · Pain Medicine (Anesthesiology) Physician · NPI assigned 05/19/2006

$48.77M
Total Medicaid Paid
1,480,718
Total Claims
1,193,990
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRINCE, DORIS (DIRECTOR)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: PRINCE, DORIS

ProviderCityStateTotal Paid
ALBEMARLE PHYSICIAN SERVICES - SENTARA, INC NORFOLK VA $2.76M
SENTARA THERAPY SOLUTIONS, LLC NORFOLK VA $883K
SENTARA ADVANCED IMAGING SOLUTIONS, LLC NORFOLK VA $16K
OPTIMA HEALTH PLAN NORFOLK VA $156.56

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 90,092 $2.36M
2019 154,228 $5.10M
2020 143,420 $5.84M
2021 191,226 $7.62M
2022 203,404 $8.28M
2023 317,944 $10.11M
2024 380,404 $9.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 319,356 280,616 $19.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131,691 115,546 $5.94M
99232 Subsequent hospital care, per day, moderate complexity 129,317 48,813 $3.82M
99233 Prolong inpt eval add15 m 69,433 27,110 $3.37M
99223 Prolong inpt eval add15 m 24,898 21,127 $1.98M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 43,206 38,460 $1.78M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 31,020 12,086 $1.44M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,207 4,108 $897K
99239 Hospital discharge day management, more than 30 minutes 16,942 14,911 $865K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,645 10,112 $808K
90792 Psychiatric diagnostic evaluation with medical services 7,332 6,264 $779K
99215 Prolong outpt/office vis 9,546 8,451 $754K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,153 6,488 $583K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,018 8,058 $505K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,590 6,524 $497K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,423 6,186 $491K
J0585 Injection, onabotulinumtoxina, 1 unit 810 377 $355K
93970 16,561 14,390 $355K
99222 Initial hospital care, per day, moderate complexity 6,045 5,143 $317K
93971 19,294 16,888 $307K
36415 Collection of venous blood by venipuncture 99,987 92,137 $206K
99231 Subsequent hospital care, per day, straightforward or low complexity 13,020 4,636 $193K
99205 Prolong outpt/office vis 1,567 1,441 $192K
90686 15,374 14,661 $191K
99199 Unlisted special service, procedure or report 53,746 52,949 $172K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,986 1,918 $164K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,678 1,616 $145K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,694 1,629 $134K
90834 Psychotherapy, 45 minutes with patient 1,794 1,094 $109K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,055 4,060 $108K
93880 3,795 3,325 $93K
73630 3,975 2,833 $83K
93975 2,262 1,959 $77K
93000 8,510 7,756 $76K
90791 Psychiatric diagnostic evaluation 662 598 $71K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,308 1,150 $69K
90670 4,464 4,125 $66K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,959 9,226 $64K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,731 4,416 $59K
95816 2,106 1,789 $57K
64615 627 555 $56K
93922 3,402 2,993 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,098 1,992 $53K
95819 1,593 1,453 $50K
90837 Psychotherapy, 53 minutes with patient 495 274 $45K
64400 1,018 378 $45K
93295 1,896 1,692 $36K
3074F 53,151 48,798 $35K
90698 2,805 2,560 $35K
93923 1,764 1,548 $35K
95720 326 120 $34K
11721 2,546 2,057 $30K
93296 2,557 2,284 $29K
95951 194 69 $28K
92551 3,455 3,262 $28K
3078F 41,549 37,859 $28K
96130 366 321 $26K
1159F 113,151 101,989 $26K
90680 1,757 1,599 $22K
96127 4,298 4,038 $20K
99173 8,775 8,399 $19K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 659 633 $19K
99442 1,062 751 $17K
90633 1,493 1,394 $17K
95251 844 770 $17K
90832 Psychotherapy, 30 minutes with patient 326 181 $16K
90710 947 903 $15K
95886 200 175 $15K
93308 1,044 919 $15K
99177 3,760 3,580 $15K
90688 1,258 1,180 $14K
99000 10,520 9,584 $14K
3079F 17,313 16,013 $13K
99443 637 442 $13K
99238 Hospital discharge day management, 30 minutes or less 315 292 $13K
90677 484 441 $13K
90651 713 671 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 698 624 $11K
93018 1,463 1,347 $11K
64405 226 185 $11K
99497 571 466 $11K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,622 1,505 $11K
73120 499 347 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 129 118 $10K
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth 132 116 $10K
20610 323 213 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 219 142 $9K
27096 136 118 $8K
95806 243 238 $8K
64483 86 76 $8K
95822 288 231 $8K
93297 514 455 $7K
90656 459 450 $6K
90744 553 516 $6K
90838 112 84 $6K
90697 473 436 $6K
85018 2,311 2,148 $5K
94729 1,070 926 $5K
64493 70 66 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,323 1,144 $5K
73130 203 151 $5K
90734 326 314 $5K
81003 2,378 2,237 $5K
99306 Prolong nursin fac eval 15m 114 106 $5K
94726 716 617 $5K
1125F 13,475 11,880 $4K
94060 678 607 $4K
99358 Prolong nursin fac eval 15m 247 137 $4K
99221 109 95 $4K
3075F 4,546 4,193 $4K
1126F 10,101 9,001 $4K
20611 51 38 $4K
0012A 177 167 $4K
97802 51 51 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 471 443 $4K
20553 175 125 $4K
3077F 3,625 3,269 $3K
77067 Screening mammography, bilateral, including computer-aided detection 145 121 $3K
99401 128 116 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 14 $3K
90696 253 235 $3K
99152 545 440 $3K
90619 210 189 $3K
20550 77 51 $3K
93926 107 98 $3K
90715 194 187 $3K
98968 114 68 $3K
93990 108 88 $2K
95811 37 30 $2K
99385 25 24 $2K
99220 28 26 $2K
99174 423 408 $2K
94760 3,734 3,400 $2K
94690 76 69 $2K
93294 215 184 $2K
90785 285 180 $2K
90685 161 160 $2K
90674 67 66 $2K
90836 62 43 $2K
0011A 159 147 $2K
93458 14 12 $2K
0071A 38 37 $2K
99441 227 145 $2K
93325 742 656 $2K
46600 18 17 $1K
64635 15 13 $1K
64494 30 27 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 239 200 $1K
80305 143 120 $1K
76642 36 26 $1K
99188 64 63 $1K
77063 Screening digital breast tomosynthesis, bilateral 73 68 $1K
11056 51 44 $1K
1111F 5,161 4,428 $1K
90732 17 17 $1K
20526 14 14 $1K
76937 238 169 $1K
97803 24 23 $1K
3080F 585 539 $1K
99217 39 32 $998.77
29580 37 28 $863.52
36416 2,032 1,906 $839.11
99381 13 13 $832.64
J1030 Injection, methylprednisolone acetate, 40 mg 131 107 $820.09
90621 27 26 $798.47
99406 126 118 $789.15
90460 Immunization administration through 18 years of age via any route, first or only component 99 89 $786.66
99418 Prolong nursin fac eval 15m 15 13 $745.80
90839 38 30 $735.56
75574 13 12 $728.70
90756 77 69 $728.00
0001A 18 18 $714.00
64495 16 13 $713.00
0002A 17 16 $672.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 301 205 $665.42
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $663.41
87807 87 58 $659.20
J3490 Unclassified drugs 668 571 $623.19
64636 16 12 $609.67
90472 Immunization administration, each additional vaccine (list separately) 78 75 $574.48
99367 177 77 $553.97
77002 35 25 $549.66
0072A 14 14 $528.16
83655 46 42 $509.89
97597 40 25 $469.96
90672 33 33 $466.00
99402 14 13 $417.31
20600 14 12 $400.20
72120 28 24 $388.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 180 154 $370.43
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 16 12 $360.99
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 35 $318.74
81025 42 39 $309.98
99308 Subsequent nursing facility care, per day, straightforward 14 13 $255.95
99421 21 20 $244.07
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 13 13 $244.01
93979 13 12 $241.61
71046 Radiologic examination, chest; 2 views 15 14 $220.29
90660 12 12 $198.00
93016 14 14 $182.92
90653 18 13 $165.28
81001 61 53 $116.63
85610 38 33 $73.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 45 39 $24.52
G0008 Administration of influenza virus vaccine 74 61 $20.28
1160F 4,151 4,035 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 254 228 $0.00
90461 13 13 $0.00