Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Norfolk › NPI 1265485270
Physician

Sentara Medical Group

Sentara Medical Group was paid $48.77M by Medicaid between Jan 2018 and Dec 2024, across 208 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoSENTARA MEDICAL GROUP
NORFOLK, VA 23502
33aNPI1265485270assigned 05/19/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$48.77M
24GClaims1,480,718
24DCodes billed208
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Virginia

Rank by total paid#1 of 25
Median peer was paid$29K
This provider vs. median1,659×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201890,092$2.36M
2019154,228$5.10M
2020143,420$5.84M
2021191,226$7.62M
2022203,404$8.28M
2023317,944$10.11M
2024incomplete380,404$9.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 40% 319,356 280,616 $19.26M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 131,691 115,546 $5.94M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.8% 129,317 48,813 $3.82M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.9% 69,433 27,110 $3.37M
99223 Prolong inpt eval add15 m 4.1% 24,898 21,127 $1.98M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.7% 43,206 38,460 $1.78M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3.0% 31,020 12,086 $1.44M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.8% 10,207 4,108 $897K
99239 Hospital discharge day management, more than 30 minutes 1.8% 16,942 14,911 $865K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 10,645 10,112 $808K
90792 Psychiatric diagnostic evaluation with medical services 1.6% 7,332 6,264 $779K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 9,546 8,451 $754K
196 more codes
99204 Doctor's office visit, new patient (more involved) 1.2% 7,153 $583K
99203 Doctor's office visit, new patient (routine) 1.0% 9,018 $505K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.0% 7,590 $497K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.0% 6,423 $491K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 810 $355K
93970 <1% 16,561 $355K
99222 Initial hospital care, per day, moderate complexity <1% 6,045 $317K
93971 <1% 19,294 $307K
36415 Collection of venous blood by venipuncture <1% 99,987 $206K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 13,020 $193K
99205 Prolong outpt/office vis <1% 1,567 $192K
90686 <1% 15,374 $191K
99199 Unlisted special service, procedure or report <1% 53,746 $172K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,986 $164K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,678 $145K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,694 $134K
90834 Psychotherapy session, about 45 minutes <1% 1,794 $109K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,055 $108K
93880 <1% 3,795 $93K
73630 <1% 3,975 $83K
93975 <1% 2,262 $77K
93000 <1% 8,510 $76K
90791 Psychiatric diagnostic evaluation <1% 662 $71K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,308 $69K
90670 <1% 4,464 $66K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,959 $64K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,731 $59K
95816 <1% 2,106 $57K
64615 <1% 627 $56K
93922 <1% 3,402 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,098 $53K
95819 <1% 1,593 $50K
90837 Psychotherapy session, about an hour <1% 495 $45K
64400 <1% 1,018 $45K
93295 <1% 1,896 $36K
3074F <1% 53,151 $35K
90698 <1% 2,805 $35K
93923 <1% 1,764 $35K
95720 <1% 326 $34K
11721 <1% 2,546 $30K
93296 <1% 2,557 $29K
95951 <1% 194 $28K
92551 <1% 3,455 $28K
3078F <1% 41,549 $28K
96130 <1% 366 $26K
1159F <1% 113,151 $26K
90680 <1% 1,757 $22K
96127 <1% 4,298 $20K
99173 <1% 8,775 $19K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 659 $19K
99442 <1% 1,062 $17K
90633 <1% 1,493 $17K
95251 <1% 844 $17K
90832 Psychotherapy session, about 30 minutes <1% 326 $16K
90710 <1% 947 $15K
95886 <1% 200 $15K
93308 <1% 1,044 $15K
99177 <1% 3,760 $15K
90688 <1% 1,258 $14K
99000 <1% 10,520 $14K
3079F <1% 17,313 $13K
99443 <1% 637 $13K
99238 Hospital discharge day management, 30 minutes or less <1% 315 $13K
90677 <1% 484 $13K
90651 <1% 713 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 698 $11K
93018 <1% 1,463 $11K
64405 <1% 226 $11K
99497 <1% 571 $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% 1,622 $11K
73120 <1% 499 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 129 $10K
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth <1% 132 $10K
20610 <1% 323 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 219 $9K
27096 <1% 136 $8K
95806 <1% 243 $8K
64483 <1% 86 $8K
95822 <1% 288 $8K
93297 <1% 514 $7K
90656 <1% 459 $6K
90744 <1% 553 $6K
90838 <1% 112 $6K
90697 <1% 473 $6K
85018 <1% 2,311 $5K
94729 <1% 1,070 $5K
64493 <1% 70 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,323 $5K
73130 <1% 203 $5K
90734 <1% 326 $5K
81003 <1% 2,378 $5K
99306 Prolong nursin fac eval 15m <1% 114 $5K
94726 <1% 716 $5K
1125F <1% 13,475 $4K
94060 <1% 678 $4K
99358 Prolong nursin fac eval 15m <1% 247 $4K
99221 <1% 109 $4K
3075F <1% 4,546 $4K
1126F <1% 10,101 $4K
20611 <1% 51 $4K
0012A <1% 177 $4K
97802 <1% 51 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 471 $4K
20553 <1% 175 $4K
3077F <1% 3,625 $3K
77067 Screening mammography, bilateral, including computer-aided detection <1% 145 $3K
99401 <1% 128 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 14 $3K
90696 <1% 253 $3K
99152 <1% 545 $3K
90619 <1% 210 $3K
20550 <1% 77 $3K
93926 <1% 107 $3K
90715 <1% 194 $3K
98968 <1% 114 $3K
93990 <1% 108 $2K
95811 <1% 37 $2K
99385 <1% 25 $2K
99220 <1% 28 $2K
99174 <1% 423 $2K
94760 <1% 3,734 $2K
94690 <1% 76 $2K
93294 <1% 215 $2K
90785 <1% 285 $2K
90685 <1% 161 $2K
90674 <1% 67 $2K
90836 <1% 62 $2K
0011A <1% 159 $2K
93458 <1% 14 $2K
0071A <1% 38 $2K
99441 <1% 227 $2K
93325 <1% 742 $2K
46600 <1% 18 $1K
64635 <1% 15 $1K
64494 <1% 30 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 239 $1K
80305 <1% 143 $1K
76642 <1% 36 $1K
99188 <1% 64 $1K
77063 Screening digital breast tomosynthesis, bilateral <1% 73 $1K
11056 <1% 51 $1K
1111F <1% 5,161 $1K
90732 <1% 17 $1K
20526 <1% 14 $1K
76937 <1% 238 $1K
97803 <1% 24 $1K
3080F <1% 585 $1K
99217 <1% 39 $998.77
29580 <1% 37 $863.52
36416 <1% 2,032 $839.11
99381 <1% 13 $832.64
J1030 Injection, methylprednisolone acetate, 40 mg <1% 131 $820.09
90621 <1% 27 $798.47
99406 <1% 126 $789.15
90460 Immunization administration through 18 years of age via any route, first or only component <1% 99 $786.66
99418 Prolong nursin fac eval 15m <1% 15 $745.80
90839 <1% 38 $735.56
75574 <1% 13 $728.70
90756 <1% 77 $728.00
0001A <1% 18 $714.00
64495 <1% 16 $713.00
0002A <1% 17 $672.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 301 $665.42
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $663.41
87807 <1% 87 $659.20
J3490 Unclassified drugs <1% 668 $623.19
64636 <1% 16 $609.67
90472 Immunization administration, each additional vaccine (list separately) <1% 78 $574.48
99367 <1% 177 $553.97
77002 <1% 35 $549.66
0072A <1% 14 $528.16
83655 <1% 46 $509.89
97597 <1% 40 $469.96
90672 <1% 33 $466.00
99402 <1% 14 $417.31
20600 <1% 14 $400.20
72120 <1% 28 $388.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 180 $370.43
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth <1% 16 $360.99
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 45 $318.74
81025 <1% 42 $309.98
99308 Subsequent nursing facility care, per day, straightforward <1% 14 $255.95
99421 <1% 21 $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) <1% 13 $244.01
93979 <1% 13 $241.61
71046 Radiologic examination, chest; 2 views <1% 15 $220.29
90660 <1% 12 $198.00
93016 <1% 14 $182.92
90653 <1% 18 $165.28
81001 <1% 61 $116.63
85610 <1% 38 $73.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 45 $24.52
G0008 Administration of influenza virus vaccine <1% 74 $20.28
1160F 0% 4,151 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 254 $0.00
90461 0% 13 $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 officialPRINCE, DORIS (DIRECTOR)
Same official

Other billing entities under PRINCE, DORIS

Full network →
ProviderLocationPaid
Albemarle Physician Services - Sentara, INCNorfolk, VA$2.76M
Sentara Therapy Solutions, LLCNorfolk, VA$883K
Sentara Advanced Imaging Solutions, LLCNorfolk, VA$16K
Optima Health PlanNorfolk, VA$156.56

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