Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Charlottesville › NPI 1346248663
Clinic

Martha Jefferson Hospital

Martha Jefferson Hospital was paid $26.95M by Medicaid between Jan 2018 and Dec 2024, across 269 billing codes. Its largest line is 99283, emergency room visit (moderate) — 24% of everything it billed.

33Billing provider infoMARTHA JEFFERSON HOSPITAL
CHARLOTTESVILLE, VA 22911
33aNPI1346248663assigned 07/11/2005
28Total paid$26.95M
24GClaims823,701
24DCodes billed269
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiac Rehabilitation Clinic/Center providers in Virginia

Rank by total paid#6 of 6
Median peer was paid$52.40M
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HANCOCK, MELINDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201889,095$1.80M
2019118,628$2.73M
2020104,956$3.20M
2021128,070$3.82M
2022126,551$4.38M
2023147,762$5.80M
2024incomplete108,639$5.22M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 24% 40,151 34,804 $6.42M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 24,722 20,237 $3.73M
96361 Intravenous infusion, hydration; each additional hour 13% 14,335 10,146 $3.41M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.0% 14,160 12,758 $2.15M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.1% 12,907 10,315 $1.92M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.1% 7,158 6,207 $1.37M
70450 Computed tomography, head or brain; without contrast material 3.1% 4,965 4,149 $845K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.8% 2,706 2,324 $489K
G0378 Hospital observation service, per hour 1.7% 2,885 1,982 $449K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.6% 3,428 2,814 $421K
71275 Computed tomographic angiography, chest, with contrast material 1.4% 1,562 1,411 $382K
29581 <1% 1,853 660 $263K
257 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,986 $260K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,867 $219K
0240U <1% 3,668 $218K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 873 $216K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 3,018 $211K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,279 $190K
80053 Comprehensive metabolic panel <1% 43,568 $159K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 609 $139K
76830 Ultrasound, transvaginal <1% 1,546 $126K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,350 $125K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 194 $122K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 380 $117K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,743 $117K
93971 <1% 1,370 $117K
J3490 Unclassified drugs <1% 110,266 $107K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 3,131 $101K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,878 $98K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,358 $96K
71046 Radiologic examination, chest; 2 views <1% 9,680 $93K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 829 $88K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,874 $83K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 109 $73K
59025 Fetal non-stress test <1% 462 $73K
93976 <1% 1,028 $71K
76642 <1% 550 $57K
84443 Thyroid stimulating hormone (TSH) <1% 8,332 $51K
97161 <1% 864 $47K
70496 <1% 186 $46K
76801 <1% 1,092 $46K
80048 Basic metabolic panel (calcium, ionized) <1% 13,128 $44K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 18,882 $43K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,763 $41K
71250 <1% 609 $41K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,769 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 40,324 $39K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,770 $37K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 188 $35K
99213 Doctor's office visit, returning patient (routine) <1% 275 $31K
80061 Lipid panel <1% 5,098 $31K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 448 $30K
73630 <1% 2,720 $29K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,492 $29K
85027 <1% 14,992 $28K
99214 Doctor's office visit, returning patient (more involved) <1% 270 $28K
83880 <1% 3,733 $28K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 129 $28K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,478 $27K
12001 <1% 109 $26K
70551 Magnetic resonance imaging, brain; without contrast material <1% 122 $26K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,530 $25K
72125 Computed tomography, cervical spine; without contrast material <1% 815 $25K
97602 <1% 76 $24K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 2,285 $24K
71271 <1% 213 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 5,299 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 19,931 $22K
29125 <1% 160 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,732 $22K
97165 <1% 526 $22K
87040 <1% 4,183 $20K
73564 <1% 2,409 $20K
96375 Therapeutic injection; each additional sequential IV push <1% 14,633 $19K
81025 <1% 13,414 $19K
73030 <1% 1,523 $17K
73610 <1% 2,392 $17K
95806 <1% 128 $17K
84484 <1% 15,691 $16K
71045 Radiologic examination, chest; single view <1% 8,609 $16K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 571 $16K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,418 $16K
85379 <1% 3,785 $15K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,777 $14K
59050 <1% 58 $14K
82728 <1% 2,142 $13K
82607 <1% 1,473 $13K
97597 <1% 146 $13K
90715 <1% 546 $12K
86703 <1% 1,147 $12K
73130 <1% 1,585 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,733 $11K
73110 <1% 1,414 $11K
97535 Self-care/home management training, each 15 minutes <1% 954 $11K
87510 <1% 1,397 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 49 $10K
88142 <1% 748 $10K
97116 <1% 611 $10K
93296 <1% 491 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 79 $9K
93922 <1% 154 $9K
72110 <1% 386 $9K
87077 <1% 3,500 $8K
84439 <1% 1,559 $8K
82962 <1% 13,646 $8K
10060 <1% 106 $8K
73502 <1% 841 $8K
96376 <1% 6,384 $7K
94799 <1% 1,615 $7K
36415 Collection of venous blood by venipuncture <1% 5,445 $7K
87660 <1% 1,397 $7K
83605 <1% 7,295 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 13,571 $7K
72100 <1% 500 $7K
84100 <1% 1,458 $7K
93017 <1% 62 $6K
83735 <1% 7,881 $6K
86803 <1% 644 $6K
81001 <1% 23,727 $6K
85610 <1% 3,718 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 468 $6K
87186 <1% 3,349 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 40 $6K
73140 <1% 488 $6K
84702 <1% 2,475 $6K
87653 <1% 298 $5K
74018 <1% 282 $5K
12002 <1% 27 $5K
84145 <1% 597 $5K
83550 <1% 1,487 $5K
77065 Tomosynthesis, mammo <1% 139 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 418 $5K
J8540 Dexamethasone, oral, 0.25 mg <1% 1,822 $5K
82746 <1% 809 $5K
83690 <1% 12,743 $5K
76536 <1% 39 $4K
83540 <1% 1,634 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 802 $4K
77066 Tomosynthesis, mammo <1% 114 $4K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 259 $4K
36592 <1% 185 $4K
84153 <1% 349 $4K
87070 <1% 867 $4K
82565 <1% 1,553 $4K
93925 <1% 25 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,006 $4K
86140 <1% 1,160 $4K
80050 General health panel <1% 153 $4K
87480 <1% 1,388 $3K
80305 <1% 2,795 $3K
76770 <1% 29 $2K
J1756 Injection, iron sucrose, 1 mg <1% 37 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,944 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,818 $2K
87081 <1% 347 $2K
87205 <1% 886 $2K
80076 <1% 885 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 14 $2K
93970 <1% 15 $2K
86780 <1% 194 $2K
70498 <1% 188 $2K
85652 <1% 999 $2K
82951 <1% 190 $1K
86901 <1% 1,621 $1K
73080 <1% 304 $1K
82043 <1% 384 $1K
70486 <1% 28 $1K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,667 $1K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 4,275 $1K
86618 <1% 61 $1K
70491 <1% 14 $952.74
80055 <1% 56 $936.27
86900 <1% 1,619 $912.57
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 206 $863.83
99234 <1% 27 $804.90
93246 <1% 14 $770.33
90686 <1% 49 $713.96
83615 <1% 291 $686.19
86850 <1% 570 $602.98
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 259 $565.56
73590 <1% 49 $565.03
81003 <1% 1,526 $540.73
97162 <1% 28 $490.68
74022 <1% 22 $461.59
80143 <1% 118 $450.85
97166 <1% 14 $416.24
85018 <1% 263 $390.49
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,930 $386.82
87634 <1% 31 $386.39
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,532 $382.44
83516 <1% 25 $380.27
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,754 $368.77
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 401 $350.13
J1170 Injection, hydromorphone, up to 4 mg <1% 4,769 $337.80
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,290 $325.03
85730 <1% 959 $305.62
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,645 $304.05
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 728 $299.30
82077 <1% 1,053 $263.82
87340 <1% 61 $260.57
84403 <1% 13 $246.27
82784 <1% 40 $244.87
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,447 $237.44
80179 <1% 101 $234.60
87150 <1% 12 $227.05
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,611 $214.47
73090 <1% 26 $196.65
J1644 Injection, heparin sodium, per 1000 units <1% 3,068 $190.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 595 $188.20
J2060 Injection, lorazepam, 2 mg <1% 1,128 $168.41
82950 <1% 47 $164.49
87185 <1% 131 $146.66
88304 <1% 102 $133.92
J7030 Infusion, normal saline solution , 1000 cc <1% 1,092 $128.11
82550 <1% 88 $126.39
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,296 $121.99
84550 <1% 120 $113.04
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 571 $100.22
J0690 Injection, cefazolin sodium, 500 mg <1% 1,662 $71.88
73660 <1% 12 $71.37
J2704 Injection, propofol, 10 mg <1% 2,768 $69.69
71101 <1% 14 $60.35
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,008 $49.33
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 38 $47.08
C1769 Guide wire <1% 836 $39.01
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 700 $22.80
J1815 Injection, insulin, per 5 units <1% 126 $20.08
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 1,546 $17.67
85014 <1% 19 $15.24
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 254 $14.70
G0008 Administration of influenza virus vaccine <1% 14 $11.46
J3535 Drug administered through a metered dose inhaler <1% 87 $11.03
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 137 $7.05
J1630 Injection, haloperidol, up to 5 mg <1% 112 $5.79
J3370 Injection, vancomycin hcl, 500 mg <1% 156 $5.48
82009 <1% 87 $5.46
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 196 $4.83
94760 <1% 661 $1.33
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 376 $1.00
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard 0% 830 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 247 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 332 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 0% 1,649 $0.00
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 0% 153 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 0% 120 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 346 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 0% 28 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 19 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 42 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 15 $0.00
88342 0% 56 $0.00
84703 0% 39 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 29 $0.00
87449 0% 13 $0.00
C1729 Catheter, drainage 0% 135 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 112 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 0% 595 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,270 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 45 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 30 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 100 $0.00
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 44 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 175 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 135 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 44 $0.00
84450 0% 16 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 17 $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 officialHANCOCK, MELINDA (CFO)
Same official

Other billing entities under HANCOCK, MELINDA

Full network →
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Sentara HospitalsNorfolk, VA$128K

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