Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM

NPI: 1548366404 · WOODBRIDGE, VA 22191 · General Acute Care Hospital · NPI assigned 09/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HANCOCK, MELINDA controls 20+ related entities in our dataset. Read more

$59.17M
Total Medicaid Paid
1,446,887
Total Claims
1,042,656
Beneficiaries
312
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (CFO)
Parent OrganizationSENTARA HEALTHCARE
NPI Enumeration Date09/16/2006

Related Entities

Other providers sharing the same authorized official: HANCOCK, MELINDA

ProviderCityStateTotal Paid
SENTARA HOSPITALS NORFOLK VA $88.20M
SENTARA HOSPITALS NORFOLK VA $79.69M
SENTARA HOSPITALS HAMPTON VA $78.52M
SENTARA HOSPITALS SUFFOLK VA $57.85M
SENTARA RMH MEDICAL CENTER HARRISONBURG VA $52.95M
SENTARA HOSPITALS VIRGINIA BEACH VA $52.40M
SENTARA PRINCESS ANNE HOSPITAL VIRGINIA BEACH VA $37.50M
MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE VA $26.95M
HALIFAX REGIONAL HOSPITAL, INC. SOUTH BOSTON VA $23.28M
SENTARA HOSPITALS WILLIAMSBURG VA $21.89M
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER ELIZABETH CITY NC $13.82M
SENTARA REFERENCE LAB SOLUTIONS, LLC NORFOLK VA $4.74M
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $1.61M
HALIFAX REGIONAL HOSPITAL, INC NATHALIE VA $348K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $336K
HALIFAX REGIONAL HOSPITAL, INC CHASE CITY VA $298K
HALIFAX REGIONAL HOSPITAL, INC CLARKSVILLE VA $265K
SENTARA HOSPITALS NORFOLK VA $171K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $170K
SENTARA HOSPITALS NORFOLK VA $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141,560 $4.67M
2019 194,717 $6.97M
2020 171,279 $6.69M
2021 212,790 $7.60M
2022 232,036 $9.21M
2023 269,844 $12.43M
2024 224,661 $11.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 70,209 61,032 $12.74M
99284 Emergency department visit for the evaluation and management, high severity 45,707 38,469 $8.39M
96361 Intravenous infusion, hydration; each additional hour 24,008 17,764 $7.20M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25,950 21,372 $4.64M
99282 Emergency department visit for the evaluation and management, low to moderate severity 17,575 15,817 $2.90M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,118 8,903 $2.44M
70450 Computed tomography, head or brain; without contrast material 10,382 8,930 $2.05M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,086 2,185 $1.48M
G0378 Hospital observation service, per hour 4,717 3,241 $940K
71275 Computed tomographic angiography, chest, with contrast material 3,406 3,056 $907K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,129 5,431 $901K
59025 Fetal non-stress test 3,645 2,660 $785K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,323 2,906 $723K
J3490 Unclassified drugs 207,433 67,681 $562K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,469 2,890 $513K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,934 3,820 $512K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 9,622 5,604 $457K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,419 7,035 $441K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,700 1,129 $404K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,173 4,925 $371K
76830 Ultrasound, transvaginal 3,847 3,485 $363K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,669 4,260 $351K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,256 2,989 $306K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,175 3,605 $287K
0240U 4,474 4,196 $287K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,048 1,862 $270K
71046 Radiologic examination, chest; 2 views 24,833 22,087 $266K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 894 800 $257K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,434 2,220 $250K
76770 1,752 1,596 $223K
93971 2,320 1,971 $212K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 425 355 $208K
76801 3,971 3,227 $197K
12001 806 753 $191K
99281 Emergency department visit for the evaluation and management, self-limited or minor 968 760 $180K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,694 2,243 $173K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 735 336 $167K
97161 1,768 1,585 $158K
77067 Screening mammography, bilateral, including computer-aided detection 3,819 3,607 $156K
93976 2,681 2,405 $154K
70496 666 617 $154K
70551 Magnetic resonance imaging, brain; without contrast material 731 656 $150K
80048 Basic metabolic panel (calcium, ionized) 32,353 24,827 $148K
12011 611 565 $147K
93970 1,152 1,029 $143K
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 3,706 3,165 $142K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 704 659 $140K
76642 1,157 926 $136K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,341 1,647 $119K
97162 788 719 $116K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 4,273 1,240 $115K
72125 Computed tomography, cervical spine; without contrast material 2,472 2,189 $114K
29125 626 576 $108K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 249 240 $106K
80053 Comprehensive metabolic panel 24,948 20,276 $105K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,493 1,275 $100K
80047 21,684 18,480 $99K
77063 Screening digital breast tomosynthesis, bilateral 2,668 2,531 $97K
76536 786 727 $94K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,510 943 $86K
70498 657 605 $86K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,050 950 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 62,591 48,483 $74K
71250 876 789 $68K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,502 1,178 $64K
72110 2,856 2,552 $64K
10060 352 309 $64K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 33,837 27,374 $61K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,415 1,956 $59K
97165 767 688 $56K
97535 Self-care/home management training, each 15 minutes 1,893 1,202 $52K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,903 4,328 $52K
73564 3,958 3,185 $51K
76819 Fetal biophysical profile; without non-stress testing 1,448 920 $50K
80076 16,748 14,344 $50K
74018 3,579 3,165 $49K
76775 556 519 $48K
87040 6,742 3,393 $48K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 32,168 26,303 $47K
71045 Radiologic examination, chest; single view 13,349 11,370 $46K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 31 26 $44K
84484 27,564 17,104 $42K
70486 805 745 $41K
85027 12,820 9,798 $41K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 184 163 $40K
84703 22,713 19,439 $40K
73630 3,446 2,911 $38K
90715 1,760 1,603 $36K
97116 1,493 874 $36K
73030 2,946 2,500 $35K
85379 6,069 5,446 $35K
73610 3,381 2,980 $34K
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 4,556 2,303 $31K
83880 3,966 3,263 $29K
70491 139 122 $29K
76870 286 266 $29K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,155 2,984 $29K
94799 5,756 2,346 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,010 8,928 $27K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,507 4,126 $26K
73130 2,746 2,304 $26K
82962 19,074 6,481 $25K
92523 150 133 $24K
59050 156 133 $24K
77066 Tomosynthesis, mammo 578 531 $23K
97129 678 257 $23K
73110 2,044 1,788 $21K
84443 Thyroid stimulating hormone (TSH) 4,850 4,301 $20K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,079 976 $20K
73502 1,513 1,229 $19K
83036 Hemoglobin; glycosylated (A1C) 4,226 3,795 $19K
96375 Therapeutic injection; each additional sequential IV push 21,896 16,609 $18K
77080 246 240 $17K
72050 654 585 $17K
29515 83 78 $17K
80143 4,085 3,430 $16K
83605 8,706 6,816 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,152 1,047 $16K
80061 Lipid panel 3,931 3,543 $16K
12002 71 66 $15K
87086 Culture, bacterial; quantitative colony count, urine 14,516 12,386 $15K
86850 2,979 2,541 $15K
45380 Colonoscopy, flexible; with biopsy, single or multiple 36 28 $15K
73560 829 599 $14K
81003 22,363 19,488 $12K
81001 29,558 25,093 $11K
83690 18,134 15,159 $11K
97803 41 40 $11K
76820 150 100 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 65 55 $9K
86900 5,048 4,204 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 18,393 14,387 $9K
80179 4,065 3,415 $8K
84439 1,170 1,051 $8K
72100 553 505 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,026 1,658 $8K
73140 1,059 955 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 621 580 $8K
96376 8,797 4,735 $8K
29130 27 27 $8K
72131 108 99 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,333 13,125 $7K
74019 165 158 $7K
97166 94 85 $7K
85610 7,135 5,804 $7K
73590 959 809 $7K
93017 55 41 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45 38 $7K
72072 398 363 $6K
84702 6,107 5,052 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,789 4,220 $6K
88304 741 663 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 19,334 14,738 $6K
36415 Collection of venous blood by venipuncture 4,075 3,233 $6K
86140 1,771 1,544 $6K
72141 24 24 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 227 138 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,020 4,161 $5K
87631 291 264 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 859 826 $5K
90675 37 13 $5K
87186 3,903 3,251 $5K
74174 30 25 $5K
97533 67 27 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 7,892 6,289 $5K
82607 562 507 $4K
77065 Tomosynthesis, mammo 96 92 $4K
73080 607 552 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 26 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,873 14,143 $4K
97750 211 177 $4K
82553 969 601 $4K
90791 Psychiatric diagnostic evaluation 16 15 $4K
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 7,070 6,429 $4K
85730 5,173 4,412 $4K
85014 6,106 5,126 $4K
87634 211 196 $3K
82565 2,191 1,871 $3K
83735 6,470 4,814 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,701 2,277 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,219 6,419 $3K
73090 736 648 $3K
86901 5,050 4,205 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 15 12 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,232 1,127 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,603 4,108 $3K
86803 195 182 $3K
85652 1,417 1,213 $3K
86703 318 304 $3K
87081 2,051 1,931 $3K
J2270 Injection, morphine sulfate, up to 10 mg 11,281 7,385 $3K
17250 22 14 $2K
87077 4,549 3,849 $2K
87210 3,502 3,068 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,267 3,584 $2K
95819 12 12 $2K
87205 1,241 1,002 $2K
82247 299 220 $2K
J2704 Injection, propofol, 10 mg 4,986 4,525 $2K
82728 271 245 $2K
P9016 Red blood cells, leukocytes reduced, each unit 16 13 $2K
82077 5,991 4,800 $2K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 3,172 2,499 $2K
96367 105 86 $2K
82310 3,393 3,019 $2K
72081 27 26 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,443 3,977 $1K
J2060 Injection, lorazepam, 2 mg 3,108 2,229 $1K
82330 2,738 2,434 $1K
73562 66 50 $1K
82248 509 379 $1K
87070 2,702 2,296 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,654 1,231 $1K
81025 4,576 4,072 $1K
J2550 Injection, promethazine hcl, up to 50 mg 1,305 923 $1K
97597 76 25 $1K
74022 403 357 $1K
J1650 Injection, enoxaparin sodium, 10 mg 1,000 470 $923.55
83550 207 186 $913.22
83540 308 280 $894.37
97035 32 13 $882.10
73552 72 63 $875.83
97802 14 13 $834.57
82803 2,145 1,610 $833.75
J1644 Injection, heparin sodium, per 1000 units 8,160 3,024 $798.64
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,926 3,852 $773.60
84100 1,809 1,397 $755.37
82550 1,813 1,437 $726.83
90686 80 67 $688.22
J0690 Injection, cefazolin sodium, 500 mg 2,424 1,853 $663.57
71101 153 142 $615.62
84153 43 42 $577.93
82043 232 217 $521.59
70360 42 40 $513.01
87807 1,520 1,362 $492.35
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 239 112 $425.21
82746 72 64 $365.15
J0561 Injection, penicillin g benzathine, 100,000 units 27 25 $305.60
36000 47 40 $292.99
84550 240 217 $284.81
80069 93 68 $283.46
J1170 Injection, hydromorphone, up to 4 mg 1,987 1,310 $277.42
72040 13 12 $251.54
73070 34 30 $230.68
87340 75 64 $222.30
73620 17 14 $215.04
76937 27 25 $211.88
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 168 153 $202.02
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 285 260 $184.99
86923 30 25 $176.56
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 286 261 $174.75
86780 14 13 $167.47
86038 25 24 $164.10
J1815 Injection, insulin, per 5 units 852 399 $150.86
85018 87 66 $126.91
J8597 Antiemetic drug, oral, not otherwise specified 858 674 $119.39
73100 18 13 $113.21
A9585 Injection, gadobutrol, 0.1 ml 185 161 $86.70
73660 30 26 $82.84
A9575 Injection, gadoterate meglumine, 0.1 ml 1,474 996 $82.43
84112 26 26 $79.46
J1630 Injection, haloperidol, up to 5 mg 658 500 $78.62
73060 42 37 $72.11
72170 12 12 $67.41
J7030 Infusion, normal saline solution , 1000 cc 534 410 $62.22
82570 96 88 $62.04
82274 69 56 $58.59
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 539 507 $56.90
J3535 Drug administered through a metered dose inhaler 69 49 $53.40
88342 49 42 $35.34
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,044 467 $29.21
84156 28 25 $26.01
82150 15 14 $25.68
J3370 Injection, vancomycin hcl, 500 mg 373 216 $21.65
87185 18 12 $13.87
83615 78 65 $11.82
85384 28 25 $9.32
J8540 Dexamethasone, oral, 0.25 mg 116 109 $9.24
87150 14 12 $9.19
J2360 Injection, orphenadrine citrate, up to 60 mg 62 55 $8.59
J0456 Injection, azithromycin, 500 mg 29 13 $5.87
J0692 Injection, cefepime hydrochloride, 500 mg 35 13 $5.36
J0780 Injection, prochlorperazine, up to 10 mg 224 184 $5.07
J0360 Injection, hydralazine hcl, up to 20 mg 305 209 $4.36
J3360 Injection, diazepam, up to 5 mg 157 126 $3.25
J3480 Injection, potassium chloride, per 2 meq 71 48 $2.85
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 12 12 $1.94
C1769 Guide wire 511 455 $1.35
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 358 312 $0.73
82374 15 12 $0.71
J3475 Injection, magnesium sulfate, per 500 mg 276 241 $0.00
C1729 Catheter, drainage 513 458 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 311 268 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 187 180 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 285 196 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 408 356 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 73 66 $0.00
J1953 Injection, levetiracetam, 10 mg 279 200 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 62 28 $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 207 116 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 218 211 $0.00
84145 46 37 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 92 78 $0.00
J1171 Injection, hydromorphone, 0.1 mg 31 21 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 91 88 $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 49 45 $0.00
36416 417 323 $0.00
86308 26 25 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 470 361 $0.00
J1940 Injection, furosemide, up to 20 mg 79 36 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 25 14 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 21 13 $0.00