Medicaid Provider Spending

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

SENTARA HOSPITALS

NPI: 1619938149 · WILLIAMSBURG, VA 23188 · General Acute Care Hospital · NPI assigned 04/02/2006

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

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

$21.89M
Total Medicaid Paid
531,573
Total Claims
343,803
Beneficiaries
200
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (CFO)
Parent OrganizationSENTARA HEALTHCARE
NPI Enumeration Date04/02/2006

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
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM WOODBRIDGE VA $59.17M
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 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 52,372 $1.27M
2019 75,271 $1.93M
2020 64,811 $2.61M
2021 84,713 $3.41M
2022 90,758 $4.08M
2023 94,466 $4.90M
2024 69,182 $3.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 24,622 20,808 $3.99M
99284 Emergency department visit for the evaluation and management, high severity 15,159 12,481 $2.46M
96361 Intravenous infusion, hydration; each additional hour 8,391 5,891 $2.46M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 10,135 3,118 $1.51M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,711 7,123 $1.38M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25,314 6,767 $1.35M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,679 5,860 $1.03M
97530 Therapeutic activities, direct patient contact, each 15 minutes 15,048 5,270 $707K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,987 2,637 $619K
70450 Computed tomography, head or brain; without contrast material 3,280 2,810 $580K
41899 Unlisted procedure, dentoalveolar structures 427 378 $561K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,131 1,066 $379K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,731 1,040 $372K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,073 2,379 $362K
97161 2,901 2,664 $316K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 11,194 3,526 $312K
G0378 Hospital observation service, per hour 1,148 894 $310K
71275 Computed tomographic angiography, chest, with contrast material 1,028 925 $263K
59025 Fetal non-stress test 1,381 1,022 $259K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,194 1,042 $220K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 11,943 3,459 $190K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,894 2,132 $171K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,966 1,345 $170K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 212 205 $149K
J3490 Unclassified drugs 75,654 23,171 $140K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,643 2,295 $120K
0240U 2,138 2,004 $119K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,669 1,583 $94K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,482 3,718 $72K
77063 Screening digital breast tomosynthesis, bilateral 1,782 1,724 $70K
77067 Screening mammography, bilateral, including computer-aided detection 2,125 2,045 $70K
80053 Comprehensive metabolic panel 17,659 13,614 $68K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 284 180 $68K
97162 616 550 $68K
71046 Radiologic examination, chest; 2 views 5,727 4,943 $53K
80048 Basic metabolic panel (calcium, ionized) 7,756 5,925 $43K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,139 9,876 $38K
76642 333 276 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 620 527 $28K
59050 129 93 $27K
97116 1,102 446 $25K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170 125 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,802 16,937 $24K
97535 Self-care/home management training, each 15 minutes 823 558 $24K
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 1,113 983 $24K
83880 2,260 1,789 $24K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 13 $22K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 758 253 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 24 $19K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 94 92 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 147 137 $18K
0225U 169 154 $18K
93017 187 166 $17K
71045 Radiologic examination, chest; single view 7,113 5,971 $16K
85379 2,992 2,628 $16K
87040 2,464 1,229 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,854 1,609 $16K
82962 6,597 2,533 $15K
81025 3,961 3,443 $15K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,908 7,875 $15K
84484 8,679 5,430 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 788 702 $11K
93976 163 157 $11K
93971 124 106 $11K
73630 989 833 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 32 27 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 40 36 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,341 1,272 $9K
85027 3,137 2,451 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 589 539 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 40 39 $8K
96375 Therapeutic injection; each additional sequential IV push 6,547 4,872 $8K
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 582 405 $7K
81001 12,572 10,425 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 16 12 $6K
83605 5,779 4,502 $6K
74018 377 315 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 70 64 $5K
72125 Computed tomography, cervical spine; without contrast material 238 213 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,973 3,451 $5K
87086 Culture, bacterial; quantitative colony count, urine 5,100 4,265 $5K
83690 5,535 4,483 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 290 274 $4K
83735 3,754 2,766 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,780 1,576 $4K
84443 Thyroid stimulating hormone (TSH) 1,562 1,330 $4K
87631 187 173 $3K
77066 Tomosynthesis, mammo 95 93 $3K
12011 13 13 $3K
80047 709 553 $3K
86900 1,475 1,124 $3K
72110 193 168 $3K
96376 2,826 1,416 $3K
81003 6,413 5,235 $3K
73610 478 409 $2K
85610 2,348 1,676 $2K
94726 40 39 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,218 4,293 $2K
71250 24 24 $2K
36415 Collection of venous blood by venipuncture 2,714 2,256 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 3,704 2,963 $2K
70551 Magnetic resonance imaging, brain; without contrast material 16 13 $2K
86850 825 675 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,701 3,357 $2K
J1170 Injection, hydromorphone, up to 4 mg 2,115 1,298 $2K
84703 4,737 4,086 $2K
76830 Ultrasound, transvaginal 27 27 $2K
77065 Tomosynthesis, mammo 46 38 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,700 5,070 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,792 1,552 $2K
73130 236 191 $2K
90715 82 76 $2K
74022 431 361 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,924 6,391 $2K
76536 13 13 $1K
97016 62 12 $1K
73030 181 159 $1K
92609 52 15 $1K
97166 12 12 $1K
82553 283 171 $1K
94729 39 38 $1K
87081 2,568 2,296 $1K
73564 205 175 $974.47
97750 35 28 $967.94
87186 1,219 999 $961.00
87077 2,403 2,010 $888.21
83036 Hemoglobin; glycosylated (A1C) 298 256 $885.98
82565 530 460 $839.63
86901 1,474 1,123 $811.67
J1644 Injection, heparin sodium, per 1000 units 2,233 821 $792.05
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 56 53 $708.40
J2250 Injection, midazolam hydrochloride, per 1 mg 2,219 1,930 $679.26
87634 53 51 $629.44
85730 686 582 $618.93
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 2,491 2,136 $539.31
87210 1,312 1,112 $476.53
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,239 965 $419.06
82803 469 370 $415.14
80076 347 303 $405.44
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,393 1,089 $386.68
36600 129 94 $372.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,493 3,070 $364.90
82077 1,530 1,272 $357.45
85014 616 457 $341.92
84702 354 284 $276.52
72050 14 13 $272.55
80061 Lipid panel 120 99 $252.83
73502 40 36 $250.84
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,575 1,172 $219.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 155 135 $204.59
J2270 Injection, morphine sulfate, up to 10 mg 2,435 1,734 $198.20
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 299 268 $181.67
J2550 Injection, promethazine hcl, up to 50 mg 786 542 $179.45
80143 14 14 $160.89
J3535 Drug administered through a metered dose inhaler 153 122 $145.47
J2704 Injection, propofol, 10 mg 3,924 3,559 $129.77
A9575 Injection, gadoterate meglumine, 0.1 ml 622 427 $110.00
73110 25 24 $106.64
85018 55 42 $99.82
J0690 Injection, cefazolin sodium, 500 mg 1,222 933 $92.90
85652 122 101 $68.47
J0696 Injection, ceftriaxone sodium, per 250 mg 1,399 986 $66.80
87070 217 177 $55.55
G0008 Administration of influenza virus vaccine 141 105 $50.95
84100 161 122 $48.58
87205 236 186 $45.27
88304 63 53 $42.78
82330 49 42 $41.34
87807 337 290 $35.57
94799 102 39 $30.90
J2060 Injection, lorazepam, 2 mg 305 226 $30.76
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 189 145 $24.00
88342 46 41 $18.63
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 82 64 $7.84
J7030 Infusion, normal saline solution , 1000 cc 32 26 $5.38
J1815 Injection, insulin, per 5 units 27 12 $5.24
82550 54 43 $5.21
J2765 Injection, metoclopramide hcl, up to 10 mg 51 41 $0.96
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 14 12 $0.72
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 28 28 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 29 25 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 500 443 $0.00
82010 31 24 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 80 64 $0.00
C1729 Catheter, drainage 32 25 $0.00
84145 88 78 $0.00
J1171 Injection, hydromorphone, 0.1 mg 69 37 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 41 31 $0.00
J3370 Injection, vancomycin hcl, 500 mg 28 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 149 112 $0.00
94760 33 12 $0.00
C1769 Guide wire 78 66 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 29 24 $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 142 102 $0.00
36000 15 13 $0.00
A9585 Injection, gadobutrol, 0.1 ml 38 26 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 42 12 $0.00
86140 12 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 12 12 $0.00