Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sentara Hospitals

Sentara Hospitals was paid $52.40M by Medicaid between Jan 2018 and Dec 2024, across 287 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.

33Billing provider infoSENTARA HOSPITALS
VIRGINIA BEACH, VA 23454
33aNPI1629038336assigned 03/25/2006
28Total paid$52.40M
24GClaims1,393,125
24DCodes billed287
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiac Rehabilitation Clinic/Center providers in Virginia

Rank by total paid#4 of 6
Median peer was paid$52.40M
This provider vs. median1.0×

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$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
2018103,388$2.47M
2019177,101$4.55M
2020177,699$7.33M
2021238,162$8.77M
2022248,074$9.67M
2023281,135$12.32M
2024incomplete167,566$7.28M
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 19% 61,485 51,902 $10.15M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 47,428 38,501 $7.81M
96361 Intravenous infusion, hydration; each additional hour 12% 21,947 16,196 $6.18M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.1% 27,737 22,600 $4.77M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.5% 18,702 16,459 $2.89M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.4% 12,176 10,637 $2.32M
70450 Computed tomography, head or brain; without contrast material 4.3% 12,559 10,547 $2.27M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.2% 2,199 1,920 $1.17M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 22,181 5,930 $1.12M
71275 Computed tomographic angiography, chest, with contrast material 1.6% 3,224 2,850 $813K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.5% 1,298 1,136 $780K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 5,813 5,020 $695K
275 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 3,382 $615K
G0378 Hospital observation service, per hour 1.1% 3,421 $557K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.0% 12,150 $547K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.0% 954 $540K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,715 $499K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,372 $432K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,520 $421K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,920 $416K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 467 $375K
97161 <1% 3,819 $355K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,863 $319K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,763 $312K
J3490 Unclassified drugs <1% 218,455 $305K
80048 Basic metabolic panel (calcium, ionized) <1% 55,802 $223K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 344 $222K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,056 $217K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,426 $210K
72141 <1% 990 $190K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,254 $176K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 908 $174K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,050 $168K
71046 Radiologic examination, chest; 2 views <1% 20,687 $157K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,573 $148K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 13,130 $146K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,009 $142K
93971 <1% 1,701 $142K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 939 $134K
76830 Ultrasound, transvaginal <1% 1,739 $133K
12001 <1% 648 $131K
0240U <1% 2,125 $130K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 8,266 $124K
72125 Computed tomography, cervical spine; without contrast material <1% 4,514 $123K
77067 Screening mammography, bilateral, including computer-aided detection <1% 4,534 $112K
10060 <1% 837 $86K
70491 <1% 424 $83K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 33,846 $82K
71250 <1% 1,252 $79K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,337 $77K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,001 $77K
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% 3,829 $75K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 961 $71K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,896 $70K
70486 <1% 1,469 $57K
74183 <1% 202 $57K
80047 <1% 16,510 $57K
93017 <1% 791 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 54,182 $52K
97162 <1% 578 $47K
83880 <1% 5,515 $45K
90715 <1% 2,285 $44K
97165 <1% 836 $42K
76642 <1% 321 $38K
71045 Radiologic examination, chest; single view <1% 14,299 $36K
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% 3,893 $36K
76536 <1% 320 $35K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 31,460 $34K
80076 <1% 19,444 $34K
29125 <1% 300 $32K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,326 $32K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 4,654 $30K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 740 $30K
97116 <1% 1,337 $30K
96375 Therapeutic injection; each additional sequential IV push <1% 22,327 $29K
85379 <1% 6,187 $29K
73221 <1% 137 $28K
97535 Self-care/home management training, each 15 minutes <1% 1,416 $27K
80053 Comprehensive metabolic panel <1% 5,409 $27K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,733 $27K
85027 <1% 12,304 $25K
84484 <1% 21,411 $25K
73030 <1% 3,008 $23K
93970 <1% 248 $23K
73564 <1% 3,420 $23K
12002 <1% 98 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 156 $22K
72110 <1% 1,204 $22K
76770 <1% 163 $21K
73630 <1% 3,326 $20K
81025 <1% 17,452 $20K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 6,131 $19K
87040 <1% 3,116 $17K
82962 <1% 17,442 $17K
99214 Doctor's office visit, returning patient (more involved) <1% 194 $17K
73130 <1% 2,679 $15K
12011 <1% 66 $15K
73502 <1% 1,720 $15K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 22,537 $14K
94799 <1% 1,683 $14K
77080 <1% 196 $14K
84703 <1% 11,982 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15,063 $13K
97016 <1% 428 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 65 $12K
71271 <1% 107 $12K
93976 <1% 611 $12K
73610 <1% 2,984 $11K
85610 <1% 5,574 $11K
C1769 Guide wire <1% 1,248 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 26 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 791 $10K
96376 <1% 9,063 $10K
85014 <1% 9,028 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 5,227 $9K
73700 <1% 102 $9K
72100 <1% 773 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 10,079 $8K
74018 <1% 786 $8K
73110 <1% 1,563 $7K
72146 <1% 43 $7K
83735 <1% 5,927 $7K
84443 Thyroid stimulating hormone (TSH) <1% 3,253 $7K
81001 <1% 25,907 $7K
83605 <1% 5,610 $7K
80320 <1% 1,800 $7K
86901 <1% 4,060 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 23,435 $7K
36415 Collection of venous blood by venipuncture <1% 7,419 $6K
99234 <1% 202 $6K
86900 <1% 4,057 $6K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 7,122 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 2,075 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 8,821 $5K
77065 Tomosynthesis, mammo <1% 116 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,603 $5K
G0390 Trauma response team associated with hospital critical care service <1% 587 $5K
73562 <1% 332 $5K
83690 <1% 16,521 $5K
76870 <1% 43 $5K
86850 <1% 2,668 $5K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 362 $5K
72050 <1% 199 $5K
70544 <1% 17 $5K
82565 <1% 2,470 $4K
80061 Lipid panel <1% 1,648 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 413 $4K
73560 <1% 312 $4K
29515 <1% 14 $4K
73140 <1% 790 $3K
70496 <1% 14 $3K
77066 Tomosynthesis, mammo <1% 97 $3K
81003 <1% 14,786 $3K
85730 <1% 2,674 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 12,873 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 190 $3K
36000 <1% 62 $3K
87210 <1% 6,621 $3K
80143 <1% 568 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,434 $3K
84100 <1% 1,541 $3K
82077 <1% 9,798 $3K
87186 <1% 2,647 $2K
73590 <1% 737 $2K
87205 <1% 222 $2K
88307 <1% 112 $2K
73080 <1% 470 $2K
84702 <1% 3,214 $2K
87081 <1% 3,481 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 7,685 $2K
88342 <1% 2,351 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,171 $2K
82553 <1% 686 $2K
90686 <1% 214 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,004 $2K
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,143 $2K
C1729 Catheter, drainage <1% 1,952 $1K
77336 <1% 25 $1K
94729 <1% 57 $1K
87077 <1% 3,886 $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% 6,309 $1K
80179 <1% 505 $1K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 235 $1K
J1644 Injection, heparin sodium, per 1000 units <1% 7,191 $1K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,404 $1K
85018 <1% 693 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 9,161 $1K
94726 <1% 28 $941.85
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,282 $931.93
72120 <1% 24 $888.34
J2060 Injection, lorazepam, 2 mg <1% 3,840 $886.42
96367 <1% 55 $767.35
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,429 $754.29
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,192 $744.17
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,508 $700.68
73090 <1% 282 $608.48
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 3,409 $608.32
G0008 Administration of influenza virus vaccine <1% 634 $557.11
72170 <1% 186 $522.38
82310 <1% 3,453 $520.90
72072 <1% 48 $504.18
82550 <1% 1,284 $484.29
93880 <1% 21 $460.28
82330 <1% 171 $459.22
72040 <1% 50 $458.11
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,813 $432.41
93922 <1% 18 $430.93
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 970 $423.24
76801 <1% 18 $421.02
73660 <1% 44 $411.48
82607 <1% 64 $399.01
76937 <1% 28 $383.10
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 392 $322.50
83970 <1% 27 $316.57
J1630 Injection, haloperidol, up to 5 mg <1% 3,146 $311.29
82803 <1% 592 $309.18
80164 <1% 70 $296.37
84439 <1% 48 $284.74
71101 <1% 42 $270.62
51798 <1% 20 $257.30
80329 <1% 14 $229.01
84145 <1% 48 $227.68
73552 <1% 62 $190.81
90688 <1% 88 $146.87
84132 <1% 138 $141.23
82746 <1% 32 $135.77
J2704 Injection, propofol, 10 mg <1% 8,075 $135.42
J3370 Injection, vancomycin hcl, 500 mg <1% 1,116 $131.86
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% 143 $131.52
90656 <1% 16 $120.86
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 <1% 802 $119.84
85652 <1% 133 $113.38
86140 <1% 48 $111.47
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 349 $98.16
J3360 Injection, diazepam, up to 5 mg <1% 190 $92.76
A9585 Injection, gadobutrol, 0.1 ml <1% 594 $90.00
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,665 $87.90
82728 <1% 15 $66.85
83540 <1% 32 $61.10
82570 <1% 49 $59.58
36600 <1% 39 $55.59
83550 <1% 30 $52.62
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 766 $50.67
J3480 Injection, potassium chloride, per 2 meq <1% 236 $46.74
87070 <1% 185 $44.85
J2785 Injection, regadenoson, 0.1 mg <1% 305 $44.18
82043 <1% 41 $42.60
88341 <1% 162 $37.03
90694 <1% 13 $36.88
88313 <1% 464 $35.04
Q9957 Injection, perflutren lipid microspheres, per ml <1% 40 $35.03
90653 <1% 105 $28.82
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units <1% 239 $27.42
J1650 Injection, enoxaparin sodium, 10 mg <1% 246 $23.74
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 43 $21.86
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 1,062 $18.47
87340 <1% 17 $17.06
J1815 Injection, insulin, per 5 units <1% 130 $15.25
J1940 Injection, furosemide, up to 20 mg <1% 168 $11.93
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 13 $11.63
82272 <1% 40 $11.56
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 66 $8.21
J8597 Antiemetic drug, oral, not otherwise specified <1% 205 $7.16
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 90 $6.89
J0360 Injection, hydralazine hcl, up to 20 mg <1% 140 $3.02
90756 <1% 25 $2.65
J1596 Injection, glycopyrrolate, 0.1 mg <1% 135 $2.44
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% 425 $2.21
J7030 Infusion, normal saline solution , 1000 cc <1% 18 $2.06
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 222 $1.88
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 15 $1.79
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 326 $0.76
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 414 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 145 $0.00
82140 0% 39 $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% 23 $0.00
C1776 Joint device (implantable) 0% 14 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 36 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 83 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 301 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 48 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 599 $0.00
73060 0% 12 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 0% 163 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 0% 15 $0.00
88304 0% 16 $0.00
90674 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 →
ProviderLocationPaid
Sentara HospitalsNorfolk, VA$88.20M
Sentara HospitalsNorfolk, VA$79.69M
Sentara HospitalsHampton, VA$78.52M
Potomac Hospital Corporation of Prince WilliamWoodbridge, VA$59.17M
Sentara HospitalsSuffolk, VA$57.85M
Sentara RMH Medical CenterHarrisonburg, VA$52.95M
Sentara Princess Anne HospitalVirginia Beach, VA$37.50M
Martha Jefferson HospitalCharlottesville, VA$26.95M
Halifax Regional Hospital, INC.South Boston, VA$23.28M
Sentara HospitalsWilliamsburg, VA$21.89M
Sentara Albemarle Regional Medical CenterElizabeth City, NC$13.82M
Sentara Reference Lab Solutions, LLCNorfolk, VA$4.74M
Halifax Regional Hospital, INCSouth Boston, VA$1.61M
Halifax Regional Hospital, INCNathalie, VA$348K
Halifax Regional Hospital, INCSouth Boston, VA$336K
Halifax Regional Hospital, INCChase City, VA$298K
Halifax Regional Hospital, INCClarksville, VA$265K
Sentara HospitalsNorfolk, VA$171K
Halifax Regional Hospital, INCSouth Boston, VA$170K
Sentara HospitalsNorfolk, VA$128K

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