Medicaid Provider Spending

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

SENTARA REFERENCE LAB SOLUTIONS, LLC

NPI: 1811524572 · NORFOLK, VA 23507 · Clinical Medical Laboratory · NPI assigned 03/24/2020

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

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

$4.74M
Total Medicaid Paid
1,946,791
Total Claims
1,821,645
Beneficiaries
314
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (EVP, CHIEF FINANCIAL OFFICER)
NPI Enumeration Date03/24/2020

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 HOSPITALS WILLIAMSBURG VA $21.89M
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER ELIZABETH CITY NC $13.82M
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
2021 136,652 $394K
2022 584,155 $2.17M
2023 644,635 $1.45M
2024 581,349 $727K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 7,044 6,588 $271K
80061 Lipid panel 109,094 104,276 $251K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 54,014 51,218 $238K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 78,419 74,081 $230K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 78,381 74,047 $229K
80050 General health panel 47,496 46,002 $226K
80053 Comprehensive metabolic panel 115,096 105,380 $221K
83036 Hemoglobin; glycosylated (A1C) 96,954 92,447 $149K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 65,548 62,181 $132K
84443 Thyroid stimulating hormone (TSH) 51,584 48,436 $130K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 87,601 80,095 $124K
G0475 Hiv antigen/antibody, combination assay, screening 44,834 42,758 $97K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,875 1,792 $93K
87481 22,571 21,513 $90K
87536 6,621 6,313 $90K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 22,917 21,910 $79K
86803 36,349 34,891 $78K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,004 8,510 $77K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 20,788 20,041 $70K
82607 26,107 24,864 $67K
80048 Basic metabolic panel (calcium, ionized) 35,587 31,812 $62K
86780 37,784 36,301 $56K
86235 2,961 2,726 $55K
84439 33,298 31,199 $52K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 545 440 $46K
85027 31,725 29,797 $45K
83970 5,708 5,321 $44K
82728 26,215 24,746 $44K
87086 Culture, bacterial; quantitative colony count, urine 48,222 44,461 $40K
88185 829 729 $38K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 9,727 9,309 $38K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 13,247 12,904 $36K
86003 2,430 2,126 $35K
82746 14,228 13,554 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,019 5,684 $33K
83550 26,712 25,200 $29K
86361 5,608 5,371 $28K
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 2,191 2,121 $28K
87522 Neg quan hep c or qual rna 3,317 3,108 $25K
82043 24,531 23,406 $25K
36415 Collection of venous blood by venipuncture 94,179 85,383 $23K
83540 28,768 27,134 $23K
83880 2,782 2,516 $22K
84403 5,789 5,502 $22K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 17,858 17,251 $21K
87340 22,327 21,578 $21K
0225U 129 90 $21K
87077 17,593 16,592 $19K
84481 6,580 6,256 $17K
83735 12,248 10,473 $16K
80076 11,546 10,263 $16K
80055 4,250 3,978 $16K
87186 12,200 11,491 $14K
81329 980 938 $14K
80074 4,650 4,531 $14K
86480 3,024 2,905 $14K
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 1,418 1,150 $14K
86038 5,711 5,436 $13K
86140 11,026 9,865 $13K
81001 22,735 21,419 $12K
84402 3,679 3,523 $12K
84146 4,323 4,096 $12K
82784 4,335 4,006 $12K
87081 8,120 7,706 $11K
83001 4,635 4,457 $11K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,370 3,204 $11K
88341 362 321 $10K
88342 1,184 1,105 $10K
86317 1,930 1,253 $10K
86225 3,323 3,107 $10K
82670 2,974 2,854 $10K
86160 2,149 2,035 $9K
87150 6,236 5,968 $8K
86706 5,835 5,596 $8K
83020 5,694 5,448 $8K
83002 3,585 3,442 $8K
87902 355 339 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 173 166 $8K
82785 2,200 2,011 $8K
81243 944 905 $8K
86696 3,275 3,177 $8K
85652 12,337 11,237 $7K
80069 4,643 4,346 $7K
86376 2,534 2,416 $7K
83721 3,339 3,207 $7K
86787 4,003 3,741 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 725 688 $7K
82105 4,909 4,700 $7K
86334 2,172 2,004 $7K
82533 2,537 2,147 $7K
85610 6,584 5,261 $7K
87529 811 778 $7K
82570 6,676 6,249 $6K
84153 2,424 2,303 $6K
87563 3,393 3,248 $6K
86200 2,288 2,177 $6K
87070 4,935 4,633 $6K
84702 8,874 7,028 $6K
86431 4,736 4,533 $6K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 1,705 1,646 $6K
83013 637 616 $6K
86704 2,502 2,388 $6K
84480 2,360 2,127 $6K
84550 7,298 6,653 $5K
84425 2,799 2,662 $5K
86364 1,712 1,629 $5K
86618 1,030 991 $5K
83520 2,055 1,894 $5K
86258 1,276 1,208 $5K
86147 778 708 $5K
88304 842 763 $5K
88184 804 729 $5K
84445 898 855 $5K
87530 638 625 $5K
86695 2,851 2,771 $5K
83921 1,290 1,245 $5K
83690 3,181 2,996 $5K
86800 1,610 1,524 $5K
86705 2,906 2,792 $5K
82024 1,457 1,231 $5K
80197 1,444 1,083 $4K
80164 1,230 1,140 $4K
83615 6,102 5,385 $4K
82627 1,806 1,734 $4K
84681 1,024 951 $4K
83655 1,679 1,625 $4K
82550 2,964 2,577 $4K
82565 4,593 3,491 $4K
84100 4,741 3,863 $4K
82378 1,637 1,315 $4K
86832 98 78 $4K
87493 428 409 $4K
83516 775 639 $3K
84165 1,800 1,674 $3K
84156 5,759 5,316 $3K
86833 98 78 $3K
86341 695 492 $3K
86708 1,295 1,238 $3K
82652 562 528 $3K
82950 6,927 6,611 $3K
86039 1,442 1,374 $3K
86762 3,832 3,723 $3K
84460 3,307 3,115 $3K
80177 1,056 969 $3K
87205 3,564 3,275 $3K
85046 2,438 2,273 $3K
84450 3,181 2,999 $3K
83521 573 519 $3K
86360 731 702 $3K
82951 1,518 1,409 $3K
83498 849 820 $2K
87517 314 305 $2K
83525 1,580 1,520 $2K
86850 5,200 4,970 $2K
86677 759 728 $2K
82248 1,599 1,370 $2K
84436 2,661 2,536 $2K
87209 687 648 $2K
87899 727 703 $2K
86593 3,411 3,242 $2K
87255 1,025 978 $2K
84154 598 569 $2K
87901 150 139 $2K
87427 735 712 $2K
86146 502 460 $2K
83993 508 488 $2K
86769 232 228 $2K
82985 667 622 $2K
86008 327 307 $2K
84144 1,049 986 $2K
86037 252 233 $2K
82977 1,646 1,482 $2K
86828 255 195 $2K
81003 4,918 4,686 $2K
84207 276 263 $2K
83010 1,099 1,030 $2K
86665 353 329 $2K
87625 457 430 $2K
82247 776 584 $2K
83718 1,015 978 $2K
85730 2,250 2,069 $2K
80178 706 645 $1K
86300 1,590 1,416 $1K
82465 1,746 1,666 $1K
82164 505 479 $1K
86900 5,047 4,821 $1K
86901 5,045 4,818 $1K
84478 1,114 943 $1K
82088 299 274 $1K
82330 801 734 $1K
82172 808 761 $1K
85379 1,204 1,143 $1K
84520 2,036 1,244 $1K
84703 836 796 $1K
80373 852 826 $1K
87900 150 139 $1K
85613 752 701 $1K
87449 302 290 $1K
82677 557 538 $1K
82040 1,328 1,270 $1K
87497 118 92 $1K
87634 20 20 $1K
86381 320 308 $988.34
82672 335 321 $976.93
81025 656 600 $971.39
87045 727 704 $966.07
82525 392 365 $949.37
81374 132 128 $918.08
84466 473 441 $907.38
87177 670 633 $875.89
86735 617 593 $875.19
84479 1,014 968 $864.73
86336 611 590 $825.17
86709 864 831 $803.35
82103 258 230 $747.69
86707 272 255 $733.79
87102 401 375 $727.04
84630 365 348 $725.40
87338 615 594 $713.58
82952 1,272 1,210 $687.31
80156 132 124 $683.36
84244 262 242 $683.28
86765 613 586 $676.17
86335 128 119 $649.68
86162 130 126 $648.01
82150 462 438 $645.00
85018 2,246 2,143 $636.91
86015 289 271 $629.00
84132 708 672 $619.86
82947 1,066 1,029 $611.99
87350 373 358 $577.98
86592 601 577 $550.05
82390 288 271 $549.90
87046 613 598 $541.61
81241 40 37 $534.08
84305 166 155 $523.24
86355 162 158 $518.16
84432 140 131 $500.69
85014 1,881 1,804 $475.04
83883 218 207 $461.80
80175 148 135 $446.14
86256 84 70 $422.09
86304 265 245 $402.71
88112 164 149 $383.00
80349 310 301 $374.92
87430 241 218 $365.55
82668 344 323 $361.08
86617 63 61 $360.33
85660 879 842 $353.37
86664 111 110 $352.65
87210 402 383 $332.77
82107 42 38 $324.00
86141 341 331 $323.02
80202 130 43 $321.21
82140 52 50 $310.71
86036 309 296 $302.55
82310 216 205 $270.99
85306 80 61 $268.93
87799 31 27 $252.24
87109 280 261 $252.21
83835 79 77 $243.70
85048 226 190 $219.25
84270 97 90 $204.58
80324 142 138 $203.23
80183 44 41 $193.09
82239 72 64 $180.62
86880 217 206 $170.31
86301 187 138 $159.20
84075 158 146 $152.73
86413 13 12 $151.12
82397 74 71 $142.48
87329 45 44 $141.36
87185 264 256 $122.44
83695 252 233 $109.08
82656 31 29 $95.92
86308 49 49 $95.47
80299 25 24 $89.56
84484 45 37 $89.29
86663 27 26 $88.85
83519 14 12 $86.36
87075 61 54 $85.18
85049 183 176 $66.93
87140 107 101 $64.32
85302 27 24 $63.66
83014 163 155 $57.26
86644 30 28 $55.20
82747 59 51 $54.90
82626 12 12 $50.61
82653 27 27 $49.38
86645 25 24 $46.00
85300 28 24 $45.88
86870 13 13 $42.60
82085 13 12 $41.75
85303 17 15 $41.52
82575 43 39 $40.57
85246 45 39 $38.05
85384 59 52 $28.78
87076 29 26 $28.20
87206 12 12 $26.95
87535 15 15 $22.81
89055 25 24 $16.63
82232 45 38 $16.18
36416 153 113 $15.18
81511 76 76 $13.50
85240 15 13 $11.64
83527 13 12 $8.42
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 19 12 $5.47
80362 12 12 $0.00
85245 37 29 $0.00
80348 13 13 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $0.00
84080 15 14 $0.00
86005 13 13 $0.00
81596 114 105 $0.00