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

Sentara Reference Lab Solutions, LLC

Sentara Reference Lab Solutions, LLC was paid $4.74M by Medicaid between Oct 2021 and Nov 2024, across 314 billing codes. Its largest line is 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 — 5.7% of everything it billed.

33Billing provider infoSENTARA REFERENCE LAB SOLUTIONS, LLC
NORFOLK, VA 23507
33aNPI1811524572assigned 03/24/2020
28Total paid$4.74M
24GClaims1,946,791
24DCodes billed314
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Virginia

Rank by total paid#10 of 78
Median peer was paid$37K
This provider vs. median129×

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$100K$200K$300K2018201920202021202220232024
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
2021136,652$394K
2022584,155$2.17M
2023644,635$1.45M
2024incomplete581,349$727K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 5.7% 7,044 6,588 $271K
80061 Lipid panel 5.3% 109,094 104,276 $251K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5.0% 54,014 51,218 $238K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.8% 78,419 74,081 $230K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.8% 78,381 74,047 $229K
80050 General health panel 4.8% 47,496 46,002 $226K
80053 Comprehensive metabolic panel 4.7% 115,096 105,380 $221K
83036 Hemoglobin; glycosylated (A1C) 3.1% 96,954 92,447 $149K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2.8% 65,548 62,181 $132K
84443 Thyroid stimulating hormone (TSH) 2.7% 51,584 48,436 $130K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.6% 87,601 80,095 $124K
G0475 Hiv antigen/antibody, combination assay, screening 2.0% 44,834 42,758 $97K
302 more codes
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 2.0% 1,875 $93K
87481 1.9% 22,571 $90K
87536 1.9% 6,621 $90K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1.7% 22,917 $79K
86803 1.7% 36,349 $78K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.6% 11,004 $77K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1.5% 20,788 $70K
82607 1.4% 26,107 $67K
80048 Basic metabolic panel (calcium, ionized) 1.3% 35,587 $62K
86780 1.2% 37,784 $56K
86235 1.2% 2,961 $55K
84439 1.1% 33,298 $52K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 545 $46K
85027 <1% 31,725 $45K
83970 <1% 5,708 $44K
82728 <1% 26,215 $44K
87086 Culture, bacterial; quantitative colony count, urine <1% 48,222 $40K
88185 <1% 829 $38K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 9,727 $38K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 13,247 $36K
86003 <1% 2,430 $35K
82746 <1% 14,228 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,019 $33K
83550 <1% 26,712 $29K
86361 <1% 5,608 $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 <1% 2,191 $28K
87522 Neg quan hep c or qual rna <1% 3,317 $25K
82043 <1% 24,531 $25K
36415 Collection of venous blood by venipuncture <1% 94,179 $23K
83540 <1% 28,768 $23K
83880 <1% 2,782 $22K
84403 <1% 5,789 $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 <1% 17,858 $21K
87340 <1% 22,327 $21K
0225U <1% 129 $21K
87077 <1% 17,593 $19K
84481 <1% 6,580 $17K
83735 <1% 12,248 $16K
80076 <1% 11,546 $16K
80055 <1% 4,250 $16K
87186 <1% 12,200 $14K
81329 <1% 980 $14K
80074 <1% 4,650 $14K
86480 <1% 3,024 $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% 1,418 $14K
86038 <1% 5,711 $13K
86140 <1% 11,026 $13K
81001 <1% 22,735 $12K
84402 <1% 3,679 $12K
84146 <1% 4,323 $12K
82784 <1% 4,335 $12K
87081 <1% 8,120 $11K
83001 <1% 4,635 $11K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 3,370 $11K
88341 <1% 362 $10K
88342 <1% 1,184 $10K
86317 <1% 1,930 $10K
86225 <1% 3,323 $10K
82670 <1% 2,974 $10K
86160 <1% 2,149 $9K
87150 <1% 6,236 $8K
86706 <1% 5,835 $8K
83020 <1% 5,694 $8K
83002 <1% 3,585 $8K
87902 <1% 355 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 173 $8K
82785 <1% 2,200 $8K
81243 <1% 944 $8K
86696 <1% 3,275 $8K
85652 <1% 12,337 $7K
80069 <1% 4,643 $7K
86376 <1% 2,534 $7K
83721 <1% 3,339 $7K
86787 <1% 4,003 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 725 $7K
82105 <1% 4,909 $7K
86334 <1% 2,172 $7K
82533 <1% 2,537 $7K
85610 <1% 6,584 $7K
87529 <1% 811 $7K
82570 <1% 6,676 $6K
84153 <1% 2,424 $6K
87563 <1% 3,393 $6K
86200 <1% 2,288 $6K
87070 <1% 4,935 $6K
84702 <1% 8,874 $6K
86431 <1% 4,736 $6K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 1,705 $6K
83013 <1% 637 $6K
86704 <1% 2,502 $6K
84480 <1% 2,360 $6K
84550 <1% 7,298 $5K
84425 <1% 2,799 $5K
86364 <1% 1,712 $5K
86618 <1% 1,030 $5K
83520 <1% 2,055 $5K
86258 <1% 1,276 $5K
86147 <1% 778 $5K
88304 <1% 842 $5K
88184 <1% 804 $5K
84445 <1% 898 $5K
87530 <1% 638 $5K
86695 <1% 2,851 $5K
83921 <1% 1,290 $5K
83690 <1% 3,181 $5K
86800 <1% 1,610 $5K
86705 <1% 2,906 $5K
82024 <1% 1,457 $5K
80197 <1% 1,444 $4K
80164 <1% 1,230 $4K
83615 <1% 6,102 $4K
82627 <1% 1,806 $4K
84681 <1% 1,024 $4K
83655 <1% 1,679 $4K
82550 <1% 2,964 $4K
82565 <1% 4,593 $4K
84100 <1% 4,741 $4K
82378 <1% 1,637 $4K
86832 <1% 98 $4K
87493 <1% 428 $4K
83516 <1% 775 $3K
84165 <1% 1,800 $3K
84156 <1% 5,759 $3K
86833 <1% 98 $3K
86341 <1% 695 $3K
86708 <1% 1,295 $3K
82652 <1% 562 $3K
82950 <1% 6,927 $3K
86039 <1% 1,442 $3K
86762 <1% 3,832 $3K
84460 <1% 3,307 $3K
80177 <1% 1,056 $3K
87205 <1% 3,564 $3K
85046 <1% 2,438 $3K
84450 <1% 3,181 $3K
83521 <1% 573 $3K
86360 <1% 731 $3K
82951 <1% 1,518 $3K
83498 <1% 849 $2K
87517 <1% 314 $2K
83525 <1% 1,580 $2K
86850 <1% 5,200 $2K
86677 <1% 759 $2K
82248 <1% 1,599 $2K
84436 <1% 2,661 $2K
87209 <1% 687 $2K
87899 <1% 727 $2K
86593 <1% 3,411 $2K
87255 <1% 1,025 $2K
84154 <1% 598 $2K
87901 <1% 150 $2K
87427 <1% 735 $2K
86146 <1% 502 $2K
83993 <1% 508 $2K
86769 <1% 232 $2K
82985 <1% 667 $2K
86008 <1% 327 $2K
84144 <1% 1,049 $2K
86037 <1% 252 $2K
82977 <1% 1,646 $2K
86828 <1% 255 $2K
81003 <1% 4,918 $2K
84207 <1% 276 $2K
83010 <1% 1,099 $2K
86665 <1% 353 $2K
87625 <1% 457 $2K
82247 <1% 776 $2K
83718 <1% 1,015 $2K
85730 <1% 2,250 $2K
80178 <1% 706 $1K
86300 <1% 1,590 $1K
82465 <1% 1,746 $1K
82164 <1% 505 $1K
86900 <1% 5,047 $1K
86901 <1% 5,045 $1K
84478 <1% 1,114 $1K
82088 <1% 299 $1K
82330 <1% 801 $1K
82172 <1% 808 $1K
85379 <1% 1,204 $1K
84520 <1% 2,036 $1K
84703 <1% 836 $1K
80373 <1% 852 $1K
87900 <1% 150 $1K
85613 <1% 752 $1K
87449 <1% 302 $1K
82677 <1% 557 $1K
82040 <1% 1,328 $1K
87497 <1% 118 $1K
87634 <1% 20 $1K
86381 <1% 320 $988.34
82672 <1% 335 $976.93
81025 <1% 656 $971.39
87045 <1% 727 $966.07
82525 <1% 392 $949.37
81374 <1% 132 $918.08
84466 <1% 473 $907.38
87177 <1% 670 $875.89
86735 <1% 617 $875.19
84479 <1% 1,014 $864.73
86336 <1% 611 $825.17
86709 <1% 864 $803.35
82103 <1% 258 $747.69
86707 <1% 272 $733.79
87102 <1% 401 $727.04
84630 <1% 365 $725.40
87338 <1% 615 $713.58
82952 <1% 1,272 $687.31
80156 <1% 132 $683.36
84244 <1% 262 $683.28
86765 <1% 613 $676.17
86335 <1% 128 $649.68
86162 <1% 130 $648.01
82150 <1% 462 $645.00
85018 <1% 2,246 $636.91
86015 <1% 289 $629.00
84132 <1% 708 $619.86
82947 <1% 1,066 $611.99
87350 <1% 373 $577.98
86592 <1% 601 $550.05
82390 <1% 288 $549.90
87046 <1% 613 $541.61
81241 <1% 40 $534.08
84305 <1% 166 $523.24
86355 <1% 162 $518.16
84432 <1% 140 $500.69
85014 <1% 1,881 $475.04
83883 <1% 218 $461.80
80175 <1% 148 $446.14
86256 <1% 84 $422.09
86304 <1% 265 $402.71
88112 <1% 164 $383.00
80349 <1% 310 $374.92
87430 <1% 241 $365.55
82668 <1% 344 $361.08
86617 <1% 63 $360.33
85660 <1% 879 $353.37
86664 <1% 111 $352.65
87210 <1% 402 $332.77
82107 <1% 42 $324.00
86141 <1% 341 $323.02
80202 <1% 130 $321.21
82140 <1% 52 $310.71
86036 <1% 309 $302.55
82310 <1% 216 $270.99
85306 <1% 80 $268.93
87799 <1% 31 $252.24
87109 <1% 280 $252.21
83835 <1% 79 $243.70
85048 <1% 226 $219.25
84270 <1% 97 $204.58
80324 <1% 142 $203.23
80183 <1% 44 $193.09
82239 <1% 72 $180.62
86880 <1% 217 $170.31
86301 <1% 187 $159.20
84075 <1% 158 $152.73
86413 <1% 13 $151.12
82397 <1% 74 $142.48
87329 <1% 45 $141.36
87185 <1% 264 $122.44
83695 <1% 252 $109.08
82656 <1% 31 $95.92
86308 <1% 49 $95.47
80299 <1% 25 $89.56
84484 <1% 45 $89.29
86663 <1% 27 $88.85
83519 <1% 14 $86.36
87075 <1% 61 $85.18
85049 <1% 183 $66.93
87140 <1% 107 $64.32
85302 <1% 27 $63.66
83014 <1% 163 $57.26
86644 <1% 30 $55.20
82747 <1% 59 $54.90
82626 <1% 12 $50.61
82653 <1% 27 $49.38
86645 <1% 25 $46.00
85300 <1% 28 $45.88
86870 <1% 13 $42.60
82085 <1% 13 $41.75
85303 <1% 17 $41.52
82575 <1% 43 $40.57
85246 <1% 45 $38.05
85384 <1% 59 $28.78
87076 <1% 29 $28.20
87206 <1% 12 $26.95
87535 <1% 15 $22.81
89055 <1% 25 $16.63
82232 <1% 45 $16.18
36416 <1% 153 $15.18
81511 <1% 76 $13.50
85240 <1% 15 $11.64
83527 <1% 13 $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 <1% 19 $5.47
80362 0% 12 $0.00
85245 0% 37 $0.00
80348 0% 13 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 12 $0.00
84080 0% 15 $0.00
86005 0% 13 $0.00
81596 0% 114 $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 (EVP, CHIEF FINANCIAL OFFICER)
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 HospitalsVirginia Beach, VA$52.40M
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
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.