Clinic
Halifax Regional Hospital, INC
Halifax Regional Hospital, INC was paid $1.61M by Medicaid between Jan 2021 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoHALIFAX REGIONAL HOSPITAL, INC
SOUTH BOSTON, VA 24592
SOUTH BOSTON, VA 24592
33aNPI1841809241assigned 07/31/2020
33bProvider typeRural Health Clinic/Center
28Total paid$1.61M
24GClaims42,209
24DCodes billed42
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Virginia
Rank by total paid#6 of 66
Median peer was paid$195K
This provider vs. median8.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 7,974 | $289K | |
| 2022 | 9,243 | $363K | |
| 2023 | 12,207 | $478K | |
| 2024incomplete | 12,785 | $475K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 8,081 | 7,232 | $492K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 4,852 | 4,467 | $417K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 2,183 | 2,108 | $167K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 2,325 | 1,913 | $147K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 1,062 | 1,033 | $82K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.8% | 1,993 | 1,906 | $60K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.7% | 4,538 | 2,138 | $59K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 3,243 | 3,033 | $42K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 4,690 | 4,394 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 295 | 287 | $25K |
| 90686 | <1% | 949 | 924 | $12K | |
| 90670 | <1% | 999 | 942 | $11K |
30 more codes
| 90633 | <1% | 607 | $7K | |
| 90677 | <1% | 341 | $7K | |
| 90698 | <1% | 460 | $5K | |
| 90680 | <1% | 389 | $5K | |
| 90710 | <1% | 204 | $3K | |
| 87807 | <1% | 265 | $3K | |
| 90651 | <1% | 134 | $3K | |
| 96161 | <1% | 1,292 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 611 | $2K |
| 90619 | <1% | 111 | $2K | |
| 96127 | <1% | 268 | $2K | |
| 90696 | <1% | 97 | $1K | |
| 92551 | <1% | 122 | $1K | |
| 99173 | <1% | 439 | $1K | |
| 90656 | <1% | 65 | $777.19 | |
| 0071A | <1% | 16 | $668.00 | |
| 90715 | <1% | 44 | $583.00 | |
| 0072A | <1% | 14 | $542.00 | |
| 90734 | <1% | 45 | $528.00 | |
| 99000 | <1% | 815 | $397.76 | |
| 85018 | <1% | 177 | $391.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 66 | $219.75 |
| 90744 | <1% | 19 | $209.00 | |
| 90716 | <1% | 15 | $176.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 30 | $163.20 |
| 90660 | <1% | 13 | $154.00 | |
| 90672 | <1% | 12 | $148.00 | |
| 90697 | <1% | 12 | $143.00 | |
| 94760 | <1% | 290 | $33.25 | |
| 36416 | <1% | 26 | $27.30 |
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)
| Provider | Location | 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 |
| Sentara Reference Lab Solutions, LLC | Norfolk, VA | $4.74M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.