Halifax Regional Hospital, INC
Halifax Regional Hospital, INC was paid $348K by Medicaid between Jan 2021 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
NATHALIE, VA 24577
Next to other Rural Health Clinic/Center providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 2,779 | $63K | |
| 2022 | 4,096 | $83K | |
| 2023 | 5,973 | $100K | |
| 2024incomplete | 6,825 | $101K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 2,716 | 2,464 | $184K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,521 | 1,357 | $76K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 17% | 4,723 | 2,051 | $60K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.7% | 219 | 130 | $6K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 2,387 | 2,211 | $5K |
| 99307 | 1.2% | 611 | 602 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 144 | 131 | $4K |
| 99000 | <1% | 3,150 | 2,880 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 132 | 121 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 14 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 96 | 42 | $1K |
| 1159F | <1% | 1,560 | 1,389 | $711.91 |
11 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $312.64 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $293.96 |
| 90656 | <1% | 14 | $259.21 | |
| 3075F | <1% | 134 | $113.08 | |
| 1126F | <1% | 33 | $40.15 | |
| 3079F | <1% | 136 | $25.00 | |
| 3078F | <1% | 1,045 | $16.17 | |
| 1160F | 0% | 33 | $0.00 | |
| 3077F | 0% | 20 | $0.00 | |
| 3074F | 0% | 910 | $0.00 | |
| 0012A | 0% | 12 | $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.
Who's on the registration
| 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 | South Boston, VA | $1.61M |
| 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.