Supplier
Albemarle Physician Services - Sentara, INC
Albemarle Physician Services - Sentara, INC was paid $2.76M by Medicaid between Mar 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoALBEMARLE PHYSICIAN SERVICES - SENTARA, INC
NORFOLK, VA 23502
NORFOLK, VA 23502
33aNPI1942443130assigned 04/17/2009
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.76M
24GClaims118,962
24DCodes billed71
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Virginia
Rank by total paid#20 of 229
Median peer was paid$17K
This provider vs. median167×
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.
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 | |
|---|---|---|---|
| 2018 | 121 | $76.30 | |
| 2019 | 192 | $52.07 | |
| 2020 | 124 | $76.56 | |
| 2021 | 13,096 | $356K | |
| 2022 | 24,961 | $812K | |
| 2023 | 37,556 | $908K | |
| 2024incomplete | 42,912 | $680K |
Box 24 · Service lines
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 | 32% | 16,754 | 12,368 | $876K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 13,294 | 9,263 | $631K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 3,813 | 2,260 | $291K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 2,852 | 2,132 | $255K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 1,619 | 1,241 | $145K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.6% | 964 | 227 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 4,694 | 3,369 | $68K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.4% | 2,990 | 2,078 | $67K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 795 | 608 | $65K |
| 99199 | Unlisted special service, procedure or report | 1.9% | 14,196 | 14,076 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 1,213 | 965 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,277 | 805 | $42K |
59 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 330 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 572 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 157 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,193 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 665 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,962 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 55 | $6K |
| 96127 | <1% | 1,527 | $5K | |
| 99173 | <1% | 3,592 | $5K | |
| 90474 | <1% | 340 | $4K | |
| 83655 | <1% | 306 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 79 | $4K |
| 20611 | <1% | 153 | $3K | |
| 90686 | <1% | 1,729 | $3K | |
| 90697 | <1% | 660 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 38 | $2K |
| 90670 | <1% | 1,936 | $2K | |
| 81025 | <1% | 352 | $2K | |
| 90698 | <1% | 761 | $2K | |
| 85018 | <1% | 750 | $2K | |
| 92551 | <1% | 540 | $2K | |
| 90461 | <1% | 656 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $2K |
| 99292 | <1% | 31 | $2K | |
| 90680 | <1% | 1,192 | $1K | |
| 93922 | <1% | 54 | $1K | |
| 99460 | <1% | 14 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 279 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $872.94 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 96 | $768.22 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | $734.44 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 16 | $682.75 |
| 69210 | <1% | 31 | $614.22 | |
| 20610 | <1% | 33 | $582.11 | |
| 90656 | <1% | 62 | $542.32 | |
| 90660 | <1% | 23 | $308.00 | |
| 90651 | <1% | 68 | $260.45 | |
| 90633 | <1% | 708 | $200.38 | |
| 90677 | <1% | 350 | $110.01 | |
| 76937 | <1% | 22 | $109.34 | |
| 3074F | <1% | 6,323 | $76.41 | |
| 90710 | <1% | 88 | $66.00 | |
| 1159F | <1% | 12,754 | $52.87 | |
| 90707 | <1% | 36 | $44.00 | |
| 90696 | <1% | 49 | $44.00 | |
| 90716 | <1% | 37 | $44.00 | |
| 1126F | <1% | 1,142 | $26.06 | |
| 3079F | <1% | 2,220 | $25.47 | |
| 90700 | <1% | 12 | $22.00 | |
| 90672 | <1% | 29 | $11.00 | |
| 36416 | <1% | 93 | $6.32 | |
| 99000 | <1% | 294 | $2.79 | |
| 1125F | <1% | 2,063 | $2.03 | |
| 3078F | <1% | 5,500 | $1.10 | |
| 3075F | <1% | 435 | $0.11 | |
| 1160F | <1% | 638 | $0.04 | |
| 3077F | 0% | 69 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 90744 | 0% | 270 | $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 officialPRINCE, DORIS (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sentara Medical Group | Norfolk, VA | $48.77M |
| Sentara Therapy Solutions, LLC | Norfolk, VA | $883K |
| Sentara Advanced Imaging Solutions, LLC | Norfolk, VA | $16K |
| Optima Health Plan | Norfolk, VA | $156.56 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.