Medicaid Provider Spending

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

SENTARA ENTERPRISES

NPI: 1992741060 · CHESAPEAKE, VA 23320 · Home Health Agency · NPI assigned 06/20/2006

$12.45M
Total Medicaid Paid
62,531
Total Claims
26,906
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEDWARDS, TERESA (PRESIDENT)
Parent OrganizationSENTARA ENTERPRISES
NPI Enumeration Date06/20/2006

Related Entities

Other providers sharing the same authorized official: EDWARDS, TERESA

ProviderCityStateTotal Paid
EXTENDED CARE PORTFOLIO TENANT, LLC TALLAHASSEE FL $194K
SENTARA ENTERPRISES CHARLOTTESVILLE VA $183K
SENTARA ENTERPRISES DUMFRIES VA $123K
SENTARA ENTERPRISES SUFFOLK VA $73K
SENTARA ENTERPRISES NEWPORT NEWS VA $72K
SENTARA ENTERPRISES SOUTH BOSTON VA $43K
SENTARA ENTERPRISES LOW MOOR VA $27K
SENTARA ENTERPRISES WILLIAMSBURG VA $12K
BLUE RIDGE MT. VOLUNTEER FIRE CO. HARPERS FERRY WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,633 $1.83M
2019 13,465 $2.50M
2020 14,027 $3.23M
2021 11,666 $3.11M
2022 8,523 $1.75M
2023 494 $27K
2024 2,723 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 12,375 7,376 $9.22M
S9343 Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 1,612 957 $1.07M
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 836 319 $1.04M
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2,525 1,443 $429K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 12,868 3,598 $180K
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 1,062 382 $140K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 8,819 2,598 $98K
S9338 Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 498 194 $91K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 10,713 3,977 $81K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 3,446 1,268 $49K
Q5001 Hospice or home health care provided in patient's home/residence 4,291 3,423 $15K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 291 193 $15K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 2,511 822 $11K
99602 Nursing care in home rn 49 27 $7K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes 104 26 $4K
99601 106 54 $360.76
G0158 Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes 146 51 $30.40
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes 49 36 $18.90
1AA11 175 149 $0.00
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 55 13 $0.00