Agency
Sentara Enterprises
Sentara Enterprises was paid $12.45M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 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 — 74% of everything it billed.
33Billing provider infoSENTARA ENTERPRISES
CHESAPEAKE, VA 23320
CHESAPEAKE, VA 23320
33aNPI1992741060assigned 06/20/2006
33bProvider typeHome Health Agency
28Total paid$12.45M
24GClaims62,531
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Virginia
Rank by total paid#75 of 678
Median peer was paid$1.59M
This provider vs. median7.8×
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 | 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 | |
| 2024incomplete | 2,723 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 74% | 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 | 8.6% | 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 | 8.4% | 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 | 3.4% | 2,525 | 1,443 | $429K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 1.4% | 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 | 1.1% | 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 | <1% | 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 | <1% | 498 | 194 | $91K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 10,713 | 3,977 | $81K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | <1% | 3,446 | 1,268 | $49K |
| Q5001 | Hospice or home health care provided in patient's home/residence | <1% | 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 | <1% | 291 | 193 | $15K |
8 more codes
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | <1% | 2,511 | $11K |
| 99602 | Nursing care in home rn | <1% | 49 | $7K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | <1% | 104 | $4K |
| 99601 | <1% | 106 | $360.76 | |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | <1% | 146 | $30.40 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 49 | $18.90 |
| 1AA11 | 0% | 175 | $0.00 | |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 55 | $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 officialEDWARDS, TERESA (PRESIDENT)
Parent organizationSENTARA ENTERPRISES
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.