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SENTARA ENTERPRISES

Home Infusion·CHESAPEAKE, VA·NPI: 1174693592Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.7M

$38,680,415

Total Claims

78K

Beneficiaries

50K

1.6 claims/patient

Avg Cost/Claim

$496

Monthly Spending Trend

Yearly Spending

2018
$8.2M
-10%
2019
$7.4M
-7%
2020
$6.9M
-18%
2021
$5.6M
-21%
2022
$4.4M
-10%
2023
$4.0M
-47%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (J2357 (Injection, omalizumab, 5 mg)) accounts for 26% of total spending.

J2357Top 5%

Injection, omalizumab, 5 mg

$10.1M

3,421 claims · 26.0%

Your Cost: $2,942.14/claim|Median: $920.37
3.2× median
J2426Top 5%

$6.5M

2,439 claims · 16.9%

Your Cost: $2,678.35/claim|Median: $625.59
4.3× median
S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$5.6M

16K claims · 14.3%

Your Cost: $351.14/claim|Median: $176.25
2.0× median
J1726Top 5%

$3.6M

1,220 claims · 9.3%

Your Cost: $2,953.72/claim|Median: $789.74
3.7× median
B4160Normal range

Enteral formula, per 100 calories

$2.1M

17K claims · 5.4%

Your Cost: $123.33/claim|Median: $157.30
0.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.7M

4,238 claims · 4.5%

Your Cost: $410.28/claim|Median: $465.86
0.9× median
J1950Top 10%

Injection, leuprolide acetate, per three point seven five milligrams

$1.4M

348 claims · 3.7%

Your Cost: $4,159.21/claim|Median: $1,442.37
2.9× median
S9343Top 25%

$1.0M

3,511 claims · 2.6%

Your Cost: $288.36/claim|Median: $99.47
2.9× median
J0401Top 10%

$988K

488 claims · 2.6%

Your Cost: $2,024.84/claim|Median: $714.38
2.8× median
J2315Normal range

$937K

771 claims · 2.4%

Your Cost: $1,215.60/claim|Median: $1,045.36
1.2× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$877K

999 claims · 2.3%

Your Cost: $877.94/claim|Median: $470.36
1.9× median
J2794Top 1%

Injection, risperidone, long-acting, per half milligram

$626K

415 claims · 1.6%

Your Cost: $1,509.38/claim|Median: $242.01
6.2× median
90378Top 5%

$548K

144 claims · 1.4%

Your Cost: $3,805.45/claim|Median: $1,627.19
2.3× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$465K

2,433 claims · 1.2%

Your Cost: $191.22/claim|Median: $300.16
0.6× median
99601Normal range

$457K

4,903 claims · 1.2%

Your Cost: $93.26/claim|Median: $82.41
1.1× median
J3490Top 1%

Unclassified drugs

$417K

224 claims · 1.1%

Your Cost: $1,863.30/claim|Median: $5.70
326.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$320K

5,038 claims · 0.8%

Your Cost: $63.56/claim|Median: $92.20
0.7× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$210K

3,854 claims · 0.5%

Your Cost: $54.48/claim|Median: $117.24
0.5× median
B4158Normal range

$194K

1,025 claims · 0.5%

Your Cost: $188.96/claim|Median: $145.71
1.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$160K

3,243 claims · 0.4%

Your Cost: $49.38/claim|Median: $89.79
0.5× median
B4088Normal range

$94K

1,242 claims · 0.2%

Your Cost: $76.07/claim|Median: $73.20
1.0× median
J1725Top 1%

$93K

33 claims · 0.2%

Your Cost: $2,821.82/claim|Median: $1,747.02
1.6× median
B4155Normal range

$71K

2,552 claims · 0.2%

Your Cost: $27.74/claim|Median: $46.72
0.6× median
S9500Top 25%

$65K

267 claims · 0.2%

Your Cost: $241.85/claim|Median: $144.40
1.7× median
B4153Normal range

$31K

150 claims · 0.1%

Your Cost: $209.16/claim|Median: $410.73
0.5× median
B4154Normal range

$23K

230 claims · 0.1%

Your Cost: $98.73/claim|Median: $132.96
0.7× median
S9340Normal range

$19K

55 claims · 0.0%

Your Cost: $341.88/claim|Median: $196.46
1.7× median
B4034Normal range

$18K

1,653 claims · 0.0%

Your Cost: $10.68/claim|Median: $46.28
0.2× median
J7325Top 25%

Synvisc or synvisc-one injection for joint supplementation

$8K

17 claims · 0.0%

Your Cost: $447.91/claim|Median: $85.94
5.2× median
B4102Top 25%

$7K

50 claims · 0.0%

Your Cost: $138.26/claim|Median: $65.22
2.1× median
S9502Top 25%

$7K

23 claims · 0.0%

Your Cost: $293.94/claim|Median: $165.71
1.8× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$3K

203 claims · 0.0%

Your Cost: $13.30/claim|Median: $55.51
0.2× median
B9002Normal range

$88

31 claims · 0.0%

Your Cost: $2.83/claim|Median: $54.41
0.1× median

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