Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SENTARA HOSPITALS

General Acute Care Hospital·HAMPTON, VA·NPI: 1336109107Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $78.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$78.5M

$78,521,363

Total Claims

2.0M

Beneficiaries

1.4M

1.4 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$4.6M
+51%
2019
$7.0M
+37%
2020
$9.5M
+30%
2021
$12.4M
+17%
2022
$14.4M
+30%
2023
$18.8M
-37%
2024
$11.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 26% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$20.7M

129K claims · 26.4%

Your Cost: $160.58/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$11.5M

71K claims · 14.6%

Your Cost: $161.75/claim|Median: $69.51
2.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$8.5M

31K claims · 10.8%

Your Cost: $276.63/claim|Median: $38.92
7.1× median
99282Top 10%

Emergency dept visit, low complexity

$6.5M

41K claims · 8.3%

Your Cost: $156.40/claim|Median: $37.72
4.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.4M

32K claims · 6.9%

Your Cost: $167.54/claim|Median: $85.65
2.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.3M

46K claims · 2.9%

Your Cost: $49.71/claim|Median: $24.49
2.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.1M

11K claims · 2.6%

Your Cost: $189.10/claim|Median: $65.76
2.9× median
70450Top 10%

CT head/brain without contrast

$1.9M

10K claims · 2.4%

Your Cost: $186.00/claim|Median: $45.53
4.1× median
92507Top 1%

Speech/hearing/language treatment

$1.4M

7,874 claims · 1.8%

Your Cost: $174.73/claim|Median: $49.45
3.5× median
71275Top 25%

CT angiography, chest, with contrast

$755K

3,080 claims · 1.0%

Your Cost: $245.00/claim|Median: $92.96
2.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$754K

4,337 claims · 1.0%

Your Cost: $173.95/claim|Median: $60.19
2.9× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$722K

6,296 claims · 0.9%

Your Cost: $114.68/claim|Median: $61.57
1.9× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$703K

2,519 claims · 0.9%

Your Cost: $279.07/claim|Median: $54.68
5.1× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$640K

15K claims · 0.8%

Your Cost: $43.39/claim|Median: $10.88
4.0× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$566K

4,296 claims · 0.7%

Your Cost: $131.80/claim|Median: $36.13
3.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$527K

12K claims · 0.7%

Your Cost: $45.57/claim|Median: $35.43
1.3× median
97161Top 10%

Physical therapy evaluation, low complexity

$467K

4,479 claims · 0.6%

Your Cost: $104.32/claim|Median: $47.89
2.2× median
97530Normal range

Therapeutic activities, each 15 min

$461K

14K claims · 0.6%

Your Cost: $33.80/claim|Median: $33.11
1.0× median
70553Top 25%

MRI brain without contrast, then with contrast

$459K

1,466 claims · 0.6%

Your Cost: $312.94/claim|Median: $133.68
2.3× median
G0378Normal range

Hospital observation service, per hour

$442K

1,809 claims · 0.6%

Your Cost: $244.28/claim|Median: $99.39
2.5× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$420K

2,107 claims · 0.5%

Your Cost: $199.41/claim|Median: $40.12
5.0× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$387K

4,860 claims · 0.5%

Your Cost: $79.57/claim|Median: $54.77
1.5× median
76642Top 10%

$365K

3,669 claims · 0.5%

Your Cost: $99.54/claim|Median: $32.06
3.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$330K

18K claims · 0.4%

Your Cost: $18.63/claim|Median: $20.04
0.9× median
97162Top 10%

PT evaluation, moderate complexity

$298K

2,985 claims · 0.4%

Your Cost: $99.72/claim|Median: $46.10
2.2× median
J3490Normal range

Unclassified drugs

$295K

227K claims · 0.4%

Your Cost: $1.30/claim|Median: $5.70
0.2× median
10060Normal range

Incision and drainage of abscess, simple

$290K

2,327 claims · 0.4%

Your Cost: $124.49/claim|Median: $75.72
1.6× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$281K

7,213 claims · 0.4%

Your Cost: $38.92/claim|Median: $21.41
1.8× median
71046Normal range

Chest X-ray, 2 views

$268K

49K claims · 0.3%

Your Cost: $5.47/claim|Median: $8.92
0.6× median
99281Top 25%

Emergency dept visit, minimal complexity

$260K

1,819 claims · 0.3%

Your Cost: $143.19/claim|Median: $52.03
2.8× median
12001Top 25%

$259K

1,223 claims · 0.3%

Your Cost: $211.76/claim|Median: $64.99
3.3× median
72148Normal range

MRI lumbar spine without contrast

$254K

1,445 claims · 0.3%

Your Cost: $175.70/claim|Median: $101.03
1.7× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$254K

1,889 claims · 0.3%

Your Cost: $134.21/claim|Median: $37.81
3.5× median
G0463Normal range

Hospital outpatient clinic visit

$244K

22K claims · 0.3%

Your Cost: $11.22/claim|Median: $26.41
0.4× median
71260Normal range

CT chest with contrast

$229K

2,410 claims · 0.3%

Your Cost: $94.83/claim|Median: $48.36
2.0× median
70551Top 25%

MRI brain without contrast

$223K

1,044 claims · 0.3%

Your Cost: $213.50/claim|Median: $85.39
2.5× median
76705Top 25%

Ultrasound, abdominal, limited

$219K

2,595 claims · 0.3%

Your Cost: $84.39/claim|Median: $23.81
3.5× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$216K

2,597 claims · 0.3%

Your Cost: $83.12/claim|Median: $25.43
3.3× median
76830Normal range

Ultrasound, transvaginal

$211K

2,711 claims · 0.3%

Your Cost: $77.68/claim|Median: $57.47
1.4× median
80048Normal range

Basic metabolic panel

$209K

59K claims · 0.3%

Your Cost: $3.54/claim|Median: $5.78
0.6× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$200K

3,331 claims · 0.3%

Your Cost: $60.09/claim|Median: $39.70
1.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$189K

4,262 claims · 0.2%

Your Cost: $44.39/claim|Median: $58.16
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$186K

15K claims · 0.2%

Your Cost: $12.17/claim|Median: $16.79
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$179K

7,559 claims · 0.2%

Your Cost: $23.73/claim|Median: $39.33
0.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$177K

1,297 claims · 0.2%

Your Cost: $136.43/claim|Median: $12.93
10.6× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$173K

351 claims · 0.2%

Your Cost: $494.20/claim|Median: $106.14
4.7× median
76856Normal range

Ultrasound, pelvic, complete

$158K

2,727 claims · 0.2%

Your Cost: $58.11/claim|Median: $47.58
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$153K

19K claims · 0.2%

Your Cost: $8.07/claim|Median: $23.39
0.3× median
0240UNormal range

$122K

2,166 claims · 0.2%

Your Cost: $56.54/claim|Median: $89.76
0.6× median
29125Top 25%

$122K

838 claims · 0.2%

Your Cost: $145.16/claim|Median: $28.04
5.2× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Virginia →How we detect fraud →