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SENTARA HOSPITALS

General Acute Care Hospital·SUFFOLK, VA·NPI: 1376540138Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$57.8M

$57,848,042

Total Claims

1.7M

Beneficiaries

1.2M

1.4 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+60%
2019
$5.1M
+50%
2020
$7.7M
+21%
2021
$9.3M
+13%
2022
$10.5M
+32%
2023
$13.9M
-42%
2024
$8.0M

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 19% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$11.1M

69K claims · 19.3%

Your Cost: $161.62/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$8.2M

53K claims · 14.1%

Your Cost: $153.87/claim|Median: $69.51
2.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$6.6M

24K claims · 11.5%

Your Cost: $271.97/claim|Median: $38.92
7.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.8M

32K claims · 8.3%

Your Cost: $151.90/claim|Median: $85.65
1.8× median
99282Top 10%

Emergency dept visit, low complexity

$3.1M

20K claims · 5.3%

Your Cost: $151.83/claim|Median: $37.72
4.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.5M

49K claims · 4.3%

Your Cost: $50.21/claim|Median: $24.49
2.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.4M

14K claims · 4.1%

Your Cost: $171.95/claim|Median: $65.76
2.6× median
70450Top 25%

CT head/brain without contrast

$2.1M

13K claims · 3.6%

Your Cost: $163.09/claim|Median: $45.53
3.6× median
71275Top 25%

CT angiography, chest, with contrast

$1.1M

4,896 claims · 1.9%

Your Cost: $225.43/claim|Median: $92.96
2.4× median
G0378Normal range

Hospital observation service, per hour

$785K

4,234 claims · 1.4%

Your Cost: $185.31/claim|Median: $99.39
1.9× median
96360Top 25%

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

$764K

6,321 claims · 1.3%

Your Cost: $120.79/claim|Median: $61.57
2.0× median
97530Normal range

Therapeutic activities, each 15 min

$723K

20K claims · 1.2%

Your Cost: $36.71/claim|Median: $33.11
1.1× median
92507Top 1%

Speech/hearing/language treatment

$672K

2,857 claims · 1.2%

Your Cost: $235.14/claim|Median: $49.45
4.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$665K

4,201 claims · 1.1%

Your Cost: $158.33/claim|Median: $60.19
2.6× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$649K

2,430 claims · 1.1%

Your Cost: $267.12/claim|Median: $54.68
4.9× median
59025Top 5%

Fetal non-stress test

$553K

3,003 claims · 1.0%

Your Cost: $184.23/claim|Median: $26.45
7.0× median
97161Top 10%

Physical therapy evaluation, low complexity

$548K

4,963 claims · 0.9%

Your Cost: $110.42/claim|Median: $47.89
2.3× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$458K

823 claims · 0.8%

Your Cost: $557.06/claim|Median: $106.14
5.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$442K

11K claims · 0.8%

Your Cost: $41.31/claim|Median: $10.88
3.8× median
96366Top 25%

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

$403K

1,903 claims · 0.7%

Your Cost: $211.85/claim|Median: $40.12
5.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$399K

9,107 claims · 0.7%

Your Cost: $43.79/claim|Median: $35.43
1.2× median
96365Normal range

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

$376K

4,541 claims · 0.6%

Your Cost: $82.74/claim|Median: $54.77
1.5× median
J3490Normal range

Unclassified drugs

$317K

201K claims · 0.5%

Your Cost: $1.58/claim|Median: $5.70
0.3× median
70553Top 25%

MRI brain without contrast, then with contrast

$302K

1,075 claims · 0.5%

Your Cost: $281.32/claim|Median: $133.68
2.1× median
72148Top 25%

MRI lumbar spine without contrast

$302K

1,556 claims · 0.5%

Your Cost: $194.09/claim|Median: $101.03
1.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$291K

19K claims · 0.5%

Your Cost: $15.00/claim|Median: $20.04
0.7× median
80048Normal range

Basic metabolic panel

$258K

70K claims · 0.4%

Your Cost: $3.70/claim|Median: $5.78
0.6× median
76705Top 25%

Ultrasound, abdominal, limited

$239K

2,867 claims · 0.4%

Your Cost: $83.22/claim|Median: $23.81
3.5× median
97162Top 25%

PT evaluation, moderate complexity

$223K

2,810 claims · 0.4%

Your Cost: $79.27/claim|Median: $46.10
1.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$217K

14K claims · 0.4%

Your Cost: $15.18/claim|Median: $16.79
0.9× median
71046Normal range

Chest X-ray, 2 views

$209K

32K claims · 0.4%

Your Cost: $6.44/claim|Median: $8.92
0.7× median
70551Normal range

MRI brain without contrast

$199K

1,115 claims · 0.3%

Your Cost: $178.91/claim|Median: $85.39
2.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$197K

5,995 claims · 0.3%

Your Cost: $32.80/claim|Median: $39.33
0.8× median
99281Top 25%

Emergency dept visit, minimal complexity

$190K

1,212 claims · 0.3%

Your Cost: $156.75/claim|Median: $52.03
3.0× median
0240UNormal range

$186K

3,064 claims · 0.3%

Your Cost: $60.77/claim|Median: $89.76
0.7× median
G0463Normal range

Hospital outpatient clinic visit

$174K

13K claims · 0.3%

Your Cost: $13.16/claim|Median: $26.41
0.5× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$174K

2,290 claims · 0.3%

Your Cost: $76.00/claim|Median: $25.43
3.0× median
76642Top 10%

$169K

1,651 claims · 0.3%

Your Cost: $102.51/claim|Median: $32.06
3.2× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$164K

4,515 claims · 0.3%

Your Cost: $36.32/claim|Median: $21.41
1.7× median
71260Normal range

CT chest with contrast

$164K

2,514 claims · 0.3%

Your Cost: $65.06/claim|Median: $48.36
1.3× median
76830Normal range

Ultrasound, transvaginal

$160K

2,136 claims · 0.3%

Your Cost: $74.94/claim|Median: $57.47
1.3× median
10060Normal range

Incision and drainage of abscess, simple

$155K

1,464 claims · 0.3%

Your Cost: $106.15/claim|Median: $75.72
1.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$150K

1,284 claims · 0.3%

Your Cost: $116.52/claim|Median: $36.13
3.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$132K

1,761 claims · 0.2%

Your Cost: $74.78/claim|Median: $91.47
0.8× median
99291Top 25%

Critical care, first 30-74 minutes

$130K

675 claims · 0.2%

Your Cost: $193.10/claim|Median: $101.24
1.9× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$126K

2,550 claims · 0.2%

Your Cost: $49.58/claim|Median: $39.70
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$126K

3,236 claims · 0.2%

Your Cost: $38.86/claim|Median: $47.65
0.8× median
72141Top 25%

MRI of cervical spine without contrast

$125K

602 claims · 0.2%

Your Cost: $207.12/claim|Median: $112.68
1.8× median
93017Normal range

$125K

1,658 claims · 0.2%

Your Cost: $75.18/claim|Median: $56.03
1.3× median
73721Normal range

MRI joint of lower extremity without contrast

$123K

596 claims · 0.2%

Your Cost: $206.49/claim|Median: $127.34
1.6× median