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SENTARA HOSPITALS

General Acute Care Hospital·NORFOLK, VA·NPI: 1437119310Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $88.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$88.2M

$88,195,992

Total Claims

4.2M

Beneficiaries

3.1M

1.4 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$5.3M
+57%
2019
$8.3M
+67%
2020
$13.9M
+18%
2021
$16.4M
-6%
2022
$15.5M
+21%
2023
$18.8M
-47%
2024
$10.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 11% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$9.6M

60K claims · 10.9%

Your Cost: $159.98/claim|Median: $69.51
2.3× median
99283Top 10%

Emergency dept visit, moderate complexity

$9.6M

62K claims · 10.9%

Your Cost: $154.15/claim|Median: $42.48
3.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$8.2M

49K claims · 9.2%

Your Cost: $164.98/claim|Median: $85.65
1.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$6.0M

22K claims · 6.9%

Your Cost: $271.02/claim|Median: $38.92
7.0× median
70450Top 10%

CT head/brain without contrast

$3.4M

18K claims · 3.9%

Your Cost: $186.52/claim|Median: $45.53
4.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.0M

64K claims · 3.4%

Your Cost: $47.41/claim|Median: $24.49
1.9× median
99282Top 25%

Emergency dept visit, low complexity

$2.6M

20K claims · 2.9%

Your Cost: $128.72/claim|Median: $37.72
3.4× median
74177Normal range

CT abdomen and pelvis with contrast

$2.3M

17K claims · 2.7%

Your Cost: $138.36/claim|Median: $65.76
2.1× median
78815Top 25%

PET imaging for limited area

$1.8M

2,578 claims · 2.1%

Your Cost: $706.24/claim|Median: $325.10
2.2× median
59025Top 5%

Fetal non-stress test

$1.6M

8,743 claims · 1.8%

Your Cost: $184.88/claim|Median: $26.45
7.0× median
96366Top 10%

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

$1.5M

6,815 claims · 1.7%

Your Cost: $219.43/claim|Median: $40.12
5.5× median
96365Top 25%

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

$1.4M

13K claims · 1.6%

Your Cost: $107.73/claim|Median: $54.77
2.0× median
71275Top 25%

CT angiography, chest, with contrast

$1.4M

5,977 claims · 1.5%

Your Cost: $227.73/claim|Median: $92.96
2.4× median
G0378Normal range

Hospital observation service, per hour

$1.2M

7,015 claims · 1.4%

Your Cost: $177.74/claim|Median: $99.39
1.8× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$979K

4,430 claims · 1.1%

Your Cost: $220.96/claim|Median: $54.68
4.0× median
J2357Normal range

Injection, omalizumab, 5 mg

$956K

3,749 claims · 1.1%

Your Cost: $255.00/claim|Median: $920.37
0.3× median
99214Top 5%

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

$889K

7,169 claims · 1.0%

Your Cost: $123.94/claim|Median: $53.41
2.3× median
Q5104Normal range

$866K

686 claims · 1.0%

Your Cost: $1,262.59/claim|Median: $1,412.69
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$806K

26K claims · 0.9%

Your Cost: $31.57/claim|Median: $35.43
0.9× median
P9016Normal range

$775K

3,916 claims · 0.9%

Your Cost: $197.79/claim|Median: $122.26
1.6× median
70553Top 25%

MRI brain without contrast, then with contrast

$752K

2,675 claims · 0.9%

Your Cost: $281.24/claim|Median: $133.68
2.1× median
96415Top 25%

Chemotherapy infusion, each additional hour

$749K

3,450 claims · 0.8%

Your Cost: $217.11/claim|Median: $43.68
5.0× median
J1459Normal range

$732K

593 claims · 0.8%

Your Cost: $1,234.98/claim|Median: $949.14
1.3× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$635K

12K claims · 0.7%

Your Cost: $53.97/claim|Median: $10.88
5.0× median
96360Normal range

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

$604K

5,600 claims · 0.7%

Your Cost: $107.90/claim|Median: $61.57
1.8× median
97161Top 25%

Physical therapy evaluation, low complexity

$596K

6,814 claims · 0.7%

Your Cost: $87.54/claim|Median: $47.89
1.8× median
36512Top 25%

$558K

447 claims · 0.6%

Your Cost: $1,247.63/claim|Median: $118.48
10.5× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$550K

7,107 claims · 0.6%

Your Cost: $77.37/claim|Median: $38.23
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$547K

3,719 claims · 0.6%

Your Cost: $146.95/claim|Median: $60.19
2.4× median
80048Normal range

Basic metabolic panel

$472K

137K claims · 0.5%

Your Cost: $3.45/claim|Median: $5.78
0.6× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$470K

798 claims · 0.5%

Your Cost: $588.91/claim|Median: $1,587.53
0.4× median
80053Normal range

Comprehensive metabolic panel

$465K

124K claims · 0.5%

Your Cost: $3.73/claim|Median: $7.24
0.5× median
J3490Normal range

Unclassified drugs

$439K

410K claims · 0.5%

Your Cost: $1.07/claim|Median: $5.70
0.2× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$438K

1,017 claims · 0.5%

Your Cost: $430.92/claim|Median: $106.14
4.1× median
90935Top 10%

Hemodialysis, one evaluation

$431K

2,788 claims · 0.5%

Your Cost: $154.43/claim|Median: $23.72
6.5× median
36430Normal range

Transfusion of whole blood

$411K

3,692 claims · 0.5%

Your Cost: $111.30/claim|Median: $111.66
1.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$386K

755 claims · 0.4%

Your Cost: $511.49/claim|Median: $151.68
3.4× median
G0463Normal range

Hospital outpatient clinic visit

$371K

25K claims · 0.4%

Your Cost: $14.59/claim|Median: $26.41
0.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$359K

6,250 claims · 0.4%

Your Cost: $57.45/claim|Median: $75.28
0.8× median
92507Top 25%

Speech/hearing/language treatment

$354K

4,386 claims · 0.4%

Your Cost: $80.79/claim|Median: $49.45
1.6× median
97530Normal range

Therapeutic activities, each 15 min

$344K

10K claims · 0.4%

Your Cost: $32.90/claim|Median: $33.11
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$336K

2,922 claims · 0.4%

Your Cost: $114.87/claim|Median: $25.06
4.6× median
97162Top 10%

PT evaluation, moderate complexity

$332K

3,441 claims · 0.4%

Your Cost: $96.54/claim|Median: $46.10
2.1× median
93458Top 25%

Left heart catheterization with imaging

$326K

237 claims · 0.4%

Your Cost: $1,375.32/claim|Median: $183.33
7.5× median
76705Top 25%

Ultrasound, abdominal, limited

$323K

4,069 claims · 0.4%

Your Cost: $79.37/claim|Median: $23.81
3.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$313K

79K claims · 0.4%

Your Cost: $3.96/claim|Median: $23.39
0.2× median
99213Top 5%

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

$297K

3,255 claims · 0.3%

Your Cost: $91.38/claim|Median: $37.81
2.4× median
76830Normal range

Ultrasound, transvaginal

$289K

3,659 claims · 0.3%

Your Cost: $78.98/claim|Median: $57.47
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$271K

5,313 claims · 0.3%

Your Cost: $51.03/claim|Median: $36.79
1.4× median
72148Normal range

MRI lumbar spine without contrast

$269K

1,681 claims · 0.3%

Your Cost: $159.85/claim|Median: $101.03
1.6× median