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

SENTARA HOSPITALS

General Acute Care Hospital·WILLIAMSBURG, VA·NPI: 1619938149Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$21.9M

$21,894,104

Total Claims

532K

Beneficiaries

344K

1.5 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+51%
2019
$1.9M
+35%
2020
$2.6M
+31%
2021
$3.4M
+20%
2022
$4.1M
+20%
2023
$4.9M
-25%
2024
$3.7M

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 18% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.0M

25K claims · 18.2%

Your Cost: $161.87/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.5M

15K claims · 11.3%

Your Cost: $162.49/claim|Median: $69.51
2.3× median
96361Top 10%

IV infusion, hydration, each additional hour

$2.5M

8,391 claims · 11.2%

Your Cost: $292.93/claim|Median: $38.92
7.5× median
92507Top 5%

Speech/hearing/language treatment

$1.5M

10K claims · 6.9%

Your Cost: $149.10/claim|Median: $49.45
3.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

8,711 claims · 6.3%

Your Cost: $158.48/claim|Median: $85.65
1.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.4M

25K claims · 6.2%

Your Cost: $53.44/claim|Median: $24.49
2.2× median
99282Top 10%

Emergency dept visit, low complexity

$1.0M

6,679 claims · 4.7%

Your Cost: $153.80/claim|Median: $37.72
4.1× median
97530Normal range

Therapeutic activities, each 15 min

$707K

15K claims · 3.2%

Your Cost: $47.00/claim|Median: $33.11
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$619K

2,987 claims · 2.8%

Your Cost: $207.32/claim|Median: $65.76
3.2× median
70450Top 10%

CT head/brain without contrast

$580K

3,280 claims · 2.7%

Your Cost: $176.93/claim|Median: $45.53
3.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$561K

427 claims · 2.6%

Your Cost: $1,313.86/claim|Median: $763.43
1.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$379K

1,131 claims · 1.7%

Your Cost: $335.12/claim|Median: $54.68
6.1× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$372K

2,731 claims · 1.7%

Your Cost: $136.04/claim|Median: $36.13
3.8× median
96360Top 25%

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

$362K

3,073 claims · 1.7%

Your Cost: $117.87/claim|Median: $61.57
1.9× median
97161Top 10%

Physical therapy evaluation, low complexity

$316K

2,901 claims · 1.4%

Your Cost: $108.87/claim|Median: $47.89
2.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$312K

11K claims · 1.4%

Your Cost: $27.88/claim|Median: $20.04
1.4× median
G0378Normal range

Hospital observation service, per hour

$310K

1,148 claims · 1.4%

Your Cost: $269.62/claim|Median: $99.39
2.7× median
71275Top 25%

CT angiography, chest, with contrast

$263K

1,028 claims · 1.2%

Your Cost: $255.53/claim|Median: $92.96
2.7× median
59025Top 5%

Fetal non-stress test

$259K

1,381 claims · 1.2%

Your Cost: $187.74/claim|Median: $26.45
7.1× median
74176Top 25%

CT abdomen and pelvis without contrast

$220K

1,194 claims · 1.0%

Your Cost: $184.65/claim|Median: $60.19
3.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$190K

12K claims · 0.9%

Your Cost: $15.91/claim|Median: $16.79
0.9× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$171K

3,894 claims · 0.8%

Your Cost: $44.01/claim|Median: $10.88
4.0× median
96365Normal range

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

$170K

1,966 claims · 0.8%

Your Cost: $86.37/claim|Median: $54.77
1.6× median
43239Top 5%

Upper GI endoscopy with biopsy

$149K

212 claims · 0.7%

Your Cost: $702.38/claim|Median: $151.68
4.6× median
J3490Normal range

Unclassified drugs

$140K

76K claims · 0.6%

Your Cost: $1.85/claim|Median: $5.70
0.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$120K

2,643 claims · 0.5%

Your Cost: $45.44/claim|Median: $35.43
1.3× median
0240UNormal range

$119K

2,138 claims · 0.5%

Your Cost: $55.54/claim|Median: $89.76
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$94K

1,669 claims · 0.4%

Your Cost: $56.31/claim|Median: $91.47
0.6× median
G0463Normal range

Hospital outpatient clinic visit

$72K

5,482 claims · 0.3%

Your Cost: $13.13/claim|Median: $26.41
0.5× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$70K

1,782 claims · 0.3%

Your Cost: $39.39/claim|Median: $21.41
1.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$70K

2,125 claims · 0.3%

Your Cost: $32.71/claim|Median: $39.33
0.8× median
80053Normal range

Comprehensive metabolic panel

$68K

18K claims · 0.3%

Your Cost: $3.88/claim|Median: $7.24
0.5× median
96366Top 10%

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

$68K

284 claims · 0.3%

Your Cost: $239.34/claim|Median: $40.12
6.0× median
97162Top 10%

PT evaluation, moderate complexity

$68K

616 claims · 0.3%

Your Cost: $109.89/claim|Median: $46.10
2.4× median
71046Normal range

Chest X-ray, 2 views

$53K

5,727 claims · 0.2%

Your Cost: $9.32/claim|Median: $8.92
1.0× median
80048Normal range

Basic metabolic panel

$43K

7,756 claims · 0.2%

Your Cost: $5.54/claim|Median: $5.78
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$38K

12K claims · 0.2%

Your Cost: $3.10/claim|Median: $7.50
0.4× median
76642Top 10%

$36K

333 claims · 0.2%

Your Cost: $109.01/claim|Median: $32.06
3.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$28K

620 claims · 0.1%

Your Cost: $44.57/claim|Median: $39.70
1.1× median
59050Top 25%

$27K

129 claims · 0.1%

Your Cost: $211.84/claim|Median: $68.34
3.1× median
97116Normal range

Gait training

$25K

1,102 claims · 0.1%

Your Cost: $22.70/claim|Median: $12.48
1.8× median
99213Top 5%

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

$24K

170 claims · 0.1%

Your Cost: $142.34/claim|Median: $37.81
3.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$24K

23K claims · 0.1%

Your Cost: $1.05/claim|Median: $4.71
0.2× median
97535Normal range

Self-care/home management training, per 15 minutes

$24K

823 claims · 0.1%

Your Cost: $28.86/claim|Median: $18.18
1.6× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$24K

1,113 claims · 0.1%

Your Cost: $21.25/claim|Median: $60.05
0.4× median
83880Normal range

$24K

2,260 claims · 0.1%

Your Cost: $10.45/claim|Median: $11.81
0.9× median
69436Top 5%

Tympanostomy, general anesthesia

$22K

15 claims · 0.1%

Your Cost: $1,458.41/claim|Median: $205.50
7.1× median
G0283Top 5%

$19K

758 claims · 0.1%

Your Cost: $25.70/claim|Median: $3.52
7.3× median
45380Top 5%

Colonoscopy with biopsy

$19K

25 claims · 0.1%

Your Cost: $750.86/claim|Median: $200.68
3.7× median
72148Top 25%

MRI lumbar spine without contrast

$19K

94 claims · 0.1%

Your Cost: $198.08/claim|Median: $101.03
2.0× median