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

SENTARA HOSPITALS

General Acute Care Hospital·NORFOLK, VA·NPI: 1811957681Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $79.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$79.7M

$79,685,069

Total Claims

2.3M

Beneficiaries

1.5M

1.5 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+95%
2019
$6.3M
+67%
2020
$10.5M
+20%
2021
$12.6M
+18%
2022
$14.9M
+35%
2023
$20.2M
-41%
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 16% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$12.6M

79K claims · 15.8%

Your Cost: $159.49/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$10.6M

66K claims · 13.3%

Your Cost: $159.43/claim|Median: $69.51
2.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$9.2M

33K claims · 11.5%

Your Cost: $277.90/claim|Median: $38.92
7.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$6.7M

40K claims · 8.4%

Your Cost: $167.47/claim|Median: $85.65
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$3.3M

22K claims · 4.1%

Your Cost: $144.92/claim|Median: $37.72
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$3.0M

17K claims · 3.8%

Your Cost: $179.20/claim|Median: $65.76
2.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.8M

58K claims · 3.5%

Your Cost: $48.21/claim|Median: $24.49
2.0× median
70450Top 25%

CT head/brain without contrast

$2.6M

17K claims · 3.3%

Your Cost: $159.99/claim|Median: $45.53
3.5× median
92507Top 5%

Speech/hearing/language treatment

$2.3M

18K claims · 2.9%

Your Cost: $127.18/claim|Median: $49.45
2.6× median
G0378Normal range

Hospital observation service, per hour

$1.8M

7,587 claims · 2.3%

Your Cost: $236.99/claim|Median: $99.39
2.4× median
78815Top 25%

PET imaging for limited area

$1.5M

1,763 claims · 1.9%

Your Cost: $843.07/claim|Median: $325.10
2.6× median
71275Top 25%

CT angiography, chest, with contrast

$1.4M

6,055 claims · 1.8%

Your Cost: $234.71/claim|Median: $92.96
2.5× median
59025Top 5%

Fetal non-stress test

$1.2M

6,057 claims · 1.5%

Your Cost: $190.91/claim|Median: $26.45
7.2× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

25K claims · 1.4%

Your Cost: $45.06/claim|Median: $33.11
1.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$904K

5,691 claims · 1.1%

Your Cost: $158.89/claim|Median: $60.19
2.6× median
96360Normal range

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

$858K

8,220 claims · 1.1%

Your Cost: $104.33/claim|Median: $61.57
1.7× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$811K

3,341 claims · 1.0%

Your Cost: $242.86/claim|Median: $54.68
4.4× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$766K

1,330 claims · 1.0%

Your Cost: $575.97/claim|Median: $106.14
5.4× median
96366Top 25%

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

$711K

3,375 claims · 0.9%

Your Cost: $210.72/claim|Median: $40.12
5.3× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$670K

13K claims · 0.8%

Your Cost: $49.96/claim|Median: $10.88
4.6× median
97161Top 25%

Physical therapy evaluation, low complexity

$566K

6,608 claims · 0.7%

Your Cost: $85.61/claim|Median: $47.89
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$511K

11K claims · 0.6%

Your Cost: $46.68/claim|Median: $35.43
1.3× median
J3490Normal range

Unclassified drugs

$501K

331K claims · 0.6%

Your Cost: $1.51/claim|Median: $5.70
0.3× median
96365Normal range

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

$435K

5,996 claims · 0.5%

Your Cost: $72.49/claim|Median: $54.77
1.3× median
70553Top 25%

MRI brain without contrast, then with contrast

$392K

1,388 claims · 0.5%

Your Cost: $282.58/claim|Median: $133.68
2.1× median
58661Top 25%

$379K

123 claims · 0.5%

Your Cost: $3,083.36/claim|Median: $1,598.21
1.9× median
76642Top 25%

$364K

3,782 claims · 0.5%

Your Cost: $96.16/claim|Median: $32.06
3.0× median
76705Top 25%

Ultrasound, abdominal, limited

$336K

4,211 claims · 0.4%

Your Cost: $79.86/claim|Median: $23.81
3.4× median
71260Normal range

CT chest with contrast

$320K

3,689 claims · 0.4%

Your Cost: $86.70/claim|Median: $48.36
1.8× median
80048Normal range

Basic metabolic panel

$317K

94K claims · 0.4%

Your Cost: $3.39/claim|Median: $5.78
0.6× median
97162Top 25%

PT evaluation, moderate complexity

$302K

3,135 claims · 0.4%

Your Cost: $96.21/claim|Median: $46.10
2.1× median
70551Normal range

MRI brain without contrast

$295K

1,679 claims · 0.4%

Your Cost: $175.61/claim|Median: $85.39
2.1× median
43239Top 10%

Upper GI endoscopy with biopsy

$284K

531 claims · 0.4%

Your Cost: $534.14/claim|Median: $151.68
3.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$265K

21K claims · 0.3%

Your Cost: $12.35/claim|Median: $16.79
0.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$244K

11K claims · 0.3%

Your Cost: $22.68/claim|Median: $20.04
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$243K

17K claims · 0.3%

Your Cost: $13.93/claim|Median: $26.41
0.5× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$242K

6,251 claims · 0.3%

Your Cost: $38.64/claim|Median: $21.41
1.8× median
70491Normal range

$226K

1,277 claims · 0.3%

Your Cost: $176.79/claim|Median: $98.20
1.8× median
71046Normal range

Chest X-ray, 2 views

$220K

38K claims · 0.3%

Your Cost: $5.83/claim|Median: $8.92
0.7× median
97597Top 25%

$216K

4,386 claims · 0.3%

Your Cost: $49.28/claim|Median: $21.22
2.3× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$216K

2,972 claims · 0.3%

Your Cost: $72.56/claim|Median: $25.43
2.9× median
76830Normal range

Ultrasound, transvaginal

$215K

3,155 claims · 0.3%

Your Cost: $68.27/claim|Median: $57.47
1.2× median
72148Normal range

MRI lumbar spine without contrast

$215K

1,420 claims · 0.3%

Your Cost: $151.53/claim|Median: $101.03
1.5× median
45380Top 5%

Colonoscopy with biopsy

$197K

227 claims · 0.2%

Your Cost: $868.50/claim|Median: $200.68
4.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$194K

1,335 claims · 0.2%

Your Cost: $145.37/claim|Median: $52.03
2.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$190K

7,312 claims · 0.2%

Your Cost: $25.99/claim|Median: $39.33
0.7× median
0240UNormal range

$188K

3,475 claims · 0.2%

Your Cost: $54.08/claim|Median: $89.76
0.6× median
10060Normal range

Incision and drainage of abscess, simple

$182K

1,651 claims · 0.2%

Your Cost: $110.30/claim|Median: $75.72
1.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$174K

4,126 claims · 0.2%

Your Cost: $42.18/claim|Median: $58.16
0.7× median
71250Normal range

CT scan of chest without contrast

$169K

3,011 claims · 0.2%

Your Cost: $56.19/claim|Median: $39.11
1.4× median