Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sentara Enterprises (NPI 1174693592)

Field	Value
Entity Type	Organization
Organization	Sentara Enterprises
Address	535 Independence Pkwy
City	Chesapeake
State	VA
ZIP	23320
Taxonomy	Home Infusion Agency
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$38.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2357	Injection, omalizumab, 5 mg	3,420	$2,940	$10.1M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	2,440	$2,680	$6.5M
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	15,810	$350	$5.5M
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	1,220	$2,950	$3.6M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	16,970	$120	$2.1M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	4,240	$410	$1.7M
J1950	Injection, leuprolide acetate (for depot suspension), per 3.75 mg	350	$4,160	$1.4M
S9343	Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	3,510	$290	$1M
J0401	Injection, aripiprazole (abilify maintena), 1 mg	490	$2,030	$988.2K
J2315	Injection, naltrexone, depot form, 1 mg	770	$1,220	$937.5K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Sentara Enterprises — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	1	10	1,220	$2,950	$3.6M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	1	10	60	$2,630	$2.2M
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	1	20	1,070	$370	$1.6M
J2357	Injection, omalizumab, 5 mg	2	10	830	$990	$1.2M
J0585	Injection, onabotulinumtoxina, 1 unit	8	20	750	$540	$871.7K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	10	10	2,250	$220	$829.7K
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	4	20	1,760	$240	$807.1K
J2794	Injection, risperidone (risperdal consta), 0.5 mg	1	10	420	$1,510	$626.4K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	2	30	1,100	$100	$553.7K
J0401	Injection, aripiprazole (abilify maintena), 1 mg	1	10	260	$1,950	$503.9K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sentara Enterprises, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Enterprises	VA	Home Health Agency	$0	$12.5M

Nearby Providers

Other providers in the same ZIP code as Sentara Enterprises, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chesapeake Hospital Authority	VA	General Acute Care Hospital	$0	$45.6M
Hnh Virginia, Inc.	VA	Home Health Agency	$0	$42.9M
Gateway Services, LLC	VA	Community/Behavioral Health Agency	$0	$39.8M
City Of Chesapeake	VA	Community/Behavioral Health Agency	$0	$27.4M
Clients First Home Health Inc.	VA	Home Health Agency	$0	$24.8M
Immanual Care	VA	Home Health Agency	$0	$23M
Y Christian Care LLC	VA	Home Health Agency	$0	$18.7M
Renaissance Counseling Services, LLC	VA	Community/Behavioral Health Agency	$0	$10.8M
Kynd Hearts Home Health Care	VA	Home Health Agency	$0	$10.6M
A Kings Touch Home Health Care, LLC	VA	Home Health Agency	$0	$8.1M

Sentara Enterprises — Billing Profile & Reimbursement Data

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Sentara Enterprises — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References