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.

Inova Health Care Services (NPI 1043563257)

Inova Health Care Services is a physical therapist provider located in Springfield, Virginia. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Inova Health Care Services
Address	8348 Traford Ln Ste 100
City	Springfield
State	VA
ZIP	22152
Taxonomy	Physical Therapist
NPI Enumerated	October 25, 2012

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	119,720	$70	$7.9M
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	10,360	$70	$725.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	4,160	$30	$116.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	14,140	$1	$56.6K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	2,310	$20	$53K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	16,370	$1	$49.1K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	770	$30	$19.1K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	50	$10	$280
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	250	$0	$0
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	640	$0	$0

Showing 1–10 of 15

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

Inova Health Care Services — 3 of 8 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4	400	1,910	$50	$412.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	147	400	2,060	$60	$407.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	27	200	1,180	$30	$162.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	25	130	520	$90	$144K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	45	120	450	$100	$110.2K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	1	70	200	$110	$102.5K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	11	210	1,320	$20	$81.2K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	32	50	610	$10	$27K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	56	70	390	$10	$17.6K
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	3	50	190	$1	$30

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Systems, Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$75.1M
Aaa Home Health Inc	VA	Home Health Agency	$0	$12.8M
Haresh Ailani	VA	Ophthalmology Physician	$733K	$0
Phuong Mai	VA	Physical Medicine & Rehabilitation Physician	$296.3K	$0
Oral Alpan	VA	Allergy & Immunology Physician	$279.3K	$0
Sumeet Gupta	VA	Ophthalmology Physician	$245.7K	$0
Robert Deangelis	VA	Dermatology Physician	$183.8K	$0
Joshua Oppenheim	VA	Otolaryngology Physician	$100.6K	$0
Christele Behalal-bock	VA	Rheumatology Physician	$82.2K	$0
Richard Gardner	VA	Otolaryngology Physician	$63.4K	$0

Inova Health Care Services — Billing Profile & Reimbursement Data

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Inova Health Care Services — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$176.6M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$69M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$46.9M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$39.3M
Inova Health Care Services	VA	Internal Medicine Physician	$0	$38M
Inova Health Care Services	VA	General Acute Care Hospital	$0	$33.5M
Inova Health Care Services	VA	Clinical Medical Laboratory	$5.4M	$6.8M
Fairfax Radiological Consultants	VA	Specialist	$0	$10.8M
Inova Health Care Services	VA	Magnetic Resonance Imaging (MRI) Clinic/Center	$1.6M	$2.9M
Behdad Aryavand	VA	Vascular Surgery Physician	$1.6M	$0