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 Physician Partners, LLC (NPI 1215264916)

Inova Physician Partners, LLC is a family medicine physician provider located in Chantilly, Virginia. This profile covers 0 Medicare and 32 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 Physician Partners, LLC
Address	3914 Centreville Rd
City	Chantilly
State	VA
ZIP	20151
Taxonomy	Family Medicine Physician
NPI Enumerated	November 17, 2009

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	98,600	$70	$7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	32,520	$50	$1.7M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,180	$100	$115.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	2,320	$20	$37.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	250	$100	$24K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	330	$60	$20.6K
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…	460	$40	$16.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	150	$90	$14.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	3,530	$1	$14.1K
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…	350	$30	$10.9K

Showing 1–10 of 32

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 Physician Partners, LLC — 2 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

32 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…	287	400	1,910	$50	$412.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	23	3,520	370	$70	$280.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	84	4,010	290	$50	$199.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	102	610	150	$90	$104K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	342	970	100	$100	$87.1K
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…	139	210	1,320	$20	$81.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	282	1,000	100	$70	$81.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	186	200	370	$30	$58.8K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	25	30	230	$50	$34.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	89	200	80	$80	$31.3K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Xiaoping Zhou	VA	Anatomic Pathology & Clinical Pathology Physician	$968.4K	$59.3K
Ivan Sabio	MD	Internal Medicine Physician	$172.7K	$0
Andrew Golden	TN	Anatomic Pathology & Clinical Pathology Physician	$127.8K	$0
Erica Campbell	VA	Geriatric Medicine (Family Medicine) Physician	$115.5K	$0
Peter Macarthur	VA	Family Medicine Physician	$107.2K	$0
Sonia Gill	VA	Clinical Neurophysiology Physician	$75.9K	$0
Sonya Almond	VA	Nurse Practitioner	$41.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Nichols Institute, Inc.	VA	Clinical Medical Laboratory	$2.3M	$46.9M
Community Residences, Inc	VA	Adult Care Home Facility	$0	$33.7M
Love Hand Home Health, Inc	VA	Personal Care Attendant	$0	$25.3M
Eden Home Care LLC	VA	Home Health Agency	$0	$20.9M
Prima Home Health, Inc	VA	Home Health Agency	$0	$14.5M
Infuscience, LLC	VA	Home Infusion Therapy Pharmacy	$0	$9.7M
Angel Senior Home Care LLC	VA	Home Health Agency	$0	$9.1M
Agape Health Management Inc	VA	Adult Day Care Clinic/Center	$0	$7.7M
Microgen Health, Inc	VA	Clinical Medical Laboratory	$4.3M	$2.1M
Community Residences, Inc.	VA	Developmentally Disabled Services Day Training Agency	$0	$6.1M

Inova Physician Partners, LLC — Billing Profile & Reimbursement Data

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Inova Physician Partners, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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