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 1255684460)

Field	Value
Entity Type	Organization
Organization	Inova Health Care Services
Address	4320 Seminary Rd
City	Alexandria
State	VA
ZIP	22304
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 25, 2012

Payer Source	Total Paid
Medicaid	$69M
Medicare	$0

Key Findings

INOVA HEALTH CARE SERVICES reports no Medicare billing on file and $69M in lifetime Medicaid revenue, making its observable payer footprint effectively single-payer (Medicaid) in the available data. This concentration means analyses of utilization and reimbursement should be read through a Medicaid-only lens rather than a mixed Medicare/Medicaid comparison.

Revenue concentration is high: the precomputed top three Medicaid codes (99283, 99284, 96361) account for 55.6% of the provider’s total Medicaid revenue, with 99283 at 22.8%, 99284 at 18.8%, and 96361 at 14.0%. This indicates a handful of acute-care service lines drive the majority of billed Medicaid dollars and should be prioritized in contracting or utilization reviews.

The code mix points to an emergency-department and short-stay acute-care operating model: 99283 (71.9K claims), 99284 (52.3K claims) and 99285 (20.8K claims) are all prominent, paired with hospital observation services G0378 (14.4K claims) and G0379 (4.3K claims). Together these codes suggest high ED throughput with substantial downstream observation admissions rather than elective inpatient specialty volume.

Infusion/IV therapy is a material service line: 96361 generated $8.1M from 24.8K claims and additional infusion codes (96360, 96365, 96366) appear across the top 25, indicating frequent use of IV fluids and medication infusions for dehydration and medical management. The prominence of these codes implies significant resource use for nursing/infusion capacity and potential contract sensitivity to infusion reimbursement rates.

INOVA is a major in-state ED provider on several measures: 99283 ranks #19 of 626 providers in-state (97th percentile; notably above typical state volume for this code) and 99284 ranks #28 of 620 (96th percentile). While some high-dollar imaging and procedure codes are described as "typical, unremarkable volume," the ED E/M ranking signals a dominant regional role in urgent care for Medicaid patients.

Imaging and obstetric/ultrasound services are also concentrated: 76700 (abdominal ultrasound) ranks #3 of 90 providers in-state (98th percentile; notably above typical state volume for this code) and 76830 (transvaginal ultrasound) ranks #7 of 206 (97th percentile; notably above typical state volume for this code). Along with CT/MRI volumes (70450, 74177, 74176, 70553, 71275), these data point to substantial diagnostic imaging capacity that supports the ED and obstetrics workflows.

Critical care and higher-acuity services are present but smaller by revenue: 99291 appears with 3K claims and $999.2K revenue (1.7% of Medicaid revenue), indicating that while the hospital treats critically ill patients, the majority of Medicaid billing is driven by ED, observation, infusion and imaging services. This mix suggests operational emphasis on high-volume, shorter-stay encounters rather than long-stay inpatient Medicaid care.

The provider has been enumerated since 2012-10-25 (~14 years ago), establishing more than a decade of Medicaid billing history; combined with $69M in lifetime Medicaid revenue and the concentrated top-code footprint (55.6% from three codes), the organization should be treated as an established, Medicaid-focused acute-care hub where negotiations or utilization management efforts will likely be most impactful when targeted at ED E/M, observation care, infusion services, and diagnostic imaging.

Medicaid: Complete Services Breakdown

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

321 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	71,920	$180	$13.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	52,330	$210	$10.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	24,770	$330	$8.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20,760	$210	$4.4M
G0378	Hospital observation service, per hour	14,370	$210	$3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	12,840	$190	$2.4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	9,950	$190	$1.9M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	8,480	$200	$1.7M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,790	$160	$1.5M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	6,990	$140	$1000K

Showing 1–10 of 321

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 — 6 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

321 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	9	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	39	70	3,200	$110	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	46	340	160	$130	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	36	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	6	80	3,650	$160	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	28	620	70	$120	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	33	180	2,950	$140	$783.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	131	260	3,950	$80	$769.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	26	170	3,390	$100	$658.8K

Showing 1–10 of 321

Related Providers

Other providers that share a Tax Identification Number (TIN) with Inova Health Care Services, ranked by combined Medicare and Medicaid revenue.

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	$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	Physical Therapist	$0	$8.9M
Inova Health Care Services	VA	Magnetic Resonance Imaging (MRI) Clinic/Center	$1.6M	$2.9M
Behdad Aryavand	VA	Vascular Surgery Physician	$1.6M	$0

Nearby Providers

Other providers in the same ZIP code as Inova Health Care Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dependable Home Health Services	VA	Home Health Agency	$0	$19.4M
Hispanic American Pediatric Associates	VA	Primary Care Clinic/Center	$0	$10.5M
All Reliant Homecare, Corp	VA	Personal Care Attendant	$0	$10M
Advanced Dermatology Of Virginia Inc	VA	Dermatology Physician	$0	$9.2M
Rehabilitation Equipment Professionals	VA	Customized Equipment (DME)	$0	$5.8M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Alina Huang	VA	Hematology & Oncology Physician	$1.4M	$0
Jacob Ninan	VA	Hematology & Oncology Physician	$1.1M	$0
Simone Mckitty	VA	Dermatology Physician	$1.1M	$0
Anup Panjwani	VA	Optometrist	$131K	$829.6K

Inova Health Care Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References