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 1760513980)

Inova Health Care Services is a general acute care hospital provider located in Fairfax, Virginia. This profile covers 0 Medicare and 241 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	3600 Joseph Siewick Dr
City	Fairfax
State	VA
ZIP	22033
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$33.5M
Medicare	$0

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

241 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,400	$210	$5.2M
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.	27,480	$190	$5.1M
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.	14,040	$300	$4.2M
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.	9,440	$210	$2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,460	$1,390	$2M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	3,960	$500	$2M
G0378	Hospital observation service, per hour	7,310	$190	$1.4M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,580	$630	$992.3K
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.	5,480	$180	$964.5K
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.	5,790	$160	$903.6K

Showing 1–10 of 241

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 — 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

241 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.	26	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	53	70	3,200	$110	$2.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	9	30	600	$1,370	$1.7M
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.	85	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.	57	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.	57	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	23	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.	63	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.	61	180	2,950	$140	$783.2K
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.	60	170	3,390	$100	$658.8K

Showing 1–10 of 241

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trusted Doctors LLC	VA	Pediatrics Physician	$0	$13.6M
Apollo Home Healthcare LLC	VA	Home Health Agency	$0	$12.2M
Daniel Chong	VA	Hematology & Oncology Physician	$1.1M	$0
Northern Virginia Surgery Center LLC	VA	Ambulatory Surgical Clinic/Center	$953.6K	$54.4K
Metropolitan Laboratory Services Inc	VA	Clinical Medical Laboratory	$878.7K	$63.4K
Jeffrey Scott	VA	MOHS-Micrographic Surgery Physician	$875.4K	$0
Malgorzata Gradzka	VA	Rheumatology Physician	$764.7K	$0
Bradley Boyd	VA	Orthopaedic Surgery Physician	$573.8K	$0
Mitchell Stashower	VA	Specialist	$379.6K	$0
Kathy Tieu	VA	Dermatology Physician	$376.2K	$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	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