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 1831220714)

Field	Value
Entity Type	Organization
Organization	Inova Health Care Services
Address	3300 Gallows Rd
City	Falls Church
State	VA
ZIP	22042
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$176.6M
Medicare	$0

Key Findings

INOVA HEALTH CARE SERVICES reports no Medicare billing on file and is effectively a Medicaid-focused billing entity, with total Medicaid revenue of $176.6M. The absence of Medicare activity means analyses of payer mix should treat this provider as single-payer (Medicaid) for the available claims data and market comparisons.

Revenue concentration is high: the provider's top three Medicaid codes (99283, 99284, 96361) together account for 47.8% of its total Medicaid revenue. Individually those codes generate $33.5M (99283), $20.1M (99284), and $12.2M (96361), indicating that nearly half of Medicaid revenue is driven by emergency/acute care evaluation and IV rehydration services.

The code mix points to a high-throughput emergency and observation operation with integrated infusion/oncology services. Large volumes of ED E/M codes (99283, 99284, 99285, 99282) plus hospital observation hours (G0378) and multiple infusion/chemotherapy codes (96360, 96361, 96365, 96366, 96413, 96415, J9271) suggest sustained ED demand, frequent short-stay observation use, and a significant ambulatory infusion/oncology program.

INOVA is a dominant statewide performer on several high-volume Medicaid codes: 99283 ranks #2 of 626 providers in-state (100th percentile; extreme outlier) and 99284 ranks #11 of 620 (98th percentile; notably above typical). The provider also ranks highly for infusion and dehydration-related codes (96361 rank #2 of 90, 99th percentile; 96360 rank #2 of 89, 99th percentile), signaling competitive leadership in ED-associated IV therapy within the state.

Certain procedure-level outlier signals reinforce service-line intensity: 94640 (oxygen therapy) is an extreme outlier at rank #2 of 214 providers (100th percentile), and 76705 (limited abdominal ultrasound) is an extreme outlier at rank #4 of 144 providers (98th percentile). These elevated ranks imply heavier-than-typical respiratory and ultrasound utilization relative to in-state peers, consistent with high acute-care throughput.

The facility shows notable oncology infusion revenue despite smaller claim counts: J9271 (pembrolizumab) contributes $6.9M (5.0% of Medicaid revenue) and ranks #3 of 10 in-state (78th percentile). High per-claim paid amounts for select drug and infusion codes (e.g., J9271 at $4798 avg paid/claim) indicate meaningful revenue tied to high-cost oncology therapeutics alongside routine chemo infusion codes like 96413.

INOVA’s procedural mix also includes surgical and advanced imaging activity consistent with a general acute care hospital: 44970 (appendectomy) is $6.2M in revenue and ranks #1 of 4 in-state, while CT and CTA services (70450, 74177, 71275) and echocardiography (93306) appear among the top Medicaid revenue codes. This pattern supports integrated emergency, surgical, imaging, and cardiac diagnostic capacity in a single facility.

The provider has an established administrative tenure: NPI enumerated (registered) 2007-03-09 (~19 years ago), indicating long-standing presence in the state Medicaid market and sufficient time to develop the high-volume ED, observation, infusion, and imaging workflows reflected in the claims mix.

Medicaid: Complete Services Breakdown

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

636 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.	165,980	$200	$33.5M
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.	93,180	$220	$20.1M
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.	40,260	$300	$12.2M
G0378	Hospital observation service, per hour	29,400	$310	$9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	62,980	$140	$8.6M
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.	31,600	$220	$7M
J9271	Injection, pembrolizumab, 1 mg	1,430	$4,800	$6.9M
44970	Laparoscopy, surgical, appendectomy	1,310	$4,720	$6.2M
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.	28,890	$170	$5M
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.	18,300	$180	$3.2M

Showing 1–10 of 636

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 — 13 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

636 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	3	10	800	$5,190	$4.6M
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.	2	90	9,030	$280	$3.2M
S0201	Partial hospitalization services, less than 24 hours, per diem	81	80	1,870	$470	$2.9M
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	2	10	700	$1,300	$2.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	70	3,200	$110	$2.8M
44970	Laparoscopy, surgical, appendectomy	1	10	40	$4,520	$1.6M
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.	30	340	160	$130	$1.3M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	8	10	450	$540	$1.3M
Q5111	Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg	2	10	480	$2,580	$1.2M
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.	2	630	90	$140	$1.1M

Showing 1–10 of 636

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	$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	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
American Care Partners At Home Inc	VA	In Home Supportive Care Agency	$0	$87.4M
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
Dominion Home Health Care LLC	VA	Home Health Agency	$0	$22.1M
Ne Virginia Emergency Physicians LLC	VA	Emergency Medicine Physician	$0	$15.5M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Fairfax County Public Schools	VA	Local Education Agency (LEA)	$0	$8.2M
Capital Hospice	VA	Community Based Hospice Care Agency	$0	$5.8M
Khurram Malik	VA	Ophthalmology Physician	$1.1M	$0
Aaron Fuchs	VA	Procedural Dermatology Physician	$563K	$0
Joseph Krepp	VA	Cardiovascular Disease Physician	$428.7K	$1.5K

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