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 1922139120)

Inova Health Care Services is a general acute care hospital provider located in Alexandria, Virginia. This profile covers 0 Medicare and 243 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	2501 Parkers Ln
City	Alexandria
State	VA
ZIP	22306
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$39.3M
Medicare	$0

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

243 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.	50,380	$180	$9.3M
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.	33,000	$200	$6.7M
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.	15,970	$340	$5.4M
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.	11,360	$210	$2.4M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	9,250	$170	$1.5M
G0378	Hospital observation service, per hour	4,760	$270	$1.3M
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.	6,430	$180	$1.2M
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.	5,520	$190	$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.	5,960	$160	$947.2K
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.	4,160	$150	$606.6K

Showing 1–10 of 243

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

243 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.	21	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30	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.	74	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.	33	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.	49	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	31	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.	53	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.	59	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.	53	170	3,390	$100	$658.8K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	34	80	1,510	$220	$512K

Showing 1–10 of 243

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Home Care, Inc	VA	Home Health Agency	$0	$25.5M
Neighborhood Health	VA	Federally Qualified Health Center (FQHC)	$0	$5.8M
Soren Caffey	VA	Hematology & Oncology Physician	$1.1M	$0
Mark Schefkind	VA	Ophthalmology Physician	$641.8K	$0
Kevin Fricka	VA	Adult Reconstructive Orthopaedic Surgery Physician	$481K	$0
William Hamilton	VA	Adult Reconstructive Orthopaedic Surgery Physician	$396.6K	$0
Ramatia Mahboobi	VA	Pain Medicine (Anesthesiology) Physician	$393.8K	$0
Christina Braun	VA	Specialist	$392.9K	$0
Carleen Tylenda	VA	Internal Medicine Physician	$383.8K	$0
Stephanie Carter	VA	Internal Medicine Physician	$367.3K	$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	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