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 1952320061)

Inova Health Care Services is a internal medicine physician provider located in Falls Church, Virginia. This profile covers 0 Medicare and 218 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	3300 Gallows Rd
City	Falls Church
State	VA
ZIP	22042
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$38M
Medicare	$0

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

218 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…	117,430	$70	$8.2M
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…	79,190	$60	$4.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	65,270	$40	$2.3M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	28,280	$70	$2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	20,350	$80	$1.6M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	31,150	$50	$1.4M
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…	13,780	$100	$1.3M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	225,320	$10	$1.1M
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…	10,980	$90	$976.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,800	$90	$918.3K

Showing 1–10 of 218

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 — 18 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

218 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	6	10	1,430	$260	$1.7M
44970	Laparoscopy, surgical, appendectomy	3	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.	174	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.	136	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.	102	140	3,240	$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.	150	620	70	$120	$1M
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.	77	80	1,510	$220	$512K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	101	110	2,780	$110	$471.1K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	7	20	490	$210	$398.3K
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.	28	150	300	$420	$381.2K

Showing 1–10 of 218

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

Sign up for Inova Health Care Services — Billing Profile & Reimbursement Data policy alerts

Inova Health Care Services — Billing Profile & Reimbursement Data

Sign up for Inova Health Care Services — Billing Profile & Reimbursement Data policy alerts

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	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