Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Inova Health Care Services

Inova Health Care Services was paid $69.02M by Medicaid between Jan 2018 and Dec 2024, across 321 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.

33Billing provider infoINOVA HEALTH CARE SERVICES
ALEXANDRIA, VA 22304
33aNPI1255684460assigned 10/25/2012
28Total paid$69.02M
24GClaims1,306,260
24DCodes billed321
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#8 of 80
Median peer was paid$14.69M
This provider vs. median4.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018133,409$4.75M
2019191,646$7.76M
2020152,402$7.03M
2021182,933$8.58M
2022197,771$11.08M
2023228,711$14.56M
2024incomplete219,388$15.25M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 19% 71,915 62,556 $13.24M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 52,329 45,004 $10.87M
96361 Intravenous infusion, hydration; each additional hour 12% 24,767 19,427 $8.13M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.3% 20,757 18,080 $4.37M
G0378 Hospital observation service, per hour 4.3% 14,372 11,469 $2.96M
70450 Computed tomography, head or brain; without contrast material 3.4% 12,839 11,218 $2.38M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.8% 9,949 8,974 $1.91M
59025 Fetal non-stress test 2.4% 8,481 4,570 $1.69M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.2% 9,788 8,692 $1.53M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 3,037 2,789 $999K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.4% 6,993 6,286 $997K
71275 Computed tomographic angiography, chest, with contrast material 1.3% 3,635 3,278 $894K
309 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 2,797 $890K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.3% 5,097 $883K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,720 $689K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,867 $683K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,601 $609K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 9,643 $600K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,756 $580K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 4,190 $562K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 960 $548K
G0379 Direct admission of patient for hospital observation care <1% 4,342 $534K
76830 Ultrasound, transvaginal <1% 4,818 $502K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,521 $498K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,943 $471K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,131 $455K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,248 $414K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,677 $412K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 3,191 $354K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,420 $350K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 512 $340K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 4,354 $327K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,918 $326K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,450 $290K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,417 $278K
80053 Comprehensive metabolic panel <1% 66,949 $276K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 15,225 $257K
93976 <1% 3,063 $255K
71046 Radiologic examination, chest; 2 views <1% 14,552 $251K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,086 $251K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 7,310 $244K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 689 $237K
93971 <1% 2,494 $232K
76770 <1% 1,598 $213K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 6,671 $210K
87400 <1% 17,228 $193K
76536 <1% 1,464 $180K
93970 <1% 1,331 $175K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,099 $174K
76801 <1% 2,903 $169K
97161 <1% 2,155 $151K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,516 $143K
76642 <1% 1,249 $141K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 717 $140K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,262 $135K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 989 $133K
72141 <1% 663 $130K
12001 <1% 567 $127K
70486 <1% 1,839 $117K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 8,292 $112K
70496 <1% 432 $109K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,960 $102K
71045 Radiologic examination, chest; single view <1% 22,648 $78K
12011 <1% 342 $77K
71250 <1% 1,193 $74K
72125 Computed tomography, cervical spine; without contrast material <1% 2,892 $73K
77080 <1% 1,116 $73K
74183 <1% 201 $69K
80048 Basic metabolic panel (calcium, ionized) <1% 15,548 $68K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 42,841 $68K
73564 <1% 4,571 $59K
87420 <1% 3,529 $56K
72110 <1% 2,506 $55K
87040 <1% 9,191 $55K
93017 <1% 600 $54K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 1,763 $50K
74018 <1% 1,733 $47K
84484 <1% 27,564 $43K
73030 <1% 3,484 $42K
72100 <1% 1,141 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 73,270 $41K
72131 <1% 721 $40K
76819 Fetal biophysical profile; without non-stress testing <1% 492 $38K
97165 <1% 726 $38K
70491 <1% 144 $38K
83880 <1% 4,753 $37K
90715 <1% 1,510 $36K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 32,340 $33K
74174 <1% 161 $32K
97162 <1% 332 $32K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,169 $31K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 68 $30K
73560 <1% 1,317 $30K
J8540 Dexamethasone, oral, 0.25 mg <1% 1,472 $29K
85379 <1% 4,944 $29K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 9,940 $27K
73630 <1% 3,311 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,106 $26K
J3490 Unclassified drugs <1% 21,785 $24K
76870 <1% 309 $24K
77066 Tomosynthesis, mammo <1% 527 $24K
73130 <1% 2,540 $22K
73610 <1% 2,950 $22K
73221 <1% 83 $21K
29125 <1% 119 $20K
36430 <1% 107 $20K
10060 <1% 126 $20K
93798 <1% 159 $18K
85027 <1% 9,418 $18K
72050 <1% 683 $17K
96375 Therapeutic injection; each additional sequential IV push <1% 24,178 $17K
73110 <1% 1,833 $17K
77065 Tomosynthesis, mammo <1% 340 $17K
96376 <1% 14,036 $16K
94664 <1% 3,556 $15K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,072 $15K
84443 Thyroid stimulating hormone (TSH) <1% 5,032 $14K
92526 <1% 392 $14K
76820 <1% 486 $14K
29105 <1% 65 $13K
29515 <1% 54 $13K
72040 <1% 343 $13K
73501 <1% 1,069 $12K
81001 <1% 31,710 $12K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 154 $12K
97535 Self-care/home management training, each 15 minutes <1% 415 $12K
70498 <1% 422 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,836 $11K
92610 <1% 165 $11K
84702 <1% 16,151 $10K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 457 $10K
84703 <1% 10,015 $10K
80143 <1% 3,038 $10K
P9016 Red blood cells, leukocytes reduced, each unit <1% 81 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,186 $9K
73140 <1% 1,047 $9K
83605 <1% 6,125 $9K
J7030 Infusion, normal saline solution , 1000 cc <1% 9,394 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 3,385 $9K
73590 <1% 1,044 $9K
87081 <1% 9,874 $9K
85610 <1% 8,159 $9K
80061 Lipid panel <1% 2,758 $8K
S0028 Injection, famotidine, 20 mg <1% 5,278 $8K
74178 <1% 42 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,049 $7K
73620 <1% 277 $7K
36415 Collection of venous blood by venipuncture <1% 3,800 $7K
73120 <1% 220 $7K
J1650 Injection, enoxaparin sodium, 10 mg <1% 7,030 $7K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 22 $6K
83735 <1% 8,080 $6K
70544 <1% 29 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,504 $6K
76813 <1% 210 $6K
83690 <1% 21,482 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 19,895 $6K
73080 <1% 859 $5K
88304 <1% 420 $5K
71101 <1% 611 $5K
80179 <1% 2,997 $5K
12002 <1% 24 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 20,250 $5K
97750 <1% 345 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 17,174 $5K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,812 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 11,746 $4K
73502 <1% 226 $4K
86850 <1% 3,913 $4K
73700 <1% 41 $4K
82248 <1% 2,770 $4K
72128 <1% 108 $4K
86900 <1% 5,615 $4K
73090 <1% 622 $4K
96367 <1% 759 $4K
97166 <1% 16 $3K
72070 <1% 125 $3K
84439 <1% 679 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17,291 $3K
87505 <1% 45 $3K
76821 <1% 89 $3K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 586 $3K
29130 <1% 13 $3K
71271 <1% 31 $3K
81003 <1% 9,039 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,034 $2K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 8,563 $2K
87077 <1% 4,379 $2K
84100 <1% 4,325 $2K
82607 <1% 585 $2K
86140 <1% 723 $2K
85730 <1% 5,706 $2K
85652 <1% 1,342 $2K
84145 <1% 415 $2K
87186 <1% 3,539 $2K
86923 <1% 61 $2K
86901 <1% 5,609 $2K
82728 <1% 339 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 185 $2K
82247 <1% 325 $2K
74019 <1% 73 $1K
81025 <1% 4,527 $1K
73600 <1% 97 $1K
88342 <1% 570 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,330 $1K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 457 $1K
73660 <1% 109 $1K
97116 <1% 38 $1K
82550 <1% 1,989 $1K
87430 <1% 5,383 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 2,591 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,646 $1K
73100 <1% 60 $1K
99292 <1% 469 $988.17
82570 <1% 735 $966.92
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,391 $937.50
90686 <1% 64 $878.40
J3535 Drug administered through a metered dose inhaler <1% 250 $863.06
C1769 Guide wire <1% 1,070 $859.77
73562 <1% 14 $851.91
72082 <1% 13 $819.41
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,018 $809.72
73060 <1% 119 $807.92
G0008 Administration of influenza virus vaccine <1% 108 $798.15
J1170 Injection, hydromorphone, up to 4 mg <1% 3,006 $773.58
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,064 $768.27
83550 <1% 362 $757.93
83540 <1% 496 $750.05
87210 <1% 1,461 $638.63
J8597 Antiemetic drug, oral, not otherwise specified <1% 761 $516.46
J0690 Injection, cefazolin sodium, 500 mg <1% 2,563 $514.77
73552 <1% 102 $500.94
A9585 Injection, gadobutrol, 0.1 ml <1% 1,688 $452.04
87486 <1% 21 $449.97
84550 <1% 435 $381.95
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 3,033 $375.97
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 1,379 $373.83
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,311 $360.21
73070 <1% 16 $357.64
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,637 $348.74
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 887 $334.09
J1644 Injection, heparin sodium, per 1000 units <1% 2,684 $309.47
C9113 Injection, pantoprazole sodium, per vial <1% 1,061 $297.99
84112 <1% 13 $296.53
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 1,533 $296.15
82805 <1% 1,166 $295.70
86780 <1% 38 $281.39
J2060 Injection, lorazepam, 2 mg <1% 1,235 $271.46
87581 <1% 21 $265.21
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,487 $263.48
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 75 $249.96
84156 <1% 374 $220.62
J2704 Injection, propofol, 10 mg <1% 3,854 $200.86
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 923 $197.99
J1815 Injection, insulin, per 5 units <1% 1,092 $180.74
87340 <1% 231 $167.13
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 497 $162.38
85018 <1% 344 $159.32
70360 <1% 14 $158.05
J2550 Injection, promethazine hcl, up to 50 mg <1% 886 $152.33
86803 <1% 15 $133.78
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 793 $126.50
80076 <1% 32 $122.96
74022 <1% 18 $117.48
94760 <1% 1,736 $116.46
80047 <1% 15 $109.98
99152 <1% 543 $107.57
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 654 $90.49
87070 <1% 376 $87.58
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 885 $86.77
J7999 Compounded drug, not otherwise classified <1% 422 $78.19
83615 <1% 302 $74.66
85014 <1% 131 $68.62
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 255 $64.38
J3370 Injection, vancomycin hcl, 500 mg <1% 856 $60.87
82330 <1% 143 $60.84
80069 <1% 18 $56.78
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 239 $56.60
87205 <1% 350 $54.60
C1889 Implantable/insertable device, not otherwise classified <1% 220 $54.23
72072 <1% 20 $36.30
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,857 $36.18
J7510 Prednisolone oral, per 5 mg <1% 212 $33.36
85007 <1% 115 $29.58
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 581 $24.66
99153 Mod sedat endo service >5yrs <1% 270 $24.64
J3480 Injection, potassium chloride, per 2 meq <1% 282 $23.66
87563 <1% 296 $20.12
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 455 $19.26
J0360 Injection, hydralazine hcl, up to 20 mg <1% 847 $18.14
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 113 $14.35
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 245 $14.32
86141 <1% 13 $12.35
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 310 $11.48
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 58 $6.37
87328 <1% 12 $4.69
J3411 Injection, thiamine hcl, 100 mg <1% 88 $4.68
J0780 Injection, prochlorperazine, up to 10 mg <1% 421 $2.18
J1596 Injection, glycopyrrolate, 0.1 mg <1% 470 $1.93
J1940 Injection, furosemide, up to 20 mg <1% 492 $1.74
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 277 $0.94
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 2,634 $0.02
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 1,005 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 39 $0.00
86308 0% 239 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 199 $0.00
74175 0% 13 $0.00
36416 0% 156 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 76 $0.00
0259 0% 265 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 0% 19 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 55 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 31 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 187 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 188 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 307 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 45 $0.00
82565 0% 33 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 116 $0.00
82272 0% 24 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTALENTO, RICARDO (CORPORATE CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under TALENTO, RICARDO

Full network →
ProviderLocationPaid
Inova Health Care ServicesFalls Church, VA$176.68M
Inova Health Care ServicesLeesburg, VA$46.97M
Inova Health Care ServicesAlexandria, VA$39.33M
Inova Health Care ServicesFairfax, VA$33.53M
Inova Health Care ServicesSpringfield, VA$8.88M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.