Clinic
Inova Health Care Services
Inova Health Care Services was paid $1.82M by Medicaid between Jan 2018 and Nov 2022, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoINOVA HEALTH CARE SERVICES
VIENNA, VA 22180
VIENNA, VA 22180
33aNPI1275886418assigned 10/25/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.82M
24GClaims47,591
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in Virginia
Rank by total paid#11 of 51
Median peer was paid$182K
This provider vs. median10×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official POPE, ALICE controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,706 | $310K | |
| 2019 | 11,859 | $495K | |
| 2020 | 10,519 | $348K | |
| 2021 | 11,422 | $377K | |
| 2022 | 6,085 | $294K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 6,183 | 5,681 | $433K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 6,249 | 5,970 | $420K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,265 | 4,919 | $281K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 2,240 | 2,156 | $239K |
| 87428 | 7.8% | 3,137 | 3,043 | $142K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 7.0% | 8,162 | 7,493 | $128K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 6,238 | 3,117 | $80K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 4,317 | 4,068 | $53K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 887 | 801 | $22K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,494 | 1,359 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 175 | 154 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 44 | 40 | $3K |
18 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 136 | $2K |
| 81003 | <1% | 1,257 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 20 | $1K |
| 90670 | <1% | 69 | $981.14 | |
| 90686 | <1% | 75 | $773.00 | |
| 90648 | <1% | 57 | $572.50 | |
| 90680 | <1% | 47 | $562.75 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $540.11 |
| 94760 | <1% | 701 | $396.42 | |
| 90723 | <1% | 35 | $332.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 334 | $284.40 |
| 90633 | <1% | 18 | $177.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 89 | $174.69 |
| 90707 | <1% | 13 | $132.00 | |
| 90716 | <1% | 13 | $132.00 | |
| 81025 | <1% | 15 | $94.90 | |
| 90461 | <1% | 258 | $58.86 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 49 | $13.97 |
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 officialPOPE, ALICE (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Inova Physician Partners, LLC | Chantilly, VA | $9.05M |
| Inova Health Care Services | Fairfax, VA | $6.82M |
| Inova Health Care Services - Pathology | Falls Church, VA | $2.00M |
| Inova Ucc LLC | Vienna, VA | $968K |
| Inova Health Care Services | Dumfries, VA | $648K |
| Inova Health Care Services | Fairfax, VA | $339K |
| Inova Health Care Services | Falls Church, VA | $303K |
| Inova Health Care Services | Fairfax, VA | $239K |
| Inova Health Care Services | Waldorf, MD | $207K |
| Inova Cares - Community | Fairfax, VA | $45K |
| Inova Health Care Services | Fairfax, VA | $0.16 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.