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

Inova Health Care Services

Inova Health Care Services was paid $46.97M by Medicaid between Jan 2018 and Dec 2024, across 300 billing codes. Its largest line is 99283, emergency room visit (moderate) — 20% of everything it billed.

33Billing provider infoINOVA HEALTH CARE SERVICES
LEESBURG, VA 20176
33aNPI1376564302assigned 07/23/2006
28Total paid$46.97M
24GClaims957,277
24DCodes billed300
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Virginia

Rank by total paid#3 of 22
Median peer was paid$2.19M
This provider vs. median21×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201890,989$2.96M
2019110,698$4.27M
202098,102$4.14M
2021126,663$5.48M
2022162,777$8.07M
2023191,112$10.80M
2024incomplete176,936$11.24M
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 20% 47,859 41,792 $9.30M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 34,150 29,401 $7.40M
96361 Intravenous infusion, hydration; each additional hour 13% 20,171 15,719 $6.24M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.1% 14,722 13,093 $3.33M
G0378 Hospital observation service, per hour 4.8% 7,617 6,447 $2.28M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.1% 14,490 4,439 $1.45M
70450 Computed tomography, head or brain; without contrast material 3.1% 8,155 7,213 $1.44M
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.6% 28,753 8,736 $1.23M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.4% 6,794 6,167 $1.14M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.8% 6,446 5,837 $860K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 5,103 4,592 $813K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 1,805 1,673 $603K
288 more codes
71275 Computed tomographic angiography, chest, with contrast material 1.2% 2,542 $575K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 1,740 $572K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 5,643 $500K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.0% 12,195 $488K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.0% 6,610 $479K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.0% 3,515 $475K
59025 Fetal non-stress test <1% 2,033 $415K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,372 $399K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,082 $361K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,087 $335K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,390 $322K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,771 $307K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 8,642 $303K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,959 $294K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,046 $287K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,393 $269K
97161 <1% 2,124 $214K
76830 Ultrasound, transvaginal <1% 2,322 $212K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,513 $188K
80053 Comprehensive metabolic panel <1% 44,124 $181K
87400 <1% 13,518 $156K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,611 $154K
92526 <1% 3,729 $150K
93976 <1% 2,015 $141K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,046 $131K
76801 <1% 2,390 $116K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 242 $99K
97162 <1% 627 $99K
76770 <1% 714 $96K
G0379 Direct admission of patient for hospital observation care <1% 429 $93K
93971 <1% 1,012 $90K
70496 <1% 378 $88K
71046 Radiologic examination, chest; 2 views <1% 8,759 $85K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 370 $82K
97165 <1% 941 $81K
76819 Fetal biophysical profile; without non-stress testing <1% 1,143 $76K
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% 6,191 $72K
93970 <1% 572 $70K
70551 Magnetic resonance imaging, brain; without contrast material <1% 503 $68K
87420 <1% 3,863 $63K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 379 $60K
12001 <1% 284 $56K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 11,428 $55K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,367 $54K
92610 <1% 426 $47K
87040 <1% 7,274 $43K
72125 Computed tomography, cervical spine; without contrast material <1% 2,592 $42K
87505 <1% 491 $40K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 43 $37K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,022 $36K
92523 <1% 291 $36K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,648 $34K
J3490 Unclassified drugs <1% 15,339 $34K
12011 <1% 161 $34K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,930 $33K
72131 <1% 651 $31K
83880 <1% 4,207 $30K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 47,590 $30K
71045 Radiologic examination, chest; single view <1% 14,170 $29K
74018 <1% 1,979 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 23,277 $28K
70486 <1% 596 $27K
71250 <1% 463 $26K
80048 Basic metabolic panel (calcium, ionized) <1% 7,484 $26K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 165 $25K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,668 $24K
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% 1,913 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 20,839 $22K
73564 <1% 1,662 $21K
85379 <1% 4,693 $21K
87081 <1% 16,394 $20K
70498 <1% 428 $20K
36415 Collection of venous blood by venipuncture <1% 12,071 $19K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 71 $19K
84484 <1% 16,149 $19K
73630 <1% 1,968 $17K
76536 <1% 142 $16K
85027 <1% 6,988 $16K
73610 <1% 1,931 $16K
76820 <1% 627 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 829 $15K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 85 $15K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 5,351 $14K
77063 Screening digital breast tomosynthesis, bilateral <1% 264 $14K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 635 $13K
90715 <1% 593 $13K
87086 Culture, bacterial; quantitative colony count, urine <1% 12,127 $13K
84443 Thyroid stimulating hormone (TSH) <1% 5,913 $12K
73030 <1% 1,409 $12K
96376 <1% 6,444 $12K
76870 <1% 164 $12K
73080 <1% 620 $11K
70491 <1% 62 $11K
J8540 Dexamethasone, oral, 0.25 mg <1% 801 $9K
87430 <1% 15,755 $9K
80143 <1% 2,403 $9K
73560 <1% 644 $8K
86780 <1% 1,347 $8K
73130 <1% 1,128 $8K
96375 Therapeutic injection; each additional sequential IV push <1% 15,334 $7K
73590 <1% 641 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 2,551 $6K
73110 <1% 798 $6K
82728 <1% 683 $6K
77067 Screening mammography, bilateral, including computer-aided detection <1% 398 $6K
86140 <1% 3,796 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,939 $6K
80061 Lipid panel <1% 1,783 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 14 $6K
93798 <1% 65 $6K
97163 <1% 35 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,991 $6K
81003 <1% 8,576 $6K
84702 <1% 3,094 $5K
74019 <1% 1,365 $5K
76642 <1% 57 $5K
81001 <1% 20,155 $5K
74183 <1% 13 $5K
82950 <1% 1,076 $5K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,244 $5K
73090 <1% 360 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 256 $5K
86900 <1% 4,840 $5K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 20 $5K
83735 <1% 13,285 $5K
80179 <1% 2,310 $5K
83690 <1% 13,784 $5K
82248 <1% 1,826 $4K
96367 <1% 472 $4K
97116 <1% 281 $4K
83605 <1% 3,722 $4K
86762 <1% 807 $4K
85610 <1% 8,966 $4K
86850 <1% 4,306 $4K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 471 $4K
84703 <1% 10,663 $4K
74174 <1% 15 $4K
S0028 Injection, famotidine, 20 mg <1% 2,761 $3K
29125 <1% 14 $3K
97113 <1% 78 $3K
72141 <1% 18 $3K
84439 <1% 520 $3K
12002 <1% 14 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 952 $3K
86803 <1% 853 $3K
85014 <1% 1,235 $3K
82247 <1% 631 $3K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 9,428 $2K
93017 <1% 55 $2K
83550 <1% 610 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,040 $2K
85652 <1% 4,531 $2K
87077 <1% 3,938 $2K
86901 <1% 4,835 $2K
72128 <1% 77 $2K
87340 <1% 1,109 $2K
84100 <1% 4,126 $2K
73140 <1% 308 $2K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 344 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,657 $2K
83540 <1% 635 $2K
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% 1,473 $2K
85730 <1% 7,603 $2K
81025 <1% 4,054 $2K
82105 <1% 77 $2K
82550 <1% 2,219 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 121 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 13 $1K
82570 <1% 797 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,954 $1K
87186 <1% 3,203 $1K
G0008 Administration of influenza virus vaccine <1% 68 $997.81
73502 <1% 61 $937.02
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 760 $870.78
85018 <1% 562 $858.87
72100 <1% 39 $840.94
84156 <1% 668 $723.86
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,550 $722.51
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 49 $653.05
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,459 $635.14
87205 <1% 1,444 $632.38
82607 <1% 73 $627.20
87070 <1% 1,450 $621.73
72110 <1% 14 $602.39
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,847 $509.61
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,424 $509.14
88304 <1% 221 $467.95
84550 <1% 780 $447.11
J3535 Drug administered through a metered dose inhaler <1% 927 $442.40
87210 <1% 964 $427.84
86141 <1% 2,097 $377.24
J2060 Injection, lorazepam, 2 mg <1% 895 $327.69
83615 <1% 689 $317.36
36416 <1% 416 $317.23
87563 <1% 180 $303.34
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,057 $295.23
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12 $282.45
97535 Self-care/home management training, each 15 minutes <1% 15 $274.90
J7050 Infusion, normal saline solution, 250 cc <1% 1,523 $271.81
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 387 $264.40
J1170 Injection, hydromorphone, up to 4 mg <1% 2,471 $253.77
87486 <1% 12 $247.34
85049 <1% 102 $238.19
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,268 $231.66
C1769 Guide wire <1% 517 $225.20
J0690 Injection, cefazolin sodium, 500 mg <1% 1,845 $210.43
82565 <1% 180 $190.92
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 14 $188.30
90686 <1% 15 $184.59
82951 <1% 13 $177.46
83655 <1% 16 $172.72
84450 <1% 193 $171.88
87581 <1% 12 $154.86
73501 <1% 13 $154.68
86038 <1% 15 $151.27
86308 <1% 506 $149.81
72170 <1% 64 $146.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,653 $136.32
73552 <1% 47 $134.82
88342 <1% 57 $134.08
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,006 $132.68
99152 <1% 180 $114.13
80076 <1% 13 $103.08
86665 <1% 186 $101.08
84145 <1% 679 $100.87
82746 <1% 13 $99.64
84460 <1% 199 $99.29
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 994 $98.28
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,061 $95.94
86664 <1% 99 $91.17
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 854 $88.49
87328 <1% 182 $83.38
J2550 Injection, promethazine hcl, up to 50 mg <1% 803 $82.83
86317 <1% 12 $72.49
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 221 $69.87
J2704 Injection, propofol, 10 mg <1% 2,081 $55.42
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12 $48.64
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 276 $48.45
84112 <1% 74 $42.03
J7510 Prednisolone oral, per 5 mg <1% 188 $40.17
94664 <1% 203 $38.30
A9585 Injection, gadobutrol, 0.1 ml <1% 230 $21.98
85007 <1% 153 $21.24
87425 <1% 86 $19.62
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% 191 $17.52
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 204 $14.51
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 582 $14.18
82805 <1% 89 $14.12
87329 <1% 50 $10.12
J7060 5% dextrose/water (500 ml = 1 unit) <1% 21 $7.04
86618 <1% 37 $6.16
J1815 Injection, insulin, per 5 units <1% 88 $5.78
87075 <1% 17 $5.23
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 492 $4.24
J0780 Injection, prochlorperazine, up to 10 mg <1% 305 $2.85
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 96 $1.25
C9113 Injection, pantoprazole sodium, per vial 0% 455 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 306 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 273 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 16 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 220 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 254 $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% 127 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,489 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 24 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 76 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 102 $0.00
S5010 5% dextrose and 0.45% normal saline, 1000 ml 0% 16 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 57 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 21 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 104 $0.00
J7699 Noc drugs, inhalation solution administered through dme 0% 31 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 133 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 365 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 0% 123 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 115 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 84 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 67 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 24 $0.00
99292 0% 55 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 39 $0.00
73060 0% 25 $0.00
94760 0% 14 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 64 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 12 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 0% 33 $0.00
80047 0% 47 $0.00
87493 0% 14 $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 ServicesAlexandria, VA$69.02M
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.