Inova Health Care Services
Inova Health Care Services was paid $648K by Medicaid between Nov 2022 and Dec 2024, across 15 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 49% of everything it billed.
DUMFRIES, VA 22025
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 126 | $8K | |
| 2023 | 3,947 | $296K | |
| 2024incomplete | 5,858 | $343K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 49% | 3,960 | 3,773 | $318K |
| 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 | 20% | 2,056 | 1,985 | $128K |
| 95720 | 18% | 969 | 421 | $115K | |
| 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 | 4.6% | 338 | 324 | $30K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 2.7% | 1,541 | 1,487 | $17K |
| 99205 | Prolong outpt/office vis | 2.6% | 171 | 153 | $17K |
| 95886 | <1% | 163 | 148 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 120 | 115 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 118 | 50 | $3K |
| 95800 | <1% | 102 | 97 | $3K | |
| 95885 | <1% | 164 | 146 | $2K | |
| 95911 | <1% | 16 | 16 | $1K |
3 more codes
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.
Who's on the registration
| 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 Health Care Services | Vienna, VA | $1.82M |
| Inova Ucc LLC | Vienna, VA | $968K |
| 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.