Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INOVA HEALTH CARE SERVICES

NPI: 1538870191 · DUMFRIES, VA 22025 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 12/05/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official POPE, ALICE controls 11+ related entities in our dataset. Read more

$648K
Total Medicaid Paid
9,931
Total Claims
8,899
Beneficiaries
15
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOPE, ALICE (CFO)
NPI Enumeration Date12/05/2022

Related Entities

Other providers sharing the same authorized official: POPE, ALICE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 126 $8K
2023 3,947 $296K
2024 5,858 $343K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 3,960 3,773 $318K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,056 1,985 $128K
95720 969 421 $115K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 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) 1,541 1,487 $17K
99205 Prolong outpt/office vis 171 153 $17K
95886 163 148 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 120 115 $5K
99232 Subsequent hospital care, per day, moderate complexity 118 50 $3K
95800 102 97 $3K
95885 164 146 $2K
95911 16 16 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 185 156 $1K
62323 14 14 $864.67
95718 14 14 $691.97