Inova Health Care Services

Inova Health Care Services was paid $37.98M by Medicaid between Jan 2018 and Dec 2024, across 218 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

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	100,237	$2.40M
2019	142,494	$3.30M
2020	122,167	$3.40M
2021	161,388	$5.15M
2022	189,534	$6.62M
2023	230,313	$8.45M
2024incomplete	227,144	$8.66M

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	22%	117,434	107,840	$8.27M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	79,194	73,330	$4.55M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.2%	65,267	26,194	$2.34M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.3%	28,277	26,057	$2.00M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.1%	20,351	19,545	$1.57M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.8%	31,150	11,871	$1.43M
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	3.5%	13,784	13,202	$1.33M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.9%	225,321	191,640	$1.10M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.6%	10,975	10,201	$977K
99223	Prolong inpt eval add15 m	2.4%	10,804	9,925	$917K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	2.0%	14,744	13,722	$772K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.9%	9,395	8,890	$709K

206 more codes

90834	Psychotherapy session, about 45 minutes	1.6%	7,855	$590K
99238	Hospital discharge day management, 30 minutes or less	1.5%	11,279	$556K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.3%	5,048	$492K
90792	Psychiatric diagnostic evaluation with medical services	1.2%	2,943	$456K
99239	Hospital discharge day management, more than 30 minutes	1.2%	8,317	$449K
59025	Fetal non-stress test	1.1%	14,831	$434K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.1%	11,772	$430K
90791	Psychiatric diagnostic evaluation	1.0%	3,860	$394K
99460		1.0%	5,872	$392K
99222	Initial hospital care, per day, moderate complexity	<1%	5,567	$367K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	6,112	$357K
90686		<1%	30,177	$334K
99203	Doctor's office visit, new patient (routine)	<1%	4,614	$281K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	2,711	$269K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	<1%	365	$236K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	2,775	$233K
95720		<1%	1,567	$193K
90677		<1%	5,452	$189K
90670		<1%	13,851	$189K
90671		<1%	1,574	$181K
93000		<1%	17,969	$157K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	<1%	71	$156K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	9,242	$149K
90651		<1%	1,519	$146K
95951		<1%	915	$145K
90680		<1%	12,009	$140K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	79,549	$130K
99308	Subsequent nursing facility care, per day, straightforward	<1%	2,856	$123K
99205	Prolong outpt/office vis	<1%	954	$122K
20610		<1%	3,076	$119K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	4,193	$117K
0002A		<1%	3,338	$115K
96160		<1%	36,143	$111K
90715		<1%	2,919	$110K
97803		<1%	2,982	$104K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	1,761	$101K
93990		<1%	2,177	$96K
92551		<1%	10,247	$93K
90697		<1%	7,352	$89K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	598	$85K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	1,080	$83K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	2,080	$77K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	1,601	$76K
0001A		<1%	2,651	$75K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	3,031	$75K
99283	Emergency room visit (moderate)	<1%	1,579	$71K
90648		<1%	6,799	$68K
93320		<1%	2,888	$68K
99284	Emergency room visit (serious)	<1%	862	$67K
76819	Fetal biophysical profile; without non-stress testing	<1%	2,040	$67K
90633		<1%	5,890	$67K
90461		<1%	49,414	$65K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,955	$64K
88720		<1%	15,363	$59K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	830	$58K
97802		<1%	980	$57K
36832		<1%	208	$53K
93325		<1%	5,466	$50K
97804		<1%	2,533	$50K
90723		<1%	4,264	$46K
95886		<1%	494	$45K
73630		<1%	1,846	$44K
99221		<1%	746	$43K
93296		<1%	3,897	$39K
93970		<1%	340	$38K
94010		<1%	3,178	$38K
99307		<1%	1,359	$38K
99349		<1%	2,237	$37K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	810	$35K
93295		<1%	2,109	$33K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	421	$29K
99243		<1%	445	$29K
90837	Psychotherapy session, about an hour	<1%	207	$29K
95911		<1%	189	$28K
99217		<1%	874	$28K
90681		<1%	1,955	$27K
90656		<1%	2,029	$26K
93294		<1%	3,360	$25K
99177		<1%	6,364	$24K
99220		<1%	277	$23K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	9,549	$20K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	262	$19K
90832	Psychotherapy session, about 30 minutes	<1%	381	$19K
96161		<1%	9,680	$18K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	119	$18K
90716		<1%	1,183	$17K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	3,169	$17K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	2,046	$16K
76820		<1%	735	$16K
99462		<1%	529	$15K
59425		<1%	32	$15K
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%	1,965	$15K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	<1%	52	$14K
44970		<1%	28	$14K
73564		<1%	478	$13K
96127		<1%	2,909	$13K
90707		<1%	949	$13K
99285	Emergency room visit (most serious)	<1%	124	$12K
59410		<1%	13	$12K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	437	$12K
90698		<1%	1,069	$12K
99173		<1%	4,809	$11K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	418	$11K
95819		<1%	85	$11K
20611		<1%	148	$10K
95251		<1%	348	$10K
99219		<1%	125	$9K
95885		<1%	156	$9K
96040		<1%	324	$9K
99417	Prolong home eval add 15m	<1%	295	$8K
93971		<1%	108	$8K
0071A		<1%	189	$8K
90700		<1%	689	$8K
95910		<1%	51	$7K
83036	Hemoglobin; glycosylated (A1C)	<1%	849	$7K
90480		<1%	399	$7K
0072A		<1%	174	$7K
72100		<1%	266	$7K
90734		<1%	320	$7K
95816		<1%	117	$7K
G0271	Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes	<1%	385	$6K
99381		<1%	104	$6K
J1756	Injection, iron sucrose, 1 mg	<1%	147	$5K
72110		<1%	137	$5K
96380		<1%	403	$5K
76821		<1%	173	$5K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	135	$5K
90710		<1%	230	$5K
11981		<1%	75	$5K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	39	$4K
73560		<1%	202	$4K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	128	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	253	$3K
99383		<1%	36	$3K
93356		<1%	375	$3K
52000		<1%	26	$3K
43251		<1%	35	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	333	$3K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	152	$3K
73130		<1%	121	$3K
81025		<1%	382	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	171	$3K
87428		<1%	75	$3K
90696		<1%	198	$3K
82962		<1%	1,112	$3K
45390		<1%	12	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	774	$2K
93922		<1%	75	$2K
93298		<1%	43	$2K
90381		<1%	180	$2K
90620		<1%	68	$2K
99242		<1%	33	$2K
90380		<1%	88	$2K
73610		<1%	70	$2K
0173A		<1%	46	$2K
94618		<1%	141	$2K
99384		<1%	13	$1K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	$1K
99385		<1%	12	$1K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	32	$1K
46600		<1%	12	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$1K
95800		<1%	33	$1K
91200		<1%	96	$996.01
43235		<1%	14	$986.45
94729		<1%	45	$936.10
96116		<1%	13	$912.82
51798		<1%	126	$876.78
90853	Group psychotherapy (other than of a multiple-family group)	<1%	48	$802.40
96156		<1%	17	$798.99
94726		<1%	26	$755.36
99418	Prolong nursin fac eval 15m	<1%	25	$580.69
96112		<1%	15	$536.84
90472	Immunization administration, each additional vaccine (list separately)	<1%	1,150	$510.16
73502		<1%	15	$457.28
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	$433.03
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	28	$401.90
94060		<1%	16	$398.46
J7030	Infusion, normal saline solution , 1000 cc	<1%	194	$388.67
72040		<1%	13	$388.34
73030		<1%	15	$345.91
90662		<1%	56	$333.35
96113		<1%	15	$315.75
81003		<1%	152	$312.58
98960		<1%	15	$275.95
99350	Prolong home eval add 15m	<1%	31	$272.72
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	20	$241.21
93308		<1%	22	$208.81
93297		<1%	13	$195.46
93299		<1%	13	$184.28
93018		<1%	29	$183.90
99459		<1%	14	$175.68
94664		<1%	12	$169.03
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	12	$162.05
91321		<1%	15	$156.20
95970		<1%	12	$149.27
90744		<1%	12	$121.00
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results	<1%	12	$74.95
G0008	Administration of influenza virus vaccine	<1%	29	$61.61
93321		<1%	22	$60.21
81002		<1%	13	$40.43
94760		<1%	39	$26.42
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	185	$21.80
90474		<1%	144	$10.66
91300		<1%	62	$0.45
0502F		<1%	39	$0.10

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, RICK (CHIEF FINANCIAL OFFICER)