Medicaid Provider Spending

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

INOVA HEALTH CARE SERVICES

NPI: 1952320061 · FALLS CHURCH, VA 22042 · Transplant Surgery Physician · NPI assigned 07/19/2006

$37.98M
Total Medicaid Paid
1,173,277
Total Claims
956,421
Beneficiaries
218
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTALENTO, RICK (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 227,144 $8.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 117,434 107,840 $8.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79,194 73,330 $4.55M
99232 Subsequent hospital care, per day, moderate complexity 65,267 26,194 $2.34M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28,277 26,057 $2.00M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,351 19,545 $1.57M
99233 Prolong inpt eval add15 m 31,150 11,871 $1.43M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,784 13,202 $1.33M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 225,321 191,640 $1.10M
99215 Prolong outpt/office vis 10,975 10,201 $977K
99223 Prolong inpt eval add15 m 10,804 9,925 $917K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,744 13,722 $772K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,395 8,890 $709K
90834 Psychotherapy, 45 minutes with patient 7,855 4,343 $590K
99238 Hospital discharge day management, 30 minutes or less 11,279 10,431 $556K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,048 2,256 $492K
90792 Psychiatric diagnostic evaluation with medical services 2,943 2,827 $456K
99239 Hospital discharge day management, more than 30 minutes 8,317 7,638 $449K
59025 Fetal non-stress test 14,831 9,932 $434K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 11,772 10,458 $430K
90791 Psychiatric diagnostic evaluation 3,860 3,648 $394K
99460 5,872 5,466 $392K
99222 Initial hospital care, per day, moderate complexity 5,567 4,951 $367K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,112 1,966 $357K
90686 30,177 28,954 $334K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,614 4,300 $281K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,711 2,338 $269K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 365 325 $236K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,775 2,669 $233K
95720 1,567 673 $193K
90677 5,452 5,167 $189K
90670 13,851 13,010 $189K
90671 1,574 1,513 $181K
93000 17,969 16,616 $157K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 71 65 $156K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,242 6,874 $149K
90651 1,519 1,455 $146K
95951 915 347 $145K
90680 12,009 11,226 $140K
90460 Immunization administration through 18 years of age via any route, first or only component 79,549 52,670 $130K
99308 Subsequent nursing facility care, per day, straightforward 2,856 1,546 $123K
99205 Prolong outpt/office vis 954 908 $122K
20610 3,076 2,417 $119K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,193 3,432 $117K
0002A 3,338 3,312 $115K
96160 36,143 32,358 $111K
90715 2,919 2,834 $110K
97803 2,982 2,791 $104K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,761 1,447 $101K
93990 2,177 1,957 $96K
92551 10,247 9,497 $93K
90697 7,352 7,021 $89K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 598 529 $85K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,080 1,036 $83K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,080 2,045 $77K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,601 1,320 $76K
0001A 2,651 2,629 $75K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,031 1,584 $75K
99283 Emergency department visit for the evaluation and management, moderate severity 1,579 1,489 $71K
90648 6,799 6,294 $68K
93320 2,888 2,418 $68K
99284 Emergency department visit for the evaluation and management, high severity 862 808 $67K
76819 Fetal biophysical profile; without non-stress testing 2,040 1,615 $67K
90633 5,890 5,715 $67K
90461 49,414 28,109 $65K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,955 1,871 $64K
88720 15,363 11,702 $59K
45380 Colonoscopy, flexible; with biopsy, single or multiple 830 669 $58K
97802 980 966 $57K
36832 208 191 $53K
93325 5,466 4,534 $50K
97804 2,533 2,435 $50K
90723 4,264 3,927 $46K
95886 494 481 $45K
73630 1,846 1,314 $44K
99221 746 679 $43K
93296 3,897 3,511 $39K
93970 340 329 $38K
94010 3,178 2,892 $38K
99307 1,359 795 $38K
99349 2,237 1,970 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 810 794 $35K
93295 2,109 1,921 $33K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 421 401 $29K
99243 445 277 $29K
90837 Psychotherapy, 53 minutes with patient 207 105 $29K
95911 189 184 $28K
99217 874 799 $28K
90681 1,955 1,849 $27K
90656 2,029 2,025 $26K
93294 3,360 2,990 $25K
99177 6,364 6,062 $24K
99220 277 268 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,549 9,328 $20K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 262 256 $19K
90832 Psychotherapy, 30 minutes with patient 381 341 $19K
96161 9,680 8,743 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 119 118 $18K
90716 1,183 1,159 $17K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,169 2,893 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,046 1,880 $16K
76820 735 536 $16K
99462 529 453 $15K
59425 32 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) 1,965 1,864 $15K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 52 27 $14K
44970 28 28 $14K
73564 478 455 $13K
96127 2,909 2,688 $13K
90707 949 936 $13K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 124 118 $12K
59410 13 13 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity 437 410 $12K
90698 1,069 1,018 $12K
99173 4,809 4,606 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 418 268 $11K
95819 85 83 $11K
20611 148 128 $10K
95251 348 337 $10K
99219 125 117 $9K
95885 156 153 $9K
96040 324 310 $9K
99417 Prolong home eval add 15m 295 187 $8K
93971 108 97 $8K
0071A 189 189 $8K
90700 689 670 $8K
95910 51 51 $7K
83036 Hemoglobin; glycosylated (A1C) 849 817 $7K
90480 399 335 $7K
0072A 174 173 $7K
72100 266 258 $7K
90734 320 307 $7K
95816 117 106 $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 385 366 $6K
99381 104 78 $6K
J1756 Injection, iron sucrose, 1 mg 147 66 $5K
72110 137 131 $5K
96380 403 371 $5K
76821 173 117 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 135 73 $5K
90710 230 222 $5K
11981 75 75 $5K
99244 Office or other outpatient consultation, moderate to high complexity 39 38 $4K
73560 202 190 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 128 113 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 253 245 $3K
99383 36 35 $3K
93356 375 290 $3K
52000 26 25 $3K
43251 35 29 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 333 300 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 152 149 $3K
73130 121 94 $3K
81025 382 368 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 171 160 $3K
87428 75 72 $3K
90696 198 191 $3K
82962 1,112 937 $3K
45390 12 12 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 774 496 $2K
93922 75 67 $2K
93298 43 43 $2K
90381 180 173 $2K
90620 68 68 $2K
99242 33 26 $2K
90380 88 73 $2K
73610 70 61 $2K
0173A 46 46 $2K
94618 141 135 $2K
99384 13 13 $1K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $1K
99385 12 12 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 32 27 $1K
46600 12 12 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
95800 33 33 $1K
91200 96 85 $996.01
43235 14 14 $986.45
94729 45 45 $936.10
96116 13 13 $912.82
51798 126 117 $876.78
90853 Group psychotherapy (other than of a multiple-family group) 48 24 $802.40
96156 17 17 $798.99
94726 26 26 $755.36
99418 Prolong nursin fac eval 15m 25 18 $580.69
96112 15 13 $536.84
90472 Immunization administration, each additional vaccine (list separately) 1,150 835 $510.16
73502 15 12 $457.28
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $433.03
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 14 $401.90
94060 16 16 $398.46
J7030 Infusion, normal saline solution , 1000 cc 194 96 $388.67
72040 13 13 $388.34
73030 15 13 $345.91
90662 56 52 $333.35
96113 15 13 $315.75
81003 152 147 $312.58
98960 15 12 $275.95
99350 Prolong home eval add 15m 31 26 $272.72
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 20 12 $241.21
93308 22 15 $208.81
93297 13 12 $195.46
93299 13 12 $184.28
93018 29 24 $183.90
99459 14 14 $175.68
94664 12 12 $169.03
J1040 Injection, methylprednisolone acetate, 80 mg 12 12 $162.05
91321 15 15 $156.20
95970 12 12 $149.27
90744 12 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 12 12 $74.95
G0008 Administration of influenza virus vaccine 29 26 $61.61
93321 22 15 $60.21
81002 13 12 $40.43
94760 39 39 $26.42
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 185 162 $21.80
90474 144 144 $10.66
91300 62 59 $0.45
0502F 39 36 $0.10