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Inova Health Care Services

Clinic/Center, Rehabilitation, Substance Use Disorder·Falls Church, VA·NPI: 1831220714Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $176.7M is at the 90th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Above 90th percentile for this specialty — higher spending than 11 of 13 peers

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$176.7M

$176,675,235

Total Claims

2.9M

Beneficiaries

2.2M

1.3 claims/patient

Avg Cost/Claim

$62

#547 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Inova Health Care Services is a Clinic/Center, Rehabilitation, Substance Use Disorder provider based in Falls Church, VA. From the 2018–2024 period, this provider received $176.7M in Medicaid payments across 2.9M claims.

Why This Matters

This provider received $176.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,084 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 358% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$9.5M
+46%
2019
$13.8M
+8%
2020
$15.0M
+45%
2021
$21.7M
+44%
2022
$31.3M
+33%
2023
$41.7M
+4%
2024
$43.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 19% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$33.5M

166K claims · 19.0%

Your Cost: $201.93/claim|Median: $42.48
4.8× median
99284Top 10%

Emergency dept visit, high complexity

$20.1M

93K claims · 11.4%

Your Cost: $215.62/claim|Median: $69.51
3.1× median
96361Top 10%

IV infusion, hydration, each additional hour

$12.2M

40K claims · 6.9%

Your Cost: $303.13/claim|Median: $38.92
7.8× median
G0378Top 25%

Hospital observation service, per hour

$9.0M

29K claims · 5.1%

Your Cost: $305.29/claim|Median: $99.39
3.1× median
G0463Top 5%

Hospital outpatient clinic visit

$8.6M

63K claims · 4.9%

Your Cost: $137.12/claim|Median: $26.41
5.2× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$7.0M

32K claims · 3.9%

Your Cost: $220.17/claim|Median: $85.65
2.6× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$6.9M

1K claims · 3.9%

Your Cost: $4,797.56/claim|Median: $5,391.55
0.9× median
44970Top 10%

$6.2M

1K claims · 3.5%

Your Cost: $4,724.29/claim|Median: $1,699.18
2.8× median
99282Top 10%

Emergency dept visit, low complexity

$5.0M

29K claims · 2.8%

Your Cost: $173.51/claim|Median: $37.72
4.6× median
70450Top 10%

CT head/brain without contrast

$3.2M

18K claims · 1.8%

Your Cost: $175.30/claim|Median: $45.53
3.9× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$2.9M

9K claims · 1.6%

Your Cost: $314.01/claim|Median: $54.68
5.7× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$2.6M

11K claims · 1.5%

Your Cost: $242.54/claim|Median: $40.12
6.0× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$2.3M

16K claims · 1.3%

Your Cost: $144.40/claim|Median: $75.28
1.9× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.3M

20K claims · 1.3%

Your Cost: $116.77/claim|Median: $54.77
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$2.1M

13K claims · 1.2%

Your Cost: $160.85/claim|Median: $65.76
2.5× median
43239Top 10%

Upper GI endoscopy with biopsy

$2.0M

4K claims · 1.2%

Your Cost: $521.75/claim|Median: $151.68
3.4× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$2.0M

15K claims · 1.1%

Your Cost: $131.12/claim|Median: $61.57
2.1× median
92507Top 1%

Speech/hearing/language treatment

$1.7M

10K claims · 1.0%

Your Cost: $172.19/claim|Median: $49.45
3.5× median
96415Top 10%

Chemotherapy infusion, each additional hour

$1.7M

4K claims · 1.0%

Your Cost: $386.01/claim|Median: $43.68
8.8× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$1.3M

2K claims · 0.7%

Your Cost: $562.13/claim|Median: $106.14
5.3× median
76705Top 25%

Ultrasound, abdominal, limited

$1.2M

14K claims · 0.7%

Your Cost: $87.80/claim|Median: $23.81
3.7× median
71275Top 25%

CT angiography, chest, with contrast

$1.1M

5K claims · 0.6%

Your Cost: $226.11/claim|Median: $92.96
2.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$974K

17K claims · 0.6%

Your Cost: $56.72/claim|Median: $10.88
5.2× median
99291Top 5%

Critical care, first 30-74 minutes

$893K

3K claims · 0.5%

Your Cost: $322.83/claim|Median: $101.24
3.2× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$885K

6K claims · 0.5%

Your Cost: $148.88/claim|Median: $37.35
4.0× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$882K

17K claims · 0.5%

Your Cost: $51.03/claim|Median: $35.43
1.4× median
36430Top 25%

Transfusion of whole blood

$879K

3K claims · 0.5%

Your Cost: $257.07/claim|Median: $111.66
2.3× median
45380Top 10%

Colonoscopy with biopsy

$872K

2K claims · 0.5%

Your Cost: $566.11/claim|Median: $200.68
2.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$853K

17K claims · 0.5%

Your Cost: $49.06/claim|Median: $24.49
2.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$837K

11K claims · 0.5%

Your Cost: $77.34/claim|Median: $91.47
0.8× median

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