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INOVA HEALTH CARE SERVICES

Internal Medicine·FALLS CHURCH, VA·NPI: 1952320061Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.0M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$38.0M

$37,983,550

Total Claims

1.2M

Beneficiaries

956K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+38%
2019
$3.3M
+3%
2020
$3.4M
+52%
2021
$5.2M
+29%
2022
$6.6M
+28%
2023
$8.5M
+2%
2024
$8.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$8.3M

117K claims · 21.8%

Your Cost: $70.44/claim|Median: $53.41
1.3× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$4.6M

79K claims · 12.0%

Your Cost: $57.51/claim|Median: $37.81
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.3M

65K claims · 6.2%

Your Cost: $35.80/claim|Median: $23.99
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.0M

28K claims · 5.3%

Your Cost: $70.85/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

20K claims · 4.1%

Your Cost: $77.00/claim|Median: $75.18
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.4M

31K claims · 3.8%

Your Cost: $45.89/claim|Median: $35.30
1.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1.3M

14K claims · 3.5%

Your Cost: $96.78/claim|Median: $84.03
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.1M

225K claims · 2.9%

Your Cost: $4.89/claim|Median: $5.60
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$977K

11K claims · 2.6%

Your Cost: $88.99/claim|Median: $74.09
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$917K

11K claims · 2.4%

Your Cost: $84.90/claim|Median: $67.32
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$772K

15K claims · 2.0%

Your Cost: $52.38/claim|Median: $54.68
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$709K

9,395 claims · 1.9%

Your Cost: $75.42/claim|Median: $74.82
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$590K

7,855 claims · 1.6%

Your Cost: $75.17/claim|Median: $63.65
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$556K

11K claims · 1.5%

Your Cost: $49.29/claim|Median: $37.22
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$492K

5,048 claims · 1.3%

Your Cost: $97.52/claim|Median: $101.24
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$456K

2,943 claims · 1.2%

Your Cost: $154.96/claim|Median: $108.91
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$449K

8,317 claims · 1.2%

Your Cost: $54.01/claim|Median: $43.85
1.2× median
59025Normal range

Fetal non-stress test

$434K

15K claims · 1.1%

Your Cost: $29.23/claim|Median: $26.45
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$430K

12K claims · 1.1%

Your Cost: $36.52/claim|Median: $58.55
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$394K

3,860 claims · 1.0%

Your Cost: $102.06/claim|Median: $99.21
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$392K

5,872 claims · 1.0%

Your Cost: $66.71/claim|Median: $62.48
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$367K

5,567 claims · 1.0%

Your Cost: $65.98/claim|Median: $51.25
1.3× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$357K

6,112 claims · 0.9%

Your Cost: $58.48/claim|Median: $14.00
4.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$334K

30K claims · 0.9%

Your Cost: $11.06/claim|Median: $7.18
1.5× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$281K

4,614 claims · 0.7%

Your Cost: $60.88/claim|Median: $57.85
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$269K

2,711 claims · 0.7%

Your Cost: $99.13/claim|Median: $112.83
0.9× median
59409Normal range

Vaginal delivery only

$236K

365 claims · 0.6%

Your Cost: $646.58/claim|Median: $619.91
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$233K

2,775 claims · 0.6%

Your Cost: $83.88/claim|Median: $80.15
1.0× median
95720Normal range

$193K

1,567 claims · 0.5%

Your Cost: $123.41/claim|Median: $120.95
1.0× median
90677Normal range

$189K

5,452 claims · 0.5%

Your Cost: $34.72/claim|Median: $12.96
2.7× median
90670Top 25%

$189K

14K claims · 0.5%

Your Cost: $13.62/claim|Median: $5.94
2.3× median
90671Top 10%

$181K

1,574 claims · 0.5%

Your Cost: $115.08/claim|Median: $8.59
13.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$157K

18K claims · 0.4%

Your Cost: $8.73/claim|Median: $9.70
0.9× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$156K

71 claims · 0.4%

Your Cost: $2,190.37/claim|Median: $1,482.45
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$149K

9,242 claims · 0.4%

Your Cost: $16.17/claim|Median: $12.93
1.3× median
90651Top 5%

HPV vaccine, 9-valent

$146K

1,519 claims · 0.4%

Your Cost: $96.13/claim|Median: $8.93
10.8× median
95951Normal range

$145K

915 claims · 0.4%

Your Cost: $158.28/claim|Median: $183.28
0.9× median
90680Top 25%

$140K

12K claims · 0.4%

Your Cost: $11.67/claim|Median: $5.58
2.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$130K

80K claims · 0.3%

Your Cost: $1.63/claim|Median: $17.85
0.1× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$123K

2,856 claims · 0.3%

Your Cost: $43.19/claim|Median: $9.79
4.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$122K

954 claims · 0.3%

Your Cost: $127.67/claim|Median: $111.09
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$119K

3,076 claims · 0.3%

Your Cost: $38.68/claim|Median: $29.03
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$117K

4,193 claims · 0.3%

Your Cost: $27.86/claim|Median: $36.79
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$115K

3,338 claims · 0.3%

Your Cost: $34.31/claim|Median: $36.70
0.9× median
96160Normal range

Patient-focused health risk assessment

$111K

36K claims · 0.3%

Your Cost: $3.07/claim|Median: $2.10
1.5× median
90715Top 10%

Tdap vaccine

$110K

2,919 claims · 0.3%

Your Cost: $37.78/claim|Median: $10.32
3.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$104K

2,982 claims · 0.3%

Your Cost: $35.01/claim|Median: $24.33
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$101K

1,761 claims · 0.3%

Your Cost: $57.39/claim|Median: $151.68
0.4× median
93990Normal range

$96K

2,177 claims · 0.3%

Your Cost: $44.15/claim|Median: $29.24
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$93K

10K claims · 0.2%

Your Cost: $9.09/claim|Median: $6.61
1.4× median

Other Top Providers in Virginia

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Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

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$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

New York City Health and Hospitals Corporation

New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

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