Medicare provider payments and utilization data for Virginia (VA)
Virginia received $23.2B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $234.1M in payments across 425 providers.
In 2023, 29.9K providers were actively billing Medicare in Virginia.
Annual Medicare spending grew 21% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $2.1B | 59.7M | 23.1K | — |
| 2015 | $2.1B | 61.4M | 23.7K | +1.6% |
| 2016 | $2.2B | 62.5M | 24.5K | +1.7% |
| 2017 | $2.2B | 65.3M | 25.3K | +3.9% |
| 2018 | $2.3B | 71.5M | 26.3K | +5.1% |
| 2019 | $2.5B | 78.7M | 27.1K | +6.9% |
| 2020 | $2.2B | 71.2M | 27.2K | -10.4% |
| 2021 | $2.5B | 75.0M | 28.3K | +12.6% |
| 2022 | $2.4B | 73.2M | 28.8K | -3.4% |
| 2023 | $2.5B | 73.7M | 29.9K | +3.1% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $270.2M | 3.3M | 12.9K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $124.4M | 2.1M | 12.4K |
| J0178 | Injection, aflibercept, 1 mg | $87.1M | 126.7K | 76 |
| J9271 | Injection, pembrolizumab, 1 mg | $67.8M | 1.6M | 111 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $52.6M | 394.4K | 378 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $49.0M | 799.7K | 4.5K |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $45.0M | 483.4K | 3.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $43.5M | 353.5K | 3.0K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $40.6M | 366.0K | 6.8K |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $38.4M | 320.7K | 4.0K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $36.7M | 89.8K | 210 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $33.7M | 254.3K | 3.7K |
| 99285 | Emergency department visit with high level of medical decision making | $31.7M | 236.7K | 1.6K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $31.6M | 1.8M | 2.2K |
| J0897 | Injection, denosumab, 1 mg | $30.5M | 1.7M | 342 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $29.5M | 1.0M | 57 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $29.4M | 404.1K | 794 |
| 92014 | Established patient complete exam of visual system | $28.6M | 337.8K | 873 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $28.2M | 83.0K | 226 |
| 97530 | Therapy procedure using functional activities | $27.4M | 1.1M | 1.9K |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $234.1M | 425 | $550.8K |
| Internal Medicine | $173.6M | 1.9K | $89.1K |
| Family Practice | $154.5M | 2.1K | $73.5K |
| Hematology-Oncology | $149.5M | 219 | $682.8K |
| Nurse Practitioner | $133.2M | 4.6K | $28.7K |
| Ambulance Service Provider | $110.7M | 255 | $434.1K |
| Diagnostic Radiology | $104.0M | 797 | $130.5K |
| Ambulatory Surgical Center | $101.4M | 61 | $1.7M |
| Physical Therapist in Private Practice | $98.5M | 2.1K | $47.9K |
| Cardiology | $86.0M | 432 | $199.0K |
| Dermatology | $79.8M | 337 | $236.7K |
| Physician Assistant | $74.9M | 2.7K | $28.0K |
| Orthopedic Surgery | $69.8M | 529 | $132.0K |
| Rheumatology | $60.4M | 112 | $539.7K |
| Clinical Laboratory | $56.4M | 55 | $1.0M |
| Emergency Medicine | $49.2M | 1.1K | $45.5K |
| Mass Immunizer Roster Biller | $48.6M | 801 | $60.7K |
| Radiation Oncology | $38.9M | 94 | $414.0K |
| Pulmonary Disease | $38.7M | 258 | $150.1K |
| Hospitalist | $38.2M | 610 | $62.6K |
| Podiatry | $34.2M | 346 | $98.8K |
| Neurology | $32.9M | 370 | $88.9K |
| Urology | $32.5M | 218 | $149.1K |
| Nephrology | $29.9M | 211 | $141.9K |
| Gastroenterology | $29.7M | 366 | $81.3K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.