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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. Virginia

Virginia Medicare Spending

Medicare provider payments and utilization data for Virginia (VA)

🔎 Data Analysis

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.

⚠️

5 AI-Flagged Providers in Virginia

Providers in this state flagged by the ML v2 fraud detection model

Daniel MccreadyFamily Practice
91.4%
Redouane GoulmaminePhysical Medicine and Rehabilitation
90.6%
Phillip DennisInternal Medicine
89.9%
View all ML-flagged providers →
Total Payments (10yr)
$23.2B
+3.1% vs 2022
Active Providers (2023)
29.9K
73.7M services
Top Specialty
Ophthalmology
$234.1M total
Specialties
30
$84.3K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$2.1B59.7M23.1K—
2015$2.1B61.4M23.7K+1.6%
2016$2.2B62.5M24.5K+1.7%
2017$2.2B65.3M25.3K+3.9%
2018$2.3B71.5M26.3K+5.1%
2019$2.5B78.7M27.1K+6.9%
2020$2.2B71.2M27.2K-10.4%
2021$2.5B75.0M28.3K+12.6%
2022$2.4B73.2M28.8K-3.4%
2023$2.5B73.7M29.9K+3.1%

Top Providers in Virginia

#ProviderSpecialtyPaymentsServices
1Robert BrennanInfectious Disease$15.9M1.1M
2Sentara Reference Lab Solutions, LlcClinical Laboratory$12.9M1.1M
3Roanoke Valley Center For Sight LlcAmbulatory Surgical Center$8.4M38.1K
4Director Of Finance-County Of Fairfax VaAmbulance Service Provider$7.9M103.9K
5Berger And Burrow Enterprises Inc.Portable X-Ray Supplier$6.6M158.6K
6Inova Health Care ServicesClinical Laboratory$5.4M535.4K
7Rca Laboratory Services, LlcClinical Laboratory$5.3M211.7K
8American Medical Response Mid-Atlantic, Inc.Ambulance Service Provider$4.9M274.2K
9Gordon ByrnesOphthalmology$4.9M41.4K
10Med Atlantic IncAmbulatory Surgical Center$4.9M27.7K
11Stony Point Surgery Center, L.L.CAmbulatory Surgical Center$4.9M7.6K
12Virginia Surgery Center, LlcAmbulatory Surgical Center$4.8M6.8K
13John O'keefeOphthalmology$4.8M23.0K
14Virginia Eye Institute IncAmbulatory Surgical Center$4.8M9.4K
15Timothy ByrnesOphthalmology$4.7M88.8K
16Juan AstrucOphthalmology$4.7M23.2K
17Matthew ReedOphthalmology$4.6M64.6K
18Mohit NandaOphthalmology$4.6M45.5K
19David CarletonRheumatology$4.3M733.7K
20Microgen Health, IncClinical Laboratory$4.3M113.3K
21Vista Clinical Diagnostics LlcClinical Laboratory$4.3M2.1M
22Phong NguyenRheumatology$4.2M468.8K
23Alexander MelamudOphthalmology$4.2M39.3K
24Jordana FeinOphthalmology$4.2M39.7K
25Sundeep KasiOphthalmology$4.1M40.2K

Most Billed Procedures in Virginia

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$270.2M3.3M12.9K
99213Established patient office or other outpatient visit, 20-29 minutes$124.4M2.1M12.4K
J0178Injection, aflibercept, 1 mg$87.1M126.7K76
J9271Injection, pembrolizumab, 1 mg$67.8M1.6M111
66984Removal of cataract with insertion of prosthetic lens$52.6M394.4K378
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$49.0M799.7K4.5K
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$45.0M483.4K3.3K
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$43.5M353.5K3.0K
99204New patient office or other outpatient visit, 45-59 minutes$40.6M366.0K6.8K
99215Established patient office or other outpatient visit, 40-54 minutes$38.4M320.7K4.0K
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$36.7M89.8K210
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$33.7M254.3K3.7K
99285Emergency department visit with high level of medical decision making$31.7M236.7K1.6K
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$31.6M1.8M2.2K
J0897Injection, denosumab, 1 mg$30.5M1.7M342
J2777Injection, faricimab-svoa, 0.1 mg$29.5M1.0M57
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$29.4M404.1K794
92014Established patient complete exam of visual system$28.6M337.8K873
A0429Ambulance service, basic life support, emergency transport (bls-emergency)$28.2M83.0K226
97530Therapy procedure using functional activities$27.4M1.1M1.9K

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Ophthalmology$234.1M425$550.8K
Internal Medicine$173.6M1.9K$89.1K
Family Practice$154.5M2.1K$73.5K
Hematology-Oncology$149.5M219$682.8K
Nurse Practitioner$133.2M4.6K$28.7K
Ambulance Service Provider$110.7M255$434.1K
Diagnostic Radiology$104.0M797$130.5K
Ambulatory Surgical Center$101.4M61$1.7M
Physical Therapist in Private Practice$98.5M2.1K$47.9K
Cardiology$86.0M432$199.0K
Dermatology$79.8M337$236.7K
Physician Assistant$74.9M2.7K$28.0K
Orthopedic Surgery$69.8M529$132.0K
Rheumatology$60.4M112$539.7K
Clinical Laboratory$56.4M55$1.0M
Emergency Medicine$49.2M1.1K$45.5K
Mass Immunizer Roster Biller$48.6M801$60.7K
Radiation Oncology$38.9M94$414.0K
Pulmonary Disease$38.7M258$150.1K
Hospitalist$38.2M610$62.6K
Podiatry$34.2M346$98.8K
Neurology$32.9M370$88.9K
Urology$32.5M218$149.1K
Nephrology$29.9M211$141.9K
Gastroenterology$29.7M366$81.3K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

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.