Active NPI 1508177841 Individual Practitioner Male Practitioner

Dr. Vimarsh Raina , MD

Internal Medicine • Great Falls, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Vimarsh Raina, MD is a certified Internal Medicine practicing in Great Falls, VA. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Raina delivers high-quality medical care to the local community at 929C SENECA RD.

Dr. Raina maintains professional affiliations with Aspirus Merrill Hospital And Clinics Inc, Aspirus Stanley Hospital And Clinics Inc, Inova Health Care Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, telehealth consultation, emergency department or initial inpatient. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

929c Seneca Rd

Great Falls, VA 220661318

Telephone 0715321412

Associated Practice Facility / Clinic

🏢 Telehealthcarenetwork Llc Facility NPI 1235908385

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Great Falls, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -2.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Great Falls, VA (3758 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raina (23 Years) 23 Yrs

Great Falls Specialty Average (25.3 Years) 25.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	333	162	$276.01	$130.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	124	$596.08	$177.91
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	124	116	$693.06	$174.29
99239 Hospital discharge day management, more than 30 minutes	109	108	$302.31	$125.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	51	$209.23	$83.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	19	$171.22	$88.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$447.39	$122.45
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	34	28	$315.15	$97.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	21	$257.48	$133.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$397.33	$192.20
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	11	$361.92	$144.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	333	137	$204.76	$81.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	245	236	$683.77	$168.37
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	104	98	$661.54	$174.85
99239 Hospital discharge day management, more than 30 minutes	95	94	$336.42	$118.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	56	$306.25	$122.03
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	22	21	$299.14	$98.35
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	20	17	$203.00	$67.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$430.35	$130.26
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	14	$351.93	$144.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	165	130	$97.08	$7.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	53	$241.54	$67.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	42	$355.00	$97.43
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	87	81	$640.98	$187.22
99239 Hospital discharge day management, more than 30 minutes	56	56	$379.61	$99.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	51	38	$167.04	$64.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$638.45	$187.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$416.44	$127.47
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	29	22	$198.66	$67.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	12	$171.50	$64.60
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	15	14	$290.60	$96.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	72	66	$84.75	$8.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	24	$306.95	$97.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$603.28	$191.10
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	40	37	$626.69	$182.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	19	$217.99	$66.68
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	19	17	$420.58	$129.39
99239 Hospital discharge day management, more than 30 minutes	13	13	$293.75	$101.71
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	12	11	$222.67	$68.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	131	102	$82.31	$8.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	48	$323.38	$102.02
99239 Hospital discharge day management, more than 30 minutes	48	46	$293.76	$104.98
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	43	39	$603.19	$191.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	38	$599.77	$192.44
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	27	24	$420.00	$134.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$219.57	$70.84
99220 Hospital observation care, typically 70 minutes	17	16	$445.90	$169.49
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	14	12	$314.48	$101.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$310.36	$109.73
99217 Hospital observation care on day of discharge	13	13	$209.46	$65.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$196.19	$77.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	302	236	$81.58	$8.30
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	98	89	$601.52	$195.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	57	$295.82	$100.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	74	$581.65	$195.97
99239 Hospital discharge day management, more than 30 minutes	58	55	$278.88	$104.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$190.69	$76.52
99220 Hospital observation care, typically 70 minutes	24	24	$440.73	$179.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	11	$209.43	$70.49
99217 Hospital observation care on day of discharge	19	19	$206.88	$70.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	309	132	$291.20	$99.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	302	227	$80.57	$8.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	99	$575.02	$190.44
99239 Hospital discharge day management, more than 30 minutes	108	103	$277.45	$102.73
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	43	43	$595.41	$193.71
99217 Hospital observation care on day of discharge	34	34	$202.62	$70.26
99220 Hospital observation care, typically 70 minutes	21	21	$437.06	$178.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$204.29	$69.80
99219 Hospital observation care, typically 50 minutes	19	19	$340.57	$130.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$465.59	$130.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$189.30	$75.46
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	16	16	$402.29	$130.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	497	383	$79.20	$7.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	250	121	$287.82	$97.24
99239 Hospital discharge day management, more than 30 minutes	112	108	$274.33	$100.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	89	$565.44	$186.96
99220 Hospital observation care, typically 70 minutes	35	35	$427.89	$173.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	21	$203.33	$67.41
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$299.65	$93.72
99217 Hospital observation care on day of discharge	28	28	$200.85	$67.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$461.74	$127.20
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	12	12	$460.41	$187.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$185.14	$73.26

Medical Specialties & State Licenses

CMS Verified: 2024-01-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 56871-20

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WI 56871

Hospital & Practice Group Affiliations

Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.

401 W Mohawk Dr, Tomahawk, WI 544872274

Phone: 7154537200

Aspirus Stevens Point Hospital And Clinics, Inc.

401 W Mohawk Dr, Tomahawk, WI 544872274

Phone: 7154537700

Aspirus Stevens Point Hospital And Clinics, Inc.

900 Illinois Ave, Stevens Point, WI 544813114

Phone: 7153465000

Aspirus Merrill Hospital And Clinics Inc

601 S Ctr Ave, Merrill, WI 544523404

Phone: 7155365511

Aspirus Eagle River Hospital And Clinics, Inc

201 Hospital Rd, Eagle River, WI 545218835

Phone: 7154797411

Inova Health Care Services

44045 Rivderside Pkwy, Leesburg, VA 201765101

Phone: 7037712960

Aspirus Stevens Point Hospital And Clinics, Inc.

601 S Ctr Ave, Merrill, WI 544523404

Phone: 7155365511

Aspirus Stevens Point Hospital And Clinics, Inc.

201 Hospital Rd, Eagle River, WI 545218835

Phone: 7154797411

Aspirus Stanley Hospital And Clinics Inc

1120 Pine St, Stanley, WI 547681297

Phone: 7156445530

Inova Health Care Services

3300 Gallows Rd, Falls Church, VA 220423307

Secondary Practice Locations

900 Illinois Ave

Stevens Point, WI 544813114

Phone: 7153465000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 12, 2024

Registered at 929C SENECA RD, GREAT FALLS, VA 220661318 (Tel: 0715321412)

📍

Updated Business Mailing Address January 12, 2024

Registered at 929C SENECA RD, GREAT FALLS, VA 220661318 (Tel: 0715321412)

✅

NPI Profile Active July 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2012

Registered at 900 ILLINOIS AVE, STEVENS POINT, WI 544813114 (Tel: 7153465000)

📍

Updated Business Mailing Address July 05, 2012

Registered at 900 ILLINOIS AVE, STEVENS POINT, WI 544813114 (Tel: 7153465000)

👤

Provider Name / Credentials Updated July 05, 2012

Recorded as VIMARSH RAINA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2012

Internal Medicine (License #56871 in WI)

🟢

Initial NPI Registration & Enumeration July 01, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508177841

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2010

Last Update: January 12, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

929c Seneca Rd

Great Falls, VA 220661318

Phone: 0715321412

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.