Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ANTIETAM FAMILY HEALTH, LLC

NPI: 1548972318 · HAGERSTOWN, MD 21740 · Professional Counselor · NPI assigned 12/23/2022

$536K
Total Medicaid Paid
5,861
Total Claims
4,412
Beneficiaries
11
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRONCONE, MARK (OWNER)
NPI Enumeration Date12/23/2022

Related Entities

Other providers sharing the same authorized official: RONCONE, MARK

ProviderCityStateTotal Paid
ANTIETAM FAMILY HEALTH, LLC HAGERSTOWN MD $11K
ANTIETAM FAMILY HEALTH, LLC HAGERSTOWN MD $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,421 $208K
2024 3,440 $328K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,918 2,025 $335K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,280 991 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 434 379 $61K
99215 Prolong outpt/office vis 80 76 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 112 94 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 238 151 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 83 62 $2K
93923 15 14 $1K
36415 Collection of venous blood by venipuncture 645 569 $1K
90686 39 34 $780.14
96127 17 17 $75.36