Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › HAGERSTOWN › MEDICAL PRACTICES OF ANTIETAM, LLC

MEDICAL PRACTICES OF ANTIETAM, LLC

NPI: 1558430843 · HAGERSTOWN, MD 21742 · 208D00000X

$20.56M
Total Medicaid Paid
447,864
Total Claims
359,301
Beneficiaries
159
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,516 $819K
2019 10,481 $582K
2020 34,646 $1.71M
2021 55,539 $2.47M
2022 94,923 $4.71M
2023 112,799 $5.69M
2024 128,960 $4.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 105,839 86,074 $8.56M
99213 104,313 84,497 $6.83M
99204 9,505 8,092 $976K
99203 5,708 4,990 $436K
99212 10,415 8,383 $420K
99254 1,482 1,344 $234K
88305 4,127 3,386 $204K
93306 2,495 2,150 $204K
99232 8,384 2,473 $191K
93000 7,145 6,156 $135K
99051 10,278 8,098 $123K
99222 3,532 2,627 $122K
95165 502 398 $120K
G2211 Complex e/m visit add on 3,864 3,430 $112K
93010 18,070 13,440 $102K
L4361 Pneuma/vac walk boot pre ots 461 374 $94K
99215 Prolong outpt/office vis 2,142 1,829 $84K
73630 2,550 1,929 $58K
76816 726 602 $57K
J3301 Triamcinolone acet inj nos 1,821 1,569 $56K
3044F 3,965 3,375 $56K
95117 5,306 2,171 $55K
L3000 Ft insert ucb berkeley shell 166 109 $54K
0002A 2,786 1,447 $52K
0001A 3,033 1,548 $50K
99244 292 280 $49K
20611 1,357 1,117 $46K
87428 1,711 1,469 $45K
95004 417 357 $44K
99308 1,763 1,113 $42K
76819 616 397 $41K
99395 377 347 $41K
90686 2,390 1,983 $38K
88342 1,095 907 $35K
88307 518 445 $34K
93015 426 376 $33K
99221 449 375 $32K
94727 1,459 1,297 $30K
99223 Prolong inpt eval add15 m 661 555 $29K
94729 1,566 1,390 $29K
80305 1,628 1,502 $29K
94060 1,567 1,392 $27K
76820 629 408 $26K
99231 1,209 498 $23K
96372 2,258 1,898 $22K
99309 705 536 $22K
99205 Prolong outpt/office vis 311 282 $21K
0003A 1,193 543 $20K
87880 1,633 1,331 $20K
95251 713 629 $20K
43239 175 155 $17K
G0008 Admin influenza virus vac 1,571 1,287 $16K
90682 704 610 $16K
0012A 910 459 $15K
0064A 829 427 $15K
73564 678 458 $15K
99442 608 566 $14K
U0003 Cov-19 amp prb hgh thruput 147 147 $14K
99393 151 137 $14K
0011A 1,033 465 $14K
H1003 Prenatal at risk education 1,208 1,055 $12K
1125F 730 678 $11K
99406 1,327 1,086 $11K
45380 73 71 $11K
90471 1,274 1,116 $10K
0072A 540 270 $10K
3051F 352 282 $10K
99443 293 275 $9K
99233 Prolong inpt eval add15 m 526 246 $9K
0071A 541 271 $9K
73130 295 240 $7K
81003 530 493 $7K
1126F 442 417 $6K
0031A 316 168 $6K
99391 81 63 $5K
99239 263 230 $5K
73610 173 146 $4K
99392 53 51 $4K
91320 83 75 $4K
90656 233 214 $4K
87804 179 145 $4K
99396 30 27 $4K
3052F 130 107 $3K
99441 224 210 $3K
11721 86 86 $3K
73030 77 68 $3K
76801 26 25 $3K
0004A 145 77 $3K
81025 433 356 $3K
95024 16 15 $2K
87426 67 61 $2K
0124A 115 66 $2K
0054A 103 49 $2K
94010 74 66 $2K
90662 342 265 $2K
93356 67 62 $2K
88304 165 144 $2K
3046F 73 58 $2K
94618 65 56 $2K
99394 13 13 $2K
83036 46 44 $2K
99385 12 12 $2K
0134A 64 34 $2K
90480 83 76 $1K
72100 56 49 $1K
0052A 74 33 $1K
20610 103 89 $1K
99417 Prolong home eval add 15m 60 30 $1K
99459 58 56 $1K
J2785 Regadenoson injection 255 225 $1K
76856 12 12 $1K
96160 461 286 $1K
88141 47 37 $988.86
0051A 57 21 $974.00
82803 26 25 $969.15
90648 87 50 $884.64
G0009 Admin pneumococcal vaccine 85 82 $881.85
99495 27 27 $877.44
90715 26 24 $862.02
J1030 Methylprednisolone 40 mg inj 43 40 $819.80
87807 76 69 $785.20
73502 31 29 $764.92
93793 660 322 $618.35
J3420 Vitamin b12 injection 293 246 $562.69
88112 16 15 $556.78
99211 27 26 $554.88
99496 14 13 $497.63
H1000 Prenatal care atrisk assessm 12 12 $480.00
0013A 25 12 $480.00
94664 33 25 $460.60
82962 143 127 $370.62
81000 114 110 $365.76
99307 36 27 $292.41
90670 43 30 $232.80
94640 17 14 $191.38
3008F 23,505 21,070 $120.00
3074F 13,102 11,899 $75.00
87081 13 13 $65.33
85610 23 12 $46.36
A9500 Tc99m sestamibi 49 48 $30.00
J1100 Dexamethasone sodium phos 22 13 $11.25
3075F 676 629 $8.79
J7613 Albuterol non-comp unit 17 14 $2.04
91300 53 36 $0.04
0502F 14,768 11,580 $0.00
1159F 10,177 9,149 $0.00
3078F 11,076 10,090 $0.00
1160F 3,222 2,912 $0.00
3077F 181 164 $0.00
3079F 2,626 2,422 $0.00
3048F 267 234 $0.00
4010F 502 452 $0.00
3049F 73 66 $0.00
90677 30 13 $0.00
3080F 26 24 $0.00
78452 50 49 $0.00
91301 15 12 $0.00
90732 15 14 $0.00
36600 27 25 $-5.32