Meritus Medical Center INC
Meritus Medical Center INC was paid $517K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
HAGERSTOWN, MD 21742
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Maryland
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,767 | $26K | |
| 2019 | 1,166 | $25K | |
| 2020 | 1,339 | $81K | |
| 2021 | 1,713 | $95K | |
| 2022 | 1,965 | $130K | |
| 2023 | 1,083 | $85K | |
| 2024incomplete | 912 | $75K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 3,705 | 3,584 | $168K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 1,424 | 1,323 | $138K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.9% | 2,521 | 833 | $51K |
| 99223 | Prolong inpt eval add15 m | 9.6% | 527 | 438 | $50K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.6% | 685 | 614 | $44K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 6.1% | 489 | 479 | $32K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.1% | 99 | 97 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 229 | 224 | $8K |
| 99221 | <1% | 57 | 53 | $3K | |
| 99442 | <1% | 99 | 98 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 81 | 43 | $2K |
| 99253 | <1% | 12 | 12 | $1K |
1 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Medical Practices of Antietam, LLC | Hagerstown, MD | $20.56M |
| Meritus Medical Laboratory LLC | Hagerstown, MD | $12.14M |
| Brook Lane Behavioral Services, INC. | Frederick, MD | $5.59M |
| Meritus Urgent Care, LLC | Hagerstown, MD | $4.93M |
| Meritus Medical Center INC | Hagerstown, MD | $3.41M |
| Brook Lane Behavioral Services, INC. | Hagerstown, MD | $3.12M |
| Meritus Medical Center INC | Hagerstown, MD | $1.47M |
| Meritus Enterprises,inc. | Hagerstown, MD | $1.28M |
| Meritus Medical Center INC | Hagerstown, MD | $1.18M |
| Meritus Medical Center INC | Hagerstown, MD | $968K |
| Meritus Medical Center INC | Hagerstown, MD | $828K |
| Meritus Medical Center INC | Hagerstown, MD | $60K |
| Meritus Medical Center INC | Hagerstown, MD | $49K |
| Meritus Medical Center INC | Hagerstown, MD | $17K |
| Meritus Medical Center INC | Hagerstown, MD | $2K |
| Meritus Medical Center, INC. | Hagerstown, MD | $796.87 |
| Meritus Urgent Care LLC | Hagerstown, MD | $92.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.