Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Hagerstown › NPI 1659517936
Physician

Meritus Medical Center INC

Meritus Medical Center INC was paid $828K by Medicaid between Sep 2019 and Dec 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.

33Billing provider infoMERITUS MEDICAL CENTER INC
HAGERSTOWN, MD 21742
33aNPI1659517936assigned 12/17/2008
33bProvider typePsychiatry Physician
28Total paid$828K
24GClaims8,719
24DCodes billed14
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in Maryland

Rank by total paid#28 of 229
Median peer was paid$82K
This provider vs. median10×

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.

Entity ProliferationAuthorized official REPAC, JOSHUA controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019654$53K
20201,635$156K
20211,771$149K
20221,295$121K
20231,660$179K
2024incomplete1,704$171K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 45% 5,315 2,408 $373K
99223 Prolong inpt eval add15 m 20% 855 820 $166K
99239 Hospital discharge day management, more than 30 minutes 15% 1,186 1,123 $125K
99254 7.3% 350 344 $61K
99222 Initial hospital care, per day, moderate complexity 3.9% 247 226 $32K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.5% 289 232 $29K
99253 2.5% 175 171 $21K
99238 Hospital discharge day management, 30 minutes or less <1% 97 95 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 101 72 $4K
99252 <1% 45 43 $3K
99255 <1% 13 12 $3K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 13 12 $2K
2 more codes
99283 Emergency room visit (moderate) <1% 15 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 18 $768.60

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.

From NPPES

Who's on the registration

Authorized officialREPAC, JOSHUA (CFO)
Parent organizationMERITUS MEDICAL CENTER INC
Same official

Other billing entities under REPAC, JOSHUA

Full network →
ProviderLocationPaid
Medical Practices of Antietam, LLCHagerstown, MD$20.56M
Meritus Medical Laboratory LLCHagerstown, MD$12.14M
Brook Lane Behavioral Services, INC.Frederick, MD$5.59M
Meritus Urgent Care, LLCHagerstown, MD$4.93M
Meritus Medical Center INCHagerstown, MD$3.41M
Brook Lane Behavioral Services, INC.Hagerstown, MD$3.12M
Meritus Medical Center INCHagerstown, MD$1.47M
Meritus Enterprises,inc.Hagerstown, MD$1.28M
Meritus Medical Center INCHagerstown, MD$1.18M
Meritus Medical Center INCHagerstown, MD$968K
Meritus Medical Center INCHagerstown, MD$517K
Meritus Medical Center INCHagerstown, MD$60K
Meritus Medical Center INCHagerstown, MD$49K
Meritus Medical Center INCHagerstown, MD$17K
Meritus Medical Center INCHagerstown, MD$2K
Meritus Medical Center, INC.Hagerstown, MD$796.87
Meritus Urgent Care LLCHagerstown, MD$92.10

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.