Physician
Antietam Pediatric and Adolescent Care, LLC
Antietam Pediatric and Adolescent Care, LLC was paid $131K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 64% of everything it billed.
33Billing provider infoANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1780627810assigned 06/14/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$131K
24GClaims4,034
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Maryland
Rank by total paid#28 of 54
Median peer was paid$131K
This provider vs. median1.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 528 | $13K | |
| 2019 | 550 | $13K | |
| 2020 | 392 | $11K | |
| 2021 | 545 | $14K | |
| 2022 | 694 | $28K | |
| 2023 | 657 | $22K | |
| 2024incomplete | 668 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 64% | 3,429 | 3,358 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 399 | 351 | $35K |
| 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 | 7.5% | 76 | 62 | $10K |
| 90686 | <1% | 52 | 36 | $989.61 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 21 | 19 | $353.01 |
| 96127 | <1% | 13 | 13 | $61.23 | |
| 1160F | 0% | 22 | 17 | $0.00 | |
| 1159F | 0% | 22 | 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.
From NPPES
Who's on the registration
Authorized officialWEAVER, LEON (PARTNER)