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    OpenPayerNPI Medicare & MedicaidAntietam Urosurgical Center LLC Asc
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    Antietam Urosurgical Center LLC Asc — Billing Profile & Reimbursement Data

    NPI 1437106846 · Hagerstown, MD · Ambulatory Surgical Clinic/Center

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    Antietam Urosurgical Center LLC Asc is a ambulatory surgical clinic/center provider located in Hagerstown, Maryland. This profile covers 12 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAntietam Urosurgical Center LLC Asc
    Address11110 Medical Campus Rd
    CityHagerstown
    StateMD
    ZIP21742
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 30, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$390.4K
    Medicaid$1.4K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…510$190$96.1K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.50$1,070$54.4K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…80$600$49.3K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$1,610$43.5K
    55700Code deleted December 31, 2025.50$600$31.8K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…20$1,620$29.2K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$1,630$27.7K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$610$18.8K
    52235The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…10$1,070$14.9K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$600$13.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058574808,130$1$49K
    5059083030$800$32.2K
    52648174020$1,160$31.4K
    52601184020$1,260$29.1K
    5200015200120$140$25.8K
    523562910020$900$25.3K
    557003814030$370$18.9K
    52287326030$380$18.8K
    52235223020$700$17.4K
    52310409020$400$13.7K

    Showing 1–10 of 12

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$50$1.4K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…50$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis395090$70$28.2K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…6490110$30$11.9K

    Nearby Providers

    Other providers in the same ZIP code as Antietam Urosurgical Center LLC Asc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Practices Of Antietam, LLCMDGeneral Practice Physician$0$20.5M
    Meritus Medical Laboratory LLCMDClinical Medical Laboratory$3.4M$12.1M
    Brook Lane Behavioral Services, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    Meritus Urgent Care, LLCMDUrgent Care Clinic/Center$0$4.9M
    William SuMDVascular Surgery Physician$1.4M$0
    Syed MahmoodMDMedical Oncology Physician$1M$0
    Sarim MirMDNeurology Physician$801.3K$0
    Meridian Surgery Center LLCMDAmbulatory Surgical Clinic/Center$614.4K$0
    Ernest AmegashieMDCardiovascular Disease Physician$588.2K$130
    Hagerstown Surgery Center,llcMDAmbulatory Surgical Clinic/Center$559K$28.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Antietam Urosurgical Center LLC Asc — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Antietam Urosurgical Center LLC Asc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland