Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Medical Practices Of Antietam, LLC (NPI 1558430843)

Medical Practices Of Antietam, LLC is a general practice physician provider located in Hagerstown, Maryland. This profile covers 0 Medicare and 159 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Medical Practices Of Antietam, LLC
Address	11110 Medical Campus Road
City	Hagerstown
State	MD
ZIP	21742
Taxonomy	General Practice Physician
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$20.5M
Medicare	$0

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

159 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	105,840	$80	$8.6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	104,310	$70	$6.8M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	9,510	$100	$979K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	5,710	$80	$433.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10,420	$40	$416.6K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	1,480	$160	$234.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,500	$80	$204.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,130	$50	$202.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	8,380	$20	$192.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	7,150	$20	$135.8K

Showing 1–10 of 159

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Medical Practices Of Antietam, LLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

159 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	53	80	500	$70	$691.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9	3,670	680	$90	$310K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	11	3,280	610	$80	$296.1K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	11	30	230	$220	$250.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	138	250	960	$30	$246.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	273	330	800	$110	$228.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	142	300	420	$50	$213.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	236	290	730	$100	$212.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	28	60	370	$70	$195.6K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	14	40	250	$40	$190.6K

Showing 1–10 of 159

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meritus Medical Laboratory LLC	MD	Clinical Medical Laboratory	$3.4M	$12.1M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Jason Dittrich	MD	Vascular & Interventional Radiology Physician	$810.7K	$0
Christopher Vaccari	MD	Cardiovascular Disease Physician	$675.1K	$0
Jong Kim	MD	Specialist	$597.6K	$0
Ernest Amegashie	MD	Cardiovascular Disease Physician	$588.2K	$130
Dean Notabartolo	MD	Cardiovascular Disease Physician	$545K	$0
Jeffrey Jones	MD	Cardiovascular Disease Physician	$499.8K	$0
Fahad Lodhi	MD	Cardiovascular Disease Physician	$494.8K	$0
Zubair Faridi	MD	Cardiovascular Disease Physician	$489.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brook Lane Behavioral Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
Meritus Urgent Care, LLC	MD	Urgent Care Clinic/Center	$0	$4.9M
William Su	MD	Vascular Surgery Physician	$1.4M	$0
Syed Mahmood	MD	Medical Oncology Physician	$1M	$0
Sarim Mir	MD	Neurology Physician	$801.3K	$0
Meridian Surgery Center LLC	MD	Ambulatory Surgical Clinic/Center	$614.4K	$0
Hagerstown Surgery Center,llc	MD	Ambulatory Surgical Clinic/Center	$559K	$28.4K
Thomas Gilbert	MD	Emergency Medicine Physician	$556.7K	$0
Nina Gordon	MD	Diagnostic Radiology Physician	$496.6K	$0
Joseph Holobinko	MD	Orthopaedic Surgery Physician	$481.6K	$0

Medical Practices Of Antietam, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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