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MEDICAL PRACTICES OF ANTIETAM, LLC

General Practice·HAGERSTOWN, MD·NPI: 1558430843Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.6M is at the 25th percentile among 6 General Practice providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.6M

$20,560,633

Total Claims

448K

Beneficiaries

359K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$819K
-29%
2019
$582K
+195%
2020
$1.7M
+44%
2021
$2.5M
+91%
2022
$4.7M
+21%
2023
$5.7M
-20%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 42% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$8.6M

106K claims · 41.6%

Your Cost: $80.84/claim|Median: $53.41
1.5× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$6.8M

104K claims · 33.2%

Your Cost: $65.45/claim|Median: $37.81
1.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$976K

9,505 claims · 4.7%

Your Cost: $102.70/claim|Median: $84.03
1.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$436K

5,708 claims · 2.1%

Your Cost: $76.35/claim|Median: $57.85
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$420K

10K claims · 2.0%

Your Cost: $40.29/claim|Median: $25.06
1.6× median
99254Top 10%

$234K

1,482 claims · 1.1%

Your Cost: $157.89/claim|Median: $81.43
1.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$204K

4,127 claims · 1.0%

Your Cost: $49.38/claim|Median: $35.80
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$204K

2,495 claims · 1.0%

Your Cost: $81.67/claim|Median: $54.68
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$191K

8,384 claims · 0.9%

Your Cost: $22.74/claim|Median: $23.99
0.9× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$135K

7,145 claims · 0.7%

Your Cost: $18.90/claim|Median: $9.70
1.9× median
99051Normal range

$123K

10K claims · 0.6%

Your Cost: $12.00/claim|Median: $7.89
1.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$122K

3,532 claims · 0.6%

Your Cost: $34.53/claim|Median: $51.25
0.7× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$120K

502 claims · 0.6%

Your Cost: $238.45/claim|Median: $144.04
1.7× median
G2211Top 1%

$112K

3,864 claims · 0.5%

Your Cost: $28.90/claim|Median: $2.40
12.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$102K

18K claims · 0.5%

Your Cost: $5.65/claim|Median: $5.60
1.0× median
L4361Top 25%

$94K

461 claims · 0.5%

Your Cost: $204.73/claim|Median: $161.24
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$84K

2,142 claims · 0.4%

Your Cost: $39.13/claim|Median: $74.09
0.5× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$58K

2,550 claims · 0.3%

Your Cost: $22.73/claim|Median: $12.06
1.9× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$57K

726 claims · 0.3%

Your Cost: $79.11/claim|Median: $58.55
1.4× median
J3301Top 1%

Injection, triamcinolone acetonide, per ten milligrams

$56K

1,821 claims · 0.3%

Your Cost: $30.95/claim|Median: $2.91
10.6× median
3044FTop 5%

$56K

3,965 claims · 0.3%

Your Cost: $14.00/claim|Median: $0.16
87.5× median
95117Top 25%

$55K

5,306 claims · 0.3%

Your Cost: $10.44/claim|Median: $8.34
1.3× median
L3000Top 25%

Foot insert, removable, molded to patient model

$54K

166 claims · 0.3%

Your Cost: $325.02/claim|Median: $205.41
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$52K

2,786 claims · 0.3%

Your Cost: $18.74/claim|Median: $36.70
0.5× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$50K

3,033 claims · 0.2%

Your Cost: $16.60/claim|Median: $33.72
0.5× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$49K

292 claims · 0.2%

Your Cost: $166.10/claim|Median: $121.58
1.4× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$46K

1,357 claims · 0.2%

Your Cost: $34.04/claim|Median: $42.51
0.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$45K

1,711 claims · 0.2%

Your Cost: $26.44/claim|Median: $39.63
0.7× median
95004Normal range

Percutaneous allergy skin tests, each

$44K

417 claims · 0.2%

Your Cost: $104.60/claim|Median: $134.97
0.8× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$42K

1,763 claims · 0.2%

Your Cost: $23.93/claim|Median: $9.79
2.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$41K

616 claims · 0.2%

Your Cost: $66.13/claim|Median: $49.45
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$41K

377 claims · 0.2%

Your Cost: $107.80/claim|Median: $72.71
1.5× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$38K

2,390 claims · 0.2%

Your Cost: $15.95/claim|Median: $7.18
2.2× median
88342Normal range

$35K

1,095 claims · 0.2%

Your Cost: $31.97/claim|Median: $23.66
1.4× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$34K

518 claims · 0.2%

Your Cost: $66.30/claim|Median: $59.38
1.1× median
93015Top 25%

$33K

426 claims · 0.2%

Your Cost: $78.22/claim|Median: $41.12
1.9× median
99221Top 25%

Initial hospital care, straightforward/low

$32K

449 claims · 0.2%

Your Cost: $72.22/claim|Median: $39.96
1.8× median
94727Normal range

$30K

1,459 claims · 0.1%

Your Cost: $20.41/claim|Median: $14.31
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$29K

661 claims · 0.1%

Your Cost: $43.91/claim|Median: $67.32
0.7× median
94729Normal range

$29K

1,566 claims · 0.1%

Your Cost: $18.37/claim|Median: $12.24
1.5× median
80305Top 5%

$29K

1,628 claims · 0.1%

Your Cost: $17.53/claim|Median: $7.44
2.4× median
94060Normal range

$27K

1,567 claims · 0.1%

Your Cost: $17.19/claim|Median: $25.18
0.7× median
76820Normal range

$26K

629 claims · 0.1%

Your Cost: $41.81/claim|Median: $31.79
1.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$23K

1,209 claims · 0.1%

Your Cost: $19.21/claim|Median: $16.77
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$22K

2,258 claims · 0.1%

Your Cost: $9.67/claim|Median: $9.56
1.0× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$22K

705 claims · 0.1%

Your Cost: $30.60/claim|Median: $14.00
2.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$21K

311 claims · 0.1%

Your Cost: $66.78/claim|Median: $111.09
0.6× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$20K

1,193 claims · 0.1%

Your Cost: $17.01/claim|Median: $36.49
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$20K

1,633 claims · 0.1%

Your Cost: $12.25/claim|Median: $11.48
1.1× median
95251Top 25%

$20K

713 claims · 0.1%

Your Cost: $27.80/claim|Median: $18.02
1.5× median

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