Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAXWELL, TYLER

NPI: 1396273298 · FAYETTEVILLE, NY 13066 · 390200000X

$859.00

Total Medicaid Paid

14

Total Claims

14

Beneficiaries

1

Codes Billed

2019-04

First Month

2019-04

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	14	$859.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		14	14	$859.00