Medicaid Provider Spending

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

MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC

NPI: 1578520854 · WILLIAMSVILLE, NY 14221 · Pediatrics Physician · NPI assigned 04/28/2006

$37K
Total Medicaid Paid
1,749
Total Claims
1,672
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARTRICH, WILLIAM (MANAGING PARTNER)
NPI Enumeration Date04/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $3K
2019 240 $4K
2020 313 $4K
2021 232 $4K
2022 323 $7K
2023 375 $9K
2024 156 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 951 878 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 635 631 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 40 40 $2K
90688 15 15 $228.81
90686 54 54 $212.12
90682 18 18 $178.99
99080 36 36 $0.00