Physician
Maule, Karen
Maule, Karen was paid $226K by Medicaid between Jan 2018 and Mar 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoMAULE, KAREN
EAST GREENWICH, RI 02818
EAST GREENWICH, RI 02818
33aNPI1760624357assigned 03/30/2009
33bProvider typePediatrics Physician
28Total paid$226K
24GClaims5,613
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#88 of 265
Median peer was paid$133K
This provider vs. median1.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 686 | $28K | |
| 2019 | 1,283 | $53K | |
| 2020 | 1,329 | $44K | |
| 2021 | 1,680 | $66K | |
| 2022 | 623 | $34K | |
| 2023 | 12 | $589.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,644 | 1,481 | $97K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29% | 888 | 796 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 654 | 608 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 129 | 125 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 295 | 269 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 72 | 72 | $6K |
| 99050 | 2.6% | 212 | 190 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 212 | 182 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 97 | 94 | $2K |
| 0071A | <1% | 45 | 20 | $2K | |
| 90461 | <1% | 39 | 37 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 96 | 96 | $1K |
11 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 121 | $1K |
| 90686 | <1% | 777 | $1K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 14 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $945.49 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | $864.58 |
| 99173 | <1% | 140 | $299.46 | |
| E0700 | Safety equipment, device or accessory, any type | <1% | 14 | $200.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $198.24 |
| 96127 | <1% | 27 | $94.64 | |
| 90685 | <1% | 32 | $42.64 | |
| 99177 | <1% | 12 | $41.98 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.