Pawlowski, David

Pawlowski, David was paid $7K by Medicaid between Oct 2018 and Aug 2023, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 68% of everything it billed.

33Billing provider infoPAWLOWSKI, DAVID
WILLIAMSVILLE, NY 14221

33aNPI1033174958assigned 04/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$7K

24GClaims1,023

24DCodes billed4

24AFirst – last monthOct 2018 – Aug 2023

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,433 of 2,605

Median peer was paid$10K

This provider vs. median0.7×

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	32	$493.21
2019	103	$273.55
2020	548	$3K
2021	296	$2K
2023	44	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	68%	919	466	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	44	42	$1K
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	15%	43	41	$1K
99310	Prolong nursin fac eval 15m	<1%	17	12	$46.63

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.