Nice, Keith
Nice, Keith was paid $40K by Medicaid between Jan 2018 and Jun 2021, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 30% of everything it billed.
33Billing provider infoNICE, KEITH
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1144350216assigned 03/06/2007
33bProvider typeOptometrist
28Total paid$40K
24GClaims2,607
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#324 of 636
Median peer was paid$41K
This provider vs. median1.0×
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 | 945 | $8K | |
| 2019 | 838 | $11K | |
| 2020 | 555 | $18K | |
| 2021 | 269 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 30% | 151 | 150 | $12K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 29% | 120 | 115 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 28% | 557 | 529 | $11K |
| 92370 | 13% | 719 | 670 | $5K | |
| 92250 | <1% | 15 | 12 | $160.93 | |
| G9905 | Patient not screened for tobacco use | 0% | 203 | 193 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 335 | 319 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 14 | 12 | $0.00 |
| 1036F | 0% | 432 | 413 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 61 | 57 | $0.00 |
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.