Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Gastonia › NPI 1417060070

Pawlish, Keith

Pawlish, Keith was paid $162K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 84% of everything it billed.

33Billing provider infoPAWLISH, KEITH
GASTONIA, NC 28056
33aNPI1417060070assigned 08/17/2006
33bProvider typeOptometrist
28Total paid$162K
24GClaims2,740
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#173 of 636
Median peer was paid$41K
This provider vs. median4.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018401$30K
20191,821$106K
2020518$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 84% 1,561 1,465 $136K
92370 7.9% 608 586 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 6.6% 539 523 $11K
S0621 Routine ophthalmological examination including refraction; established patient <1% 20 20 $2K
92341 <1% 12 12 $291.04

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.