Medicare Enrolled
Dr. Stephen Keith, PA
Medical Physician Assistant · Texarkana, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Keith from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Keith?
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What this data tells you about Dr. Keith
Dr. Stephen Keith is a medical physician assistant in Texarkana, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Keith performed 6,986 Medicare services across 3,177 unique beneficiaries.
Between the years covered by Open Payments, Dr. Keith received a total of $7,839 from 38 pharmaceutical and/or device companies across 507 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Keith is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 16 years in practice
▲ Top 1% volume in TX
$7,839 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,986
Medicare services
Top 1% in TX for medical physician assistant
3,177
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~437 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,680 | $18 | $25 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
668 | $66 | $245 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
648 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
586 | $10 | $105 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
576 | $6 | $38 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
501 | $13 | $90 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
421 | $16 | $86 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
316 | $49 | $175 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
240 | $9 | $61 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
208 | $107 | $220 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
94 | $30 | $35 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
91 | $8 | $42 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
90 | $72 | $75 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
80 | $3 | $28 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
70 | $6 | $57 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
67 | $9 | $52 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
60 | $8 | $42 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
60 | $1 | $7 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
57 | $19 | $79 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
49 | $29 | $247 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
47 | $15 | $70 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
45 | $25 | $110 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
39 | $8 | $40 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
39 | $8 | $58 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
26 | $40 | $163 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
24 | $30 | $155 |
| Iron level test | 23 | $6 | $39 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
19 | $30 | $45 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
19 | $61 | $200 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
18 | $16 | $120 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
17 | $14 | $79 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
17 | $14 | $58 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
15 | $4 | $24 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
15 | $283 | $325 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
15 | $128 | $280 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
13 | $8 | $88 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
11 | $7 | $37 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
11 | $38 | $171 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
11 | $50 | $100 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$7,839
Total received (2021-2024)
Avg $1,960/year across 4 years
Top 6% in TX for medical physician assistant
38
Companies
507
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,839 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,089
2023
$2,021
2022
$2,177
2021
$1,552
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$1,337
ABBVIE INC.
$1,070
Lilly USA, LLC
$1,014
GlaxoSmithKline, LLC.
$586
PFIZER INC.
$563
Amgen Inc.
$298
Mylan Specialty L.P.
$253
Novo Nordisk Inc
$250
AbbVie Inc.
$249
Janssen Pharmaceuticals, Inc
$205
SANOFI-AVENTIS U.S. LLC
$196
Amarin Pharma Inc.
$188
Boehringer Ingelheim Pharmaceuticals, Inc.
$151
Merck Sharp & Dohme Corporation
$145
IDORSIA PHARMACEUTICALS US INC
$143
Novartis Pharmaceuticals Corporation
$111
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$110
Merck Sharp & Dohme LLC
$98
Allergan, Inc.
$92
E.R. Squibb & Sons, L.L.C.
$83
Takeda Pharmaceuticals U.S.A., Inc.
$74
Abbott Laboratories
$73
Otsuka America Pharmaceutical, Inc.
$64
Phathom Pharmaceuticals, Inc.
$62
Kowa Pharmaceuticals America, Inc.
$52
Eisai Inc.
$47
Nevro Corp.
$46
Exact Sciences Corporation
$36
Astellas Pharma US Inc
$34
Bayer Healthcare Pharmaceuticals Inc.
$32
Vifor Pharma, Inc.
$29
Esperion Therapeutics, Inc.
$29
Boston Scientific Corporation
$25
Genentech USA, Inc.
$24
Optinose US, Inc.
$21
Almatica Pharma LLC
$21
IBSA Pharma Inc.
$15
Currax Pharmaceuticals LLC
$14
Top 3 companies account for 43.6% of total payments
Associated products mentioned in payments ›
AIMOVIG · AIRSUPRA · AREXVY · Aimovig · BELSOMRA · BREZTRI · CAMZYOS · CONTRAVE · Cologuard Collection Kit · Dayvigo · ELIQUIS · EMGALITY · EPKINLY · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GRALISE · JARDIANCE · Kerendia · LEQVIO · Licart · Livalo · MOUNJARO · NEXLETOL · NUEDEXTA · NURTEC ODT · Omnia · Otezla · Ozempic · PREMARIN · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPRAVATO · STIOLTO RESPIMAT · SYNJARDY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · Veltassa · Veozah · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Xhance · Xofluza · YUPELRI · Yupelri · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for medical physician assistant in TX.
Equivalent to $112 per 100 Medicare services performed
Geographic Context
Medical physician assistants within 10 mi
7
Per 100K population
7.6
County median income
$59,295
Nearest hospital
CHRISTUS ST MICHAEL HEALTH SYSTEM
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Keith is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement in the top 6% of TX peers, with 16 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Keith experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Keith performed 1,680 denosumab injection (prolia/xgeva) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Keith receive payments from pharmaceutical companies?
Yes. Dr. Keith received a total of $7,839 from 38 companies across 507 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Keith's costs compare to other medical physician assistants in Texarkana?
Dr. Keith's average Medicare payment per service is $25. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Keith) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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