Kolodziejczyk, Jason
Kolodziejczyk, Jason was paid $150K by Medicaid between Jan 2018 and Jul 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoKOLODZIEJCZYK, JASON
FREMONT, OH 43420
FREMONT, OH 43420
33aNPI1124052626assigned 07/10/2006
33bProvider typeOptometrist
28Total paid$150K
24GClaims10,712
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#229 of 1,098
Median peer was paid$41K
This provider vs. median3.6×
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 | 2,503 | $37K | |
| 2019 | 2,845 | $39K | |
| 2020 | 1,723 | $23K | |
| 2021 | 1,585 | $22K | |
| 2022 | 1,761 | $24K | |
| 2023 | 224 | $3K | |
| 2024incomplete | 71 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 1,139 | 1,132 | $51K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 28% | 1,989 | 1,937 | $42K |
| 92015 | Determination of refractive state | 25% | 1,844 | 1,833 | $38K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.6% | 292 | 291 | $14K |
| 92341 | 1.4% | 79 | 77 | $2K | |
| 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 | <1% | 12 | 12 | $864.42 |
| V2020 | Frames, purchases | <1% | 2,090 | 2,039 | $360.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 135 | 130 | $336.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,728 | 1,694 | $78.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,367 | 1,338 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 24 | 24 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 13 | 12 | $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.