Kossis, Paul
Kossis, Paul was paid $10K by Medicaid between Jan 2018 and Dec 2021, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 58% of everything it billed.
33Billing provider infoKOSSIS, PAUL
HADDON HEIGHTS, NJ 08035
HADDON HEIGHTS, NJ 08035
33aNPI1194892455assigned 11/29/2006
33bProvider typeOptometrist
28Total paid$10K
24GClaims3,404
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#233 of 599
Median peer was paid$2K
This provider vs. median5.3×
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 | 2,595 | $8K | |
| 2019 | 722 | $2K | |
| 2021 | 87 | $13.20 |
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 | 58% | 469 | 464 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 182 | 181 | $3K |
| 92260 | 5.3% | 116 | 114 | $510.00 | |
| 92015 | Determination of refractive state | 5.0% | 275 | 269 | $482.90 |
| 92225 | 3.0% | 12 | 12 | $286.84 | |
| V2020 | Frames, purchases | <1% | 705 | 696 | $56.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 27 | 15 | $54.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 547 | 313 | $51.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 688 | 376 | $20.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 26 | 26 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 77 | 63 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 56 | 56 | $0.00 |
1 more codes
| V2760 | Scratch resistant coating, per lens | 0% | 224 | $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.