Dobbins Kowalik, Denise
Dobbins Kowalik, Denise was paid $109K by Medicaid between Jan 2018 and Dec 2021, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoDOBBINS KOWALIK, DENISE
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1235276163assigned 01/31/2007
33bProvider typeOptometrist
28Total paid$109K
24GClaims2,074
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#362 of 683
Median peer was paid$123K
This provider vs. median0.9×
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 | 655 | $33K | |
| 2019 | 427 | $22K | |
| 2020 | 584 | $30K | |
| 2021 | 408 | $24K |
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% | 607 | 577 | $37K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 263 | 260 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 369 | 354 | $21K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 15% | 370 | 356 | $16K |
| 92002 | 4.4% | 102 | 99 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 89 | 78 | $3K |
| 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 | 2.3% | 55 | 45 | $3K |
| 92015 | Determination of refractive state | 1.7% | 207 | 191 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $922.34 |
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.