Kowalik, Ronald
Kowalik, Ronald was paid $118K by Medicaid between Jan 2018 and Jul 2021, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoKOWALIK, RONALD
GARFIELD, NJ 07026
GARFIELD, NJ 07026
33aNPI1457400517assigned 01/09/2007
33bProvider typeOptometrist
28Total paid$118K
24GClaims9,950
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#85 of 599
Median peer was paid$2K
This provider vs. median66×
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 | 5,515 | $49K | |
| 2019 | 3,126 | $40K | |
| 2020 | 809 | $18K | |
| 2021 | 500 | $11K |
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 | 29% | 1,216 | 1,216 | $35K |
| V2020 | Frames, purchases | 23% | 2,708 | 2,704 | $27K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 784 | 784 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 1,694 | 1,375 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.9% | 1,367 | 895 | $8K |
| 92015 | Determination of refractive state | 4.5% | 1,281 | 1,281 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.8% | 221 | 178 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 510 | 280 | $21.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 81 | 81 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 62 | 62 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 26 | 13 | $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.