Koutoulas, Kosta
Koutoulas, Kosta was paid $86K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.
33Billing provider infoKOUTOULAS, KOSTA
DALY CITY, CA 94014
DALY CITY, CA 94014
33aNPI1609938539assigned 12/15/2006
33bProvider typeOptometrist
28Total paid$86K
24GClaims5,914
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#567 of 1,899
Median peer was paid$23K
This provider vs. median3.8×
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 | 343 | $5K | |
| 2019 | 445 | $8K | |
| 2020 | 667 | $9K | |
| 2021 | 473 | $6K | |
| 2022 | 1,320 | $20K | |
| 2023 | 1,185 | $17K | |
| 2024incomplete | 1,481 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 42% | 1,169 | 1,157 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,282 | 1,125 | $20K |
| 92015 | Determination of refractive state | 12% | 2,024 | 1,999 | $11K |
| V2020 | Frames, purchases | 7.1% | 623 | 622 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.9% | 208 | 207 | $6K |
| 92250 | 3.2% | 137 | 135 | $3K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 389 | 388 | $2K |
| 92134 | 1.2% | 42 | 39 | $1K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.0% | 28 | 28 | $878.40 |
| 92341 | <1% | 12 | 12 | $110.18 |
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.