Kowalski, Paul

Kowalski, Paul was paid $6K by Medicaid between Jan 2018 and Jan 2020, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.

33Billing provider infoKOWALSKI, PAUL
JACKSONVILLE, IL 62650

33aNPI1740282797assigned 06/02/2005

33bProvider typeOphthalmology Physician

28Total paid$6K

24GClaims392

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#312 of 431

Median peer was paid$34K

This provider vs. median0.2×

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	84	$2K
2019	294	$4K
2020	14	$444.50

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	67%	239	235	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	21%	104	94	$1K
92133		8.3%	33	33	$517.92
92083		3.6%	16	16	$224.40

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.