Kowalik, Barry
Kowalik, Barry was paid $78K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoKOWALIK, BARRY
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1831236751assigned 01/31/2007
33bProvider typeOptometrist
28Total paid$78K
24GClaims1,278
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#404 of 683
Median peer was paid$123K
This provider vs. median0.6×
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 | 510 | $27K | |
| 2019 | 427 | $27K | |
| 2020 | 76 | $5K | |
| 2021 | 265 | $20K |
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 | 52% | 640 | 615 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 271 | 264 | $23K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.0% | 109 | 102 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.3% | 73 | 70 | $4K |
| 92002 | 2.8% | 44 | 44 | $2K | |
| 92015 | Determination of refractive state | 1.6% | 92 | 80 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 30 | 25 | $1K |
| 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 | 1.4% | 19 | 17 | $1K |
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.