Kowalski, Maciej
Kowalski, Maciej was paid $16K by Medicaid between Mar 2018 and Oct 2019, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoKOWALSKI, MACIEJ
MURRIETA, CA 92563
MURRIETA, CA 92563
33aNPI1982632188assigned 06/28/2006
33bProvider typeOptometrist
28Total paid$16K
24GClaims880
24DCodes billed6
24AFirst – last monthMar 2018 – Oct 2019
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,049 of 1,899
Median peer was paid$23K
This provider vs. median0.7×
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 | 371 | $6K | |
| 2019 | 509 | $10K |
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 | 39% | 181 | 179 | $6K |
| 92015 | Determination of refractive state | 15% | 335 | 334 | $2K |
| V2020 | Frames, purchases | 15% | 120 | 120 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 110 | 110 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 54 | 54 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.8% | 80 | 80 | $621.72 |
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.