Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jacek Kotowski (NPI 1134451487)

Field	Value
Entity Type	Individual
Organization	Jacek Kotowski
Address	700 W Kent Ave
City	Missoula
State	MT
ZIP	59801
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 10, 2010

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practice: Total Medicare revenue is $3.4M and there is no Medicaid billing on file, indicating no measurable Medicaid footprint in-state. The absence of any Medicaid codes means analyses of Medicaid mix, state-level Medicaid contracting, or Medicaid-driven service lines are not applicable for this NPI.

Revenue is highly concentrated in a small set of retinal injection and related codes: the precomputed top 3 Medicare codes account for 79.3% of this provider's total Medicare revenue, led by J0178 ($1.9M revenue, 55.7% of Medicare revenue), J2777 ($525.5K revenue, 15.3%), and 67028 ($281.9K revenue, 8.2%). This concentration signals that the business is driven primarily by intravitreal drug administration and related injection procedures rather than a broad mix of ambulatory ophthalmology services.

The service mix and specific codes indicate a retina-focused interventional ophthalmology operation: high-volume utilization of J0178 (2.8K claims, $676 avg paid/claim) and J2777 (18.1K claims) alongside frequent use of intravitreal injection procedure 67028 (3.1K claims) and retinal imaging 92134 (3K claims) point to routine, repeated intravitreal therapy with supportive diagnostic imaging. These patterns are consistent with a practice delivering ongoing anti-VEGF and newer biologic treatments for retinal disease rather than a cataract-dominant clinic.

Competitive standing on Medicare for key retinal services is above typical national volume: J0178 ranks #213 of 3204 providers (93th percentile; notably above typical national volume), 67028 ranks #87 of 4255 providers (98th percentile; notably above typical national volume), and 92134 ranks #412 of 26868 providers (98th percentile; extreme outlier, far above typical national volume). These rank positions indicate this clinician is a major national-volume provider for intravitreal injections and retinal imaging relative to peers.

Evaluation-and-management billing is also unusually large for Medicare in absolute terms: 99214 appears with 1.8K claims and $182.7K revenue and is flagged as ranking #1945 of 479517 providers (100th percentile; extreme outlier, far above typical national volume for this code). The combination of very high E/M volume with high procedural injection volume suggests heavy patient throughput and frequent follow-up visits typical of maintenance intravitreal treatment regimens.

The practice uses a mix of high-cost and unclassified drug codes beyond standard anti-VEGF agents: notable entries include J7999 (1.4K claims, $97.9K revenue; rank #24 of 1333 providers, 98th percentile; notably above typical national volume) and J3490 ($78.1K revenue). This indicates reliance on compounded or unclassified drug billing alongside branded biologics, which broadens the drug-revenue profile and may affect procurement, inventory, and payer adjudication patterns.

Provider tenure is long-standing: NPI enumerated 2010-02-10 (~16 years ago), supporting the interpretation that current billing patterns reflect an established practice rather than a transient or newly opened clinic. Sustained, high-volume utilization of the same retinal therapy codes over time is consistent with an established retina/injection service line.

From a payer management perspective, the profile shows concentrated exposure to intravitreal drug spend (notably J0178 at $676 avg paid/claim and $1.9M revenue) and unusually high E/M visit volume; combined with no Medicaid activity, this creates a narrow but high-intensity Medicare risk profile. Payers and contract analysts should prioritize review of utilization patterns, drug sourcing, and reimbursement for intravitreal and compounding-associated codes given the provider's outsized rankings on several retinal service lines.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,820	$680	$1.9M
J2777	Injection, faricimab‑svoa, 0.1 mg	18,120	$30	$525.5K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	3,130	$90	$281.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,810	$100	$182.7K
J7999	Compounded drug, not otherwise classified	1,440	$70	$97.9K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,990	$30	$92.5K
J3490	Unclassified drugs	40	$1,820	$78.1K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	130	$430	$56.2K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	440	$120	$52.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	560	$80	$44.5K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Jacek Kotowski — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	20	460	$680	$663.4K
J2777	3	10	10,170	$30	$351.2K
66984	35	120	50	$490	$78.1K
67028	1	20	390	$90	$73.7K
J2781	1	10	440	$120	$52.4K
J7999	1	10	470	$70	$45.4K
92014	25	170	190	$80	$22.7K
67108	5	10	10	$1,140	$20.5K
66821	22	70	50	$220	$18.3K
J3490	4	10	50	$230	$13.1K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jacek Kotowski, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Guess	MT	Ophthalmology Physician	$2.7M	$72.4K
Rocky Mountain Eye Center PC	MT	Ophthalmology Physician	$0	$2M
Clay Holley	MT	Ophthalmology Physician	$1.9M	$3K
Todd Murdock	MT	Ophthalmology Physician	$103.7K	$1M
Jefferson Berryman	MT	Ophthalmology Physician	$556.2K	$0
Kristopher Sherrill	MT	Optometrist	$71.9K	$421.7K
Peter Babcock	MT	Optometrist	$224.9K	$232.4K
David Mccann	MT	Ophthalmology Physician	$390.2K	$17.4K
Chad Nedrud	MT	Ophthalmology Physician	$384.5K	$0
Daniel Larsen	MT	Optometrist	$229.8K	$54.2K

Nearby Providers

Other providers in the same ZIP code as Jacek Kotowski, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Mental Health Center	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$87.8M
Opportunity Resources Inc	MT	Developmentally Disabled Services Day Training Agency	$0	$48.5M
Missoula Developmental Service Corp	MT	Non-emergency Medical Transport (VAN)	$0	$33.6M
Express Personnel Services	MT	Nursing Care Agency	$0	$20.4M
3 Rivers Mental Health Solutions LLC	MT	Community/Behavioral Health Agency	$0	$16.7M
Missoula County Public Schools	MT	Local Education Agency (LEA)	$0	$16.3M
Meadowlark Home Care LLC	MT	Home Health Agency	$0	$12.9M
Client Dedicated Services, Inc	MT	Home Health Agency	$0	$10.6M
Children's Dentistry Of The Rockies	MT	Pediatric Dentistry	$0	$10.1M
Missoula Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.3M

Jacek Kotowski — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References