Physician
Robert Mastroianni MD INC
Robert Mastroianni MD INC was paid $247K by Medicaid between Jan 2018 and Nov 2021, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoROBERT MASTROIANNI MD INC
MAKAWAO, HI 96768
MAKAWAO, HI 96768
33aNPI1033240478assigned 03/08/2007
33bProvider typeFamily Medicine Physician
28Total paid$247K
24GClaims22,348
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Family Medicine Physician providers in Hawaii
Rank by total paid#13 of 81
Median peer was paid$24K
This provider vs. median10×
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 | 7,282 | $62K | |
| 2019 | 8,058 | $96K | |
| 2020 | 4,765 | $64K | |
| 2021 | 2,243 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 2,251 | 1,795 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,017 | 1,679 | $70K |
| 99497 | 7.7% | 716 | 667 | $19K | |
| 99406 | 3.7% | 1,388 | 1,029 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.9% | 125 | 122 | $7K |
| 96127 | 1.9% | 2,322 | 2,090 | $5K | |
| 99443 | 1.8% | 137 | 117 | $5K | |
| 93000 | 1.7% | 436 | 393 | $4K | |
| 94010 | 1.5% | 216 | 172 | $4K | |
| 99442 | 1.3% | 133 | 111 | $3K | |
| 94760 | <1% | 4,701 | 3,497 | $2K | |
| 81002 | <1% | 969 | 861 | $2K |
25 more codes
| 94375 | <1% | 56 | $1K | |
| 1036F | <1% | 2,452 | $949.49 | |
| 90688 | <1% | 96 | $855.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 16 | $816.32 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $800.62 |
| 99072 | <1% | 116 | $602.79 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $435.62 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 26 | $400.99 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 55 | $328.45 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 22 | $128.59 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,341 | $120.01 |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $58.03 |
| 1160F | <1% | 351 | $0.19 | |
| 1170F | <1% | 69 | $0.07 | |
| 1159F | <1% | 101 | $0.07 | |
| 1125F | <1% | 19 | $0.02 | |
| 3078F | <1% | 19 | $0.01 | |
| 3017F | 0% | 138 | $0.00 | |
| 3008F | 0% | 32 | $0.00 | |
| 1157F | 0% | 34 | $0.00 | |
| 1123F | 0% | 14 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,657 | $0.00 |
| 4040F | 0% | 203 | $0.00 | |
| 1158F | 0% | 31 | $0.00 | |
| 1124F | 0% | 16 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMASTROIANNI, SUSAN (OFFICE ADMINISTRATION)