Carmine R. Mastrolia, MD

Carmine R. Mastrolia, MD was paid $33K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoCARMINE R. MASTROLIA, MD
ONEIDA, NY 13421

33aNPI1043378367assigned 12/06/2006

33bProvider typeFamily Medicine Physician

28Total paid$33K

24GClaims967

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#898 of 2,605

Median peer was paid$10K

This provider vs. median3.3×

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	377	$14K
2019	496	$15K
2020	94	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	91%	574	462	$30K
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	5.3%	25	25	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.4%	191	175	$787.66
81002		<1%	177	155	$318.31

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 officialMASTROLIA, CARMINE (PHYSICIAN)