Mastroni, John

Mastroni, John was paid $753K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 37% of everything it billed.

33Billing provider infoMASTRONI, JOHN
EUREKA, CA 95503

33aNPI1568420008assigned 05/03/2006

33bProvider typeOphthalmology Physician

28Total paid$753K

24GClaims15,676

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#101 of 759

Median peer was paid$35K

This provider vs. median21×

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	2,061	$114K
2019	1,938	$85K
2020	2,012	$105K
2021	2,392	$117K
2022	2,245	$94K
2023	2,560	$120K
2024incomplete	2,468	$117K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	37%	1,466	1,352	$278K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	4,352	3,999	$115K
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	8.3%	1,642	1,620	$62K
92134		7.7%	2,332	2,281	$58K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.8%	616	607	$51K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.5%	534	527	$49K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	6.2%	1,406	1,384	$47K
J9035	Injection, bevacizumab, 10 mg	4.9%	922	851	$37K
92133		2.5%	744	744	$19K
92083		1.2%	406	391	$9K
92015	Determination of refractive state	1.1%	600	597	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	211	211	$6K

4 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	242	$5K
92002		<1%	104	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	75	$4K
92020		<1%	24	$285.70

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.