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    OpenPayerNPI Medicare & MedicaidRobert Mastroianni Md Inc
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    Robert Mastroianni Md Inc — Billing Profile & Reimbursement Data

    NPI 1033240478 · Makawao, HI · Family Medicine Physician

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    Robert Mastroianni Md Inc is a family medicine physician provider located in Makawao, Hawaii. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRobert Mastroianni Md Inc
    Address81 Makawao Ave Ste 25
    CityMakawao
    StateHI
    ZIP96768
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 8, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$244.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…2,250$50$110.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,020$40$70.6K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…720$30$19.3K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.1,390$10$9.7K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.130$60$7.1K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.2,320$1$4.6K
    99443N/A140$30$4.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…440$10$4.4K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…220$20$3.7K
    99442N/A130$20$3.1K

    Showing 1–10 of 37

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Hawaii median

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…192710650$90$274.1K
    99214The 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…159690650$90$235.4K
    99442N/A246080$130$67.7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…5470230$10$66.5K
    99443N/A1020110$160$55.4K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.82030$140$40.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.186230140$20$16.1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1650180$20$14.6K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.223030$110$11.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…430120$10$3.6K

    Showing 1–10 of 37

    Nearby Providers

    Other providers in the same ZIP code as Robert Mastroianni Md Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Karl JacobsHIPsychologist$0$277.5K
    Holly EspinuevaHIMarriage & Family Therapist$0$248.2K
    Pukalani Family Practice, LLCHIPrimary Care Clinic/Center$0$216.9K
    Brian PeternellHINeuromusculoskeletal Medicine & OMM Physician$196.6K$0
    Akamai Recovery Maui LLCHICommunity/Behavioral Health Agency$0$192.7K
    Longs Drug Stores California LLCHIPharmacy$188.3K$4.4K
    Robert MastroianniHIFamily Medicine Physician$155.8K$0
    Aloha House, Inc.HISubstance Abuse Rehabilitation Facility$0$145.9K
    Bodhi Wellness And Psychotherapy LLCHIMental Health Counselor$0$139K
    Lydee Ritchie Lmft LLCHIMarriage & Family Therapist$0$118.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Hawaii Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Robert Mastroianni Md Inc — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii