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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Protomastro
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    Paul Protomastro — Billing Profile & Reimbursement Data

    NPI 1215936992 · Wilton, CT · Orthopaedic Hand Surgery Physician

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    Paul Protomastro is a orthopaedic hand surgery physician provider located in Wilton, Connecticut. This profile covers 21 Medicare and 0 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 TypeIndividual
    OrganizationPaul Protomastro
    Address45 Danbury Rd Ste 100
    CityWilton
    StateCT
    ZIP06897
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedJuly 15, 2005

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

    Payer SourceTotal Paid
    Medicare$131.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    21 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…380$100$37.4K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,170$22.1K
    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…250$70$17.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…190$60$11.1K
    99204The provider sees a new 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 provider…70$130$8.4K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…10$390$5.1K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.180$30$5.1K
    99203The provider sees a new 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 provider…50$80$4.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg810$10$4K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.90$40$3.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    23472154020$800$17.6K
    64721364030$490$16.2K
    992146546,48090$90$14.2K
    206116211040$90$8.4K
    992138096,44070$60$8.1K
    992231,3361,66030$140$7.3K
    206106542060$50$5.4K
    992043602,66030$120$4.6K
    0055T61020$140$4.1K
    992036292,25030$80$3.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Justin PaulNYOrthopaedic Surgery Physician$757.6K$0
    Michael SpiegelCTRheumatology Physician$488.7K$0
    Jesse HochkeppelCTPain Medicine (Anesthesiology) Physician$375.7K$0
    Michael LynchCTOrthopaedic Surgery Physician$340.5K$0
    David KlothCTSpecialist$339.7K$0
    John MullenCTOrthopaedic Surgery Physician$300.7K$0
    Mark FletcherCTOrthopaedic Surgery Physician$268.8K$0
    Philip MulieriCTOrthopaedic Surgery Physician$203.6K$0
    Brian BastCTPhysical Medicine & Rehabilitation Physician$200.3K$0
    Robert DeveneyCTOrthopaedic Surgery Physician$188.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connec-totalk,llcCTSpeech-Language Pathologist$0$6.1M
    Wilton Surgery Center LLCCTAmbulatory Surgical Clinic/Center$1.8M$405.1K
    Kristina BikoulovaCTFamily Nurse Practitioner$1.9M$0
    Wilton Volunteer Ambulance Corps IncCTLand Ambulance$245.4K$131K
    Tracey VeloCTFamily Nurse Practitioner$330.5K$0
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$184.7K$0
    Jeffrey DelucaCTOrthopaedic Surgery Physician$182.8K$0
    Southwest Connecticut Surgery Center, LLCCTAmbulatory Surgical Clinic/Center$154.8K$0
    Robert BradyCTOrthopaedic Surgery Physician$153.8K$0
    Charles MaCTEndocrinology, Diabetes & Metabolism Physician$130K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Paul Protomastro — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut