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    OpenPayerNPI Medicare & MedicaidDeborah Mathias
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    Deborah Mathias — Billing Profile & Reimbursement Data

    NPI 1336163237 · Wailuku, HI · General Practice Physician

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    Deborah Mathias is a general practice physician provider located in Wailuku, Hawaii. This profile covers 10 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
    OrganizationDeborah Mathias
    Address2180 Main St
    CityWailuku
    StateHI
    ZIP96793
    TaxonomyGeneral Practice Physician
    NPI EnumeratedJuly 26, 2006

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

    Payer SourceTotal Paid
    Medicare$43.5K
    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.

    10 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…540$50$26.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…70$60$4.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$30$4.1K
    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…80$50$3.8K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…20$120$2.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…10$70$790
    G0009Administration of pneumococcal vaccine20$30$740
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…20$10$220
    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…20$10$190
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…40$1$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141071,440100$80$15.2K
    9921512238040$120$11.2K
    992136621,46070$60$8.4K
    G04395626050$110$8.1K
    9066220221050$70$5.5K
    9073221020$130$2.1K
    9300014118030$10$1K
    G00098314030$20$800
    9637212216040$10$780
    81002217020$1$270

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maui Medical Group IncHIInternal Medicine Physician$0$9M
    Lana WilkinsonHIDiagnostic Radiology Physician$271.8K$0
    Ellecia CookHIDermatology Physician$211.4K$0
    Robert LoreeHIDiagnostic Radiology Physician$197.5K$0
    Aaron MilstoneTNPulmonary Disease Physician$193.9K$0
    Marc RosenthalHIOtolaryngology Physician$190.9K$0
    Turgut BerkmenCTVascular & Interventional Radiology Physician$155.4K$0
    George PowellHINeurology Physician$141.9K$0
    Yachao ZhangDCDiagnostic Radiology Physician$96.8K$44.1K
    Constantin NovoselskyHIInternal Medicine Physician$122.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maui Health System A Kaiser Foundation Hospitals LLCHIGeneral Acute Care Hospital$0$60.3M
    Community Clinic Of Maui, Inc.HICommunity Health Clinic/Center$0$21.6M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$15.6M
    Bayada Home CareHINursing Care Agency$0$6M
    Community Clinic Of Maui, Inc.HIMulti-Specialty Clinic/Center$0$4.8M
    Maui Memorial Emergency Medical Associates IncHIEmergency Medicine Physician$0$3.8M
    Bayada Home CareHIIn Home Supportive Care Agency$0$3.7M
    Ka Lima O Maui LtdHIDevelopmentally Disabled Services Day Training Agency$0$1.7M
    Metropacific Group, CorpHIIn Home Supportive Care Agency$0$1.3M
    Hawaii Life Flight, LLCHIAir Ambulance$218.1K$883.5K

    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. Hawaii Distribution
    Deborah Mathias — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii