Physician

Robert P Mastroianni, MD

According to 2025 Medicare claims, Robert Mastroianni, MD (NPI: 1023107844) practices family practice in the Kahului-Wailuku, HI market, with the plurality of this provider's patient population coming from Maui, HI. This provider's primary affiliated billing organization is PUKALANI FAMILY PRACTICE, LLC (NPI: 1063009207; TIN: 854198476) and primary practice location at 96768-8859. Mastroianni is affiliated with the On Belay Health Solutions (ACO ID: A5260), participating under the MSSP model.

Mastroianni's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 230 traditional Medicare patients, billed 2,770 HCPCS/CPT codes, and received $172,532 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 21 prescription claims across 11 beneficiaries totaling $1,342 in drug costs. 2022 DME data shows 16 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $143,154 and ending at $172,532. Concurrently, Part D prescription costs have fallen sharply in recent years, from $240,141 to $1,342. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $17,384 to $2,110.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$87K$174K2015 Medicare payment: $143,154 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $174,477 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $109,899 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $112,913 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $107,455 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $98,474 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $135,468 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $98,776 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $164,762 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $172,532 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152683,245$143,154
20162953,997$174,477
20172832,813$109,899
20183023,166$112,913
20192903,300$107,455
20202672,353$98,474
20212632,394$135,468
20222582,367$98,776
20232432,423$164,762
20242302,770$172,532

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$143K$286K2015 Drug cost: $240,141 (USD; Tot_Drug_Cst)2016 Drug cost: $250,779 (USD; Tot_Drug_Cst)2017 Drug cost: $286,499 (USD; Tot_Drug_Cst)2018 Drug cost: $264,899 (USD; Tot_Drug_Cst)2019 Drug cost: $267,050 (USD; Tot_Drug_Cst)2020 Drug cost: $246,307 (USD; Tot_Drug_Cst)2021 Drug cost: $119,250 (USD; Tot_Drug_Cst)2022 Drug cost: $54,998 (USD; Tot_Drug_Cst)2023 Drug cost: $24,624 (USD; Tot_Drug_Cst)2024 Drug cost: $1,342 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152724,237$240,141
20162784,131$250,779
20173294,089$286,499
20183643,649$264,899
20193873,432$267,050
20203593,080$246,307
20212521,485$119,250
2022140699$54,998
202349130$24,624
20241121$1,342

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.7K$5.4K2015 Medicare payment: $5,399 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $3,462 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $170 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $117 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $354 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $136 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $642 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R63$5,399
2016N/R60$3,462
2017N/RN/RN/R
2018N/R13$170
2019N/R11$117
2020N/R22$354
2021N/R12$136
2022N/R16$642
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit172172$133
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more223818$93
99497Advance care planning, first 30 minutes213302$67
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's132417$13
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report160163$10

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Robert P. Mastroianni, MD?

Tedicare shows public-source Medicare data for Robert P. Mastroianni, MD (NPI 1023107844), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert P. Mastroianni, MD have ACO affiliation data?

Robert P. Mastroianni, MD is shown with ACO affiliation data for On Belay Health Solutions (MSSP, ACO ID A5260).

What billing organization is linked to Robert P. Mastroianni, MD?

Robert P. Mastroianni, MD is linked to PUKALANI FAMILY PRACTICE, LLC (billing NPI 1063009207) in the available physician profile data.

Does Robert P. Mastroianni, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.