Active NPI 1336163237 Individual Practitioner Female Practitioner

Dr. Deborah Mathias , MD

General Practice • Wailuku, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Mathias, MD is a certified General Practice practicing in Wailuku, HI. With approximately 49 years of clinical experience since completing medical education in 1977, Dr. Mathias delivers high-quality medical care to the local community at 2180 MAIN ST.

Dr. Mathias is affiliated with Maui Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit 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's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2180 Main St

Wailuku, HI 967931666

Telephone 8082426464

Fax 8082432343

Associated Practice Facility / Clinic

🏢 Maui Medical Group Inc Facility NPI 1215963970

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wailuku, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +14.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 31.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Wailuku, HI (183 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathias (49 Years) 49 Yrs

Wailuku Specialty Average (34.5 Years) 34.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	652	225	$162.57	$86.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	153	153	$158.63	$51.99
99213 Established patient office or other outpatient visit, typically 15 minutes	86	68	$116.06	$64.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	52	$230.05	$106.16
G2211 Visit 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's	32	31	$18.99	$16.08
82947 Blood glucose (sugar) level	24	12	$4.59	$3.85
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$39.18	$15.07
81002 Urinalysis, manual test	18	14	$6.82	$3.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$19.14	$16.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$42.26	$32.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	212	$163.73	$84.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$165.20	$33.61
99213 Established patient office or other outpatient visit, typically 15 minutes	84	67	$115.74	$65.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	48	$227.44	$106.03
81002 Urinalysis, manual test	38	25	$6.88	$3.34
G0009 Administration of pneumococcal vaccine	24	24	$33.20	$30.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	12	$18.37	$15.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$159.70	$123.53
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$18.62	$15.28
90662 Influenza vaccine split virus, preservative free	11	11	$83.93	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	741	241	$159.77	$87.08
99213 Established patient office or other outpatient visit, typically 15 minutes	109	77	$113.34	$73.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	56	$218.65	$109.08
81002 Urinalysis, manual test	39	27	$6.66	$3.26
93000 Routine ekg using at least 12 leads including interpretation and report	30	27	$18.50	$15.07
99442 Telephone medical discussion with physician, 11-20 minutes	28	24	$109.55	$95.63
G0009 Administration of pneumococcal vaccine	20	20	$29.30	$26.03
92250 Photography of the retina	14	14	$50.45	$39.15
82270 Stool analysis for blood to screen for colon tumors	14	14	$11.87	$4.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$143.71	$118.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	663	251	$134.92	$100.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	93	$175.88	$134.36
99213 Established patient office or other outpatient visit, typically 15 minutes	104	78	$95.89	$70.43
90662 Influenza vaccine split virus, preservative free	49	49	$64.92	$64.92
G0008 Administration of influenza virus vaccine	49	49	$25.67	$18.58
81002 Urinalysis, manual test	34	22	$6.13	$3.48
92250 Photography of the retina	20	20	$47.27	$43.28
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$89.85	$89.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	693	256	$117.68	$90.13
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	79	51	$15.24	$15.22
G0008 Administration of influenza virus vaccine	50	48	$25.60	$17.57
90662 Influenza vaccine split virus, preservative free	48	46	$56.56	$53.11
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$81.59	$58.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	31	$157.17	$120.42
81002 Urinalysis, manual test	29	24	$6.13	$3.46
99443 Telephone medical discussion with physician, 21-30 minutes	26	23	$105.59	$105.31
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$18.55	$18.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$18.55	$15.45
G0009 Administration of pneumococcal vaccine	17	17	$25.67	$18.22
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$75.07	$75.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$113.97	$99.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	756	264	$117.17	$87.34
99213 Established patient office or other outpatient visit, typically 15 minutes	78	58	$80.20	$69.64
G0008 Administration of influenza virus vaccine	66	64	$25.52	$17.69
90662 Influenza vaccine split virus, preservative free	63	61	$53.19	$51.33
G0009 Administration of pneumococcal vaccine	59	59	$25.61	$17.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	43	$155.43	$119.45
81002 Urinalysis, manual test	45	34	$6.01	$3.41
90670 Pneumococcal vaccine for injection into muscle	31	31	$208.05	$188.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$107.75	$105.59
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$18.55	$18.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$120.00	$107.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	12	$18.33	$18.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	626	248	$117.54	$93.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	84	$156.29	$125.28
99213 Established patient office or other outpatient visit, typically 15 minutes	111	84	$78.65	$62.82
81002 Urinalysis, manual test	46	31	$3.51	$3.34
G0008 Administration of influenza virus vaccine	44	44	$23.64	$22.39
90662 Influenza vaccine split virus, preservative free	40	40	$48.87	$47.90
93000 Routine ekg using at least 12 leads including interpretation and report	35	32	$20.44	$17.22
G0009 Administration of pneumococcal vaccine	30	30	$26.78	$22.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	15	$23.55	$21.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$116.81	$104.86
90670 Pneumococcal vaccine for injection into muscle	16	16	$196.28	$188.08
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$102.19	$100.14
82962 Blood glucose (sugar) test performed by hand-held instrument	14	11	$3.11	$2.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$183.66	$152.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	771	267	$116.44	$106.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	78	$157.93	$137.97
G0008 Administration of influenza virus vaccine	77	76	$31.06	$26.19
90662 Influenza vaccine split virus, preservative free	70	69	$42.96	$40.31
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$81.07	$66.93
93000 Routine ekg using at least 12 leads including interpretation and report	33	30	$19.46	$17.79
81002 Urinalysis, manual test	32	23	$3.62	$3.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$117.52	$111.05
G0009 Administration of pneumococcal vaccine	26	26	$29.14	$25.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	16	$28.15	$26.24
90670 Pneumococcal vaccine for injection into muscle	18	18	$184.70	$177.21
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	15	$23.33	$21.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$178.76	$165.73

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License HI MD3419

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

04102903 (HI)

Medicaid State Provider ID

04102902 (HI)

Commercial Insurance / Payer ID Tricare Champus

99017685996793B081 (HI)

Commercial Insurance / Payer ID Hmsaa - 65cp - Hmsa Quest

X45166 (HI)

Commercial Insurance / Payer ID Uha

464543 (HI)

Hospital & Practice Group Affiliations

Maui Medical Group Inc

2180 Main St, Wailuku, HI 967931625

Phone: 8082426464

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Arthur Sakakihara - Chavarria , PA-C

Physician Assistant - Medical

NPI 1003050261

Physician Assistant (Certified)

Dr. Stephen Sussman , MD

Otolaryngology

NPI 1003828815

Doctor of Medicine (M.D.)

Monica Stevens , LMT

Massage Therapist

NPI 1013929827

Licensed Massage Therapist

Dr. Lundie Robb , MD

Radiology - Diagnostic Radiology

NPI 1023020914

Doctor of Medicine (M.D.)

Simon Hill , PA-C

Physician Assistant - Surgical

NPI 1023046372

Physician Assistant (Certified)

Dr. Russell Garn , MD

Internal Medicine

NPI 1033134804

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2180 MAIN ST, WAILUKU, HI 967931666 (Tel: 8082426464)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2180 MAIN ST, WAILUKU, HI 967931666 (Tel: 8082426464)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as DEBORAH MATHIAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #MD3419 in HI)

🟢

Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336163237

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2006

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2180 Main St

Wailuku, HI 967931666

Phone: 8082426464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.