Shapiro, Michael

Shapiro, Michael was paid $211K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoSHAPIRO, MICHAEL
DES PLAINES, IL 60016

33aNPI1235238973assigned 09/21/2006

33bProvider typeOphthalmology Physician

28Total paid$211K

24GClaims5,510

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#105 of 431

Median peer was paid$34K

This provider vs. median6.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	634	$19K
2019	693	$21K
2020	582	$20K
2021	914	$33K
2022	892	$33K
2023	1,039	$54K
2024incomplete	756	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	39%	1,615	1,414	$82K
92134		25%	2,625	2,273	$52K
67028	Intravitreal injection of a pharmacologic agent	13%	181	153	$28K
92250		12%	686	592	$24K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	5.2%	306	289	$11K
J0178	Injection, aflibercept, 1 mg	5.2%	13	12	$11K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	14	13	$946.58
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	15	12	$556.29
92201		<1%	41	33	$508.38
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	14	13	$182.41

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.