Physician
Shpigel, Adam
Shpigel, Adam was paid $30K by Medicaid between Jan 2021 and Dec 2024, across 6 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 55% of everything it billed.
33Billing provider infoSHPIGEL, ADAM
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
33aNPI1417223447assigned 03/23/2012
33bProvider typeCardiovascular Disease Physician
28Total paid$30K
24GClaims2,029
24DCodes billed6
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Missouri
Rank by total paid#40 of 150
Median peer was paid$4K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2021 | 1,044 | $13K | |
| 2022 | 600 | $10K | |
| 2023 | 108 | $2K | |
| 2024incomplete | 277 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 55% | 1,752 | 1,637 | $16K |
| 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 | 30% | 141 | 135 | $9K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 10% | 94 | 94 | $3K |
| 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 | 3.9% | 15 | 15 | $1K |
| 93000 | <1% | 14 | 14 | $271.80 | |
| 3008F | 0% | 13 | 13 | $0.00 |
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.