Physician
Douglas B Shapiro MD PA
Douglas B Shapiro MD PA was paid $116K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 57% of everything it billed.
33Billing provider infoDOUGLAS B SHAPIRO MD PA
MIAMI, FL 33176
MIAMI, FL 33176
33aNPI1457574618assigned 04/10/2007
33bProvider typeOphthalmology Physician
28Total paid$116K
24GClaims9,970
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Ophthalmology Physician providers in Florida
Rank by total paid#51 of 262
Median peer was paid$9K
This provider vs. median13×
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 | 1,646 | $2K | |
| 2019 | 2,972 | $53K | |
| 2020 | 2,010 | $43K | |
| 2021 | 1,284 | $4K | |
| 2022 | 1,016 | $5K | |
| 2023 | 670 | $4K | |
| 2024incomplete | 372 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 57% | 3,654 | 2,758 | $67K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 285 | 258 | $24K |
| 66821 | 7.3% | 117 | 84 | $8K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.2% | 184 | 158 | $7K |
| 92083 | 3.2% | 2,760 | 2,124 | $4K | |
| 65855 | 3.2% | 222 | 115 | $4K | |
| 92133 | 1.4% | 2,272 | 1,737 | $2K | |
| 92285 | <1% | 18 | 12 | $282.37 | |
| 92020 | <1% | 28 | 25 | $163.58 | |
| 92250 | <1% | 236 | 184 | $139.12 | |
| 76519 | <1% | 96 | 77 | $42.42 | |
| 92134 | <1% | 23 | 16 | $25.70 |
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.
From NPPES
Who's on the registration
Authorized officialSHAPIRO, DOUGLAS (PRESIDENT)