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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Shapiro
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    Robert Shapiro — Billing Profile & Reimbursement Data

    NPI 1063404556 · Uniontown, PA · Obstetrics & Gynecology Physician

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    Robert Shapiro is a obstetrics & gynecology physician provider located in Uniontown, Pennsylvania. This profile covers 15 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Shapiro
    Address211 Easy St
    CityUniontown
    StatePA
    ZIP15401
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedAugust 19, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$34.2K
    Medicaid$5.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$50$8K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…10$530$5.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…60$90$5K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…30$150$3.7K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…10$160$1.9K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$70$1.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…20$70$1.7K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.20$60$1.4K
    95972A physician or other qualified healthcare professional performs electronic analysis of a variety of parameters of a previously implanted spinal or peripheral (e.g., sacral) nerve neurostimulator…40$40$1.3K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…30$50$1.2K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921420,14623,230100$80$14.5K
    5200034640070$140$13.9K
    52287606020$330$11.1K
    51729254030$260$9.9K
    57288323020$440$9.6K
    992135,33322,37070$60$7.7K
    992042,52510,29030$110$5K
    517974610020$120$3.8K
    992034,2547,33030$70$3.5K
    51798465500100$10$1.4K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.80$60$4.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…10$40$510

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…8,2898,870240$40$56.1K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.190300210$50$32.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Robert Shapiro, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Camden Clark Memorial Hospital CorporationWVGeneral Acute Care Hospital$0$56.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Camden-clark Physician CorporationWVSurgery Physician$0$19.8M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Camden Clark Memorial Hospital CorporationWVLand Ambulance$874.9K$5.3M
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Mahyar TahbazOHNephrology Physician$335K$540.4K
    Sathyanarayan ReddyWVCardiovascular Disease Physician$521.3K$0
    John ConnerWVFamily Medicine Physician$380.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Robert Shapiro, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ars Treatment Centers, P.C.PAMulti-Specialty Clinic/Center$0$73.3M
    Chestnut Ridge Counseling Services IncPAMental Health Clinic/Center (Including Community Mental Health Center)$0$33.7M
    Axiom Family Counseling Services, Inc.PACommunity/Behavioral Health Agency$0$15.2M
    Uniontown HospitalPAGeneral Acute Care Hospital$0$14.4M
    Fayette County Mental Health Mental Retardation ProgramPACase Manager/Care Coordinator$0$12M
    Angels Light Addiction Specialists LLCPASubstance Abuse Rehabilitation Facility$0$10M
    Southwestern Endoscopy Center, LLCPAAmbulatory Surgical Clinic/Center$442.7K$830.4K
    Matthew OliverioPAOtolaryngology Physician$175.2K$514.5K
    Vassar Brothers Hospital Ulster Radiation Oncology CenterNYRadiation Oncology Clinic/Center$658.9K$0
    Minaxi PatelPAAllergy & Immunology Physician$123.5K$366.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Robert Shapiro — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Robert Shapiro — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania