Loading...
NPI 1104866037 · Flushing, NY · Specialist
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Mark Shapiro is a specialist provider located in Flushing, New York. This profile covers 18 Medicare and 8 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mark Shapiro |
| Address | 4355 147th St |
| City | Flushing |
| State | NY |
| ZIP | 11355 |
| Taxonomy | Specialist |
| NPI Enumerated | June 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $270.3K |
| Medicaid | $83.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 190 | $330 | $62.9K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 200 | $300 | $59.9K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 240 | $170 | $40.6K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 310 | $120 | $37.2K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 190 | $90 | $17.9K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 70 | $170 | $11.7K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 60 | $110 | $7.1K |
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 60 | $100 | $6.4K |
| 74170 | The provider performs computed tomography to create cross–sectional images of the abdomen to aid in the diagnosis and treatment of abdominal conditions. He obtains images without contrast and then… | 20 | $230 | $5.3K |
| 71270 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. He then follows with contrast material and takes more… | 30 | $140 | $3.8K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 74177 | 347 | 1,350 | 110 | $100 | $14.8K |
| 71250 | 139 | 1,300 | 80 | $60 | $9.1K |
| 93970 | 488 | 1,590 | 40 | $100 | $8.6K |
| 74178 | 18 | 690 | 30 | $180 | $8.3K |
| 74176 | 73 | 1,250 | 60 | $80 | $7.3K |
| 76536 | 864 | 1,080 | 50 | $70 | $6.3K |
| 76700 | 89 | 990 | 40 | $70 | $6K |
| 71260 | 496 | 1,120 | 60 | $50 | $5K |
| 76770 | 1,068 | 1,260 | 50 | $60 | $4.8K |
| 93971 | 439 | 1,310 | 40 | $50 | $3.8K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 1,150 | $40 | $50.6K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 340 | $40 | $12.3K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 110 | $70 | $8.1K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 300 | $30 | $7.7K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 240 | $10 | $2.8K |
| 76830 | The 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 | $30 | $1.9K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 10 | $10 | $110 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 180 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 403 | 770 | 340 | $130 | $154.1K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 154 | 670 | 250 | $110 | $150.7K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 641 | 840 | 460 | $80 | $139.7K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 194 | 480 | 190 | $70 | $65.2K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 228 | 300 | 1,210 | $10 | $48.1K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 202 | 410 | 110 | $70 | $42.6K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 752 | 1,510 | 230 | $10 | $28.7K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 353 | 370 | 170 | $20 | $14.6K |
Other providers in the same ZIP code as Mark Shapiro, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| American Business Institute Corp | NY | Home Health Agency | $0 | $1.7B |
| Abi Fi Corp | NY | Home Health Agency | $0 | $712.7M |
| Abest Care Inc | NY | Home Health Agency | $0 | $280.5M |
| Newyork-presbyterian-queens | NY | General Acute Care Hospital | $0 | $116.4M |
| Flushing Hospital & Medical Center | NY | General Acute Care Hospital | $0 | $52.8M |
| Z & W Empire Enterprise, Inc. | NY | Adult Day Care Clinic/Center | $0 | $37.5M |
| Confidence Home Care LLC | NY | Home Health Agency | $0 | $34.8M |
| Bright Horizon Prime Care Inc | NY | Home Health Agency | $0 | $33.3M |
| Bao Kang Adult Daycare Center Inc. | NY | Adult Day Care Clinic/Center | $0 | $31.9M |
| Greater New York Social And Health Adult Day Care | NY | Adult Day Care Clinic/Center | $0 | $28.1M |
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.