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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdan Shapiro
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    Edan Shapiro — Billing Profile & Reimbursement Data

    NPI 1407090459 · Fayetteville, GA · Urology Physician

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    Edan Shapiro is a urology physician provider located in Fayetteville, Georgia. This profile covers 30 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdan Shapiro
    Address1336 Highway 54 W
    CityFayetteville
    StateGA
    ZIP30214
    TaxonomyUrology Physician
    NPI EnumeratedApril 21, 2009

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

    Payer SourceTotal Paid
    Medicare$163.4K
    Medicaid$0

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…370$90$32.5K
    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…480$60$29.3K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…130$210$26.6K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg80$130$11.1K
    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.100$90$9.5K
    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…110$70$7.7K
    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…120$60$6.7K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.20$310$5K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$320$4.8K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…250$20$4.4K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64561314030$2,300$92.1K
    J921792120110$130$20K
    992142,51013,640120$80$17.8K
    520007627070$140$13.8K
    975301,7001,830360$20$13.2K
    523566310020$500$10.1K
    52287324030$360$10K
    9921390013,36080$60$9.2K
    971121,7001,790300$20$9.2K
    5570015817020$280$9.1K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoebe Putney Memorial Hospital IncGAGeneral Acute Care Hospital$0$84.3M
    Phoebe Physician Group, IncGAClinic/Center$0$20.1M
    Ngozi OkobaTXNephrology Physician$1.1M$0
    William KnopfGACardiovascular Disease Physician$1.1M$0
    Georgia Urology PAGAUrology Physician$0$1M
    Thucanh MultererPARetina Specialist (Ophthalmology) Physician$862.9K$139.4K
    Georgia Urology, PAGAAmbulatory Surgical Clinic/Center$918.7K$0
    Edwin HerdHIPediatrics Physician$0$640.5K
    Julia BranchGAFamily Nurse Practitioner$488.4K$0
    Jack KotlarzILPlastic Surgery within the Head & Neck (Otolaryngology) Physician$455.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BenderGAHematology & Oncology Physician$2.6M$0
    Vipin Ramprasad LohiyaGAHematology & Oncology Physician$2.3M$0
    Trevor FeinsteinGAHematology & Oncology Physician$1.4M$0
    Summit Endoscopy CenterGAAmbulatory Surgical Clinic/Center$1.4M$0
    Board Of Commissioners Of Fayette CountyGALand Ambulance$693.7K$224.7K
    James SandwichGADermatology Physician$584.8K$0
    Georgia Urology Fayette AscGAAmbulatory Surgical Clinic/Center$504.4K$0
    Paul FeldmanGAPlastic Surgery Physician$483.9K$0
    Assured Care Ems LLCGALand Ambulance$457.1K$0
    Eye Consultants: Fayetteville Surgery CenterGAOphthalmology Physician$449.7K$0

    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. Georgia Distribution
    Edan Shapiro — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia