CAROL SHAPIRO, MD
Plastic and Reconstructive Surgery Physician · WOODBRIDGE, VA
Individual Active NPI 1609861145
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 74 | 902 | $91,971 | $47,017 | $35,330 |
| 2023 | 134 | 1,663 | $183,443 | $87,393 | $68,242 |
| 2022 | 124 | 1,032 | $114,926 | $56,399 | $43,464 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 275 | $66 | $49 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 197 | $25 | $20 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 144 | $60 | $46 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 93 | $35 | $25 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 38 | $35 | $22 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 15 | $35 | $21 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $133 | $100 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 13 | $97 | $79 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 13 | $81 | $46 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ✓ | 0101018241 | VA |
| Specialist | 174400000X | 0101018241 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.