Dr. Michael Shapiro, MD
1200 John Q Hammons DR, Madison, WI 53717 • +1-318-555-5506
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1669455044 • CBSA Regional • Ophthalmology
Anchored in Madison, WI 53717, Dr. Michael Shapiro, MD (NPI 1669455044) logged 2,578 annual procedures (mid-cohort balanced caseload (57.5th Madison percentile), 59.01th WI percentile, -0.22σ) with sub-specialty concentration in 49 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Shapiro (averaging 4.3 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 34% of tracked volume (872 encounters), paired with 92134 (613x).
Self-pay new patient consultations with Dr. Shapiro (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 9-minute average reception wait, and a 4.57/5 modern protocol openness score across 15 patient logs.
Clinical background for Dr. Shapiro (MD, NPI #1669455044) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 1200 John Q Hammons DR.
Compared against Madison, WI Ophthalmology peers
2,578 annual services across 606 beneficiaries
Standard deviations from WI Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 872 | 57.5th | $222 – $304 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 613 | 54.5th | $122 – $167 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 401 | 53.5th | $146 – $201 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 283 | 60.5th | $267 – $365 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 189 | 56.5th | $976 – $1338 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (49 HCPCS billing breadth) | 220 | 57.5th | $195 – $283 |
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Dr. Michael Shapiro, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shapiro National Provider Identifier | NPI #1669455044 (MD) | CMS NPPES Registry (53717) |
| Dr. Shapiro Madison CMS Volume Rank | 57.50th Pct (2,578 CMS svcs; Z -0.221σ) | CMS Medicare Part B (WI Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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