PROVIDER PROFILE · NPI 1922194075

Lee ShapiroM.D.

RheumatologySaratoga Springs, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

162

Unique beneficiaries

—

Total services

252

Distinct HCPCS

Medicare payment

$19K

Peer benchmark

Total Medicare services vs. 402 Rheumatology providers in NY — bottom quintile (cohort median 1,221).

PRESCRIBING · PART D · 2024

Total Rx claims

1,545

Beneficiaries

—

Total drug cost

$1.7M

Distinct drugs

Brand share

20.3%

Top prescribed drugs

Hydroxychloroquine Sulfate249 claims

Prednisone226 claims

Mycophenolate Mofetil93 claims

Omeprazole79 claims

Gabapentin66 claims

QUALITY · MIPS · 2024

Final MIPS score

87.8

Quality

77.5

Cost

76.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.54%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$179

Payment records

By payment type

Food and Beverage$124

Education$55

REFERRAL NETWORK

Where Lee Shapiro's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	121	563
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	52	178
SARATOGA HOSPITAL	45	163
ALBANY MEDICAL CENTER HOSPITAL	26	267
SAMARITAN HOSPITAL OF TROY, NEW YORK	21	69
ELLIS HOSPITAL	19	56
HUDSON HEADWATERS HEALTH NETWORK	15	41

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history