Medicare Facts for Bernadette H. Shaw, PA-C


National Provider Identifier [NPI]: 1467412551
Last Name Of The Provider SHAW
First Name Of The Provider BERNADETTE
Middle Initial Of The Provider H
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 33 SEWALL ST
Street Address 2 Of The Provider
City Of The Provider PORTLAND
Zip Code Of The Provider 041022603
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 405
Number Of Medicare Beneficiaries 71
Total Submitted Charge Amount 47759.8
Total Medicare Allowed Amount 21949.33
Total Medicare Payment Amount 16710.06
Total Medicare Standardized Payment Amount 17826.64
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 208
Number Of Medicare Beneficiaries With Drug Services 47
Total Drug Submitted ChargeAmount 17868.8
Total Drug Medicare AllowedAmount 11470.93
Total Drug Medicare PaymentAmount 8915.87
Total Drug Medicare Standardized Payment Amount 8915.87
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 197
Number Of Medicare Beneficiaries With Medical Services 71
Total Medical Submitted Charge Amount 29891
Total Medical Medicare Allowed Amount 10478.4
Total Medical Medicare Payment Amount 7794.19
Total Medical Medicare Standardized Payment Amount 8910.77
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 32
Number Of Beneficiaries Age 75 to 84 19
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 49
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 46
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 35
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 42
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 68
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9783

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