Medicare Facts for Dr. Jill Shannahan, MD


National Provider Identifier [NPI]: 1467516005
Last Name Of The Provider SHANNAHAN
First Name Of The Provider JILL
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1400 EMELINE AVE
Street Address 2 Of The Provider
City Of The Provider SANTA CRUZ
Zip Code Of The Provider 950601976
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Psychiatry
Medicare Participation Indicator Y
Number Of HCPCS 18
Number Of Services 2431
Number Of Medicare Beneficiaries 374
Total Submitted Charge Amount 491986.38
Total Medicare Allowed Amount 183664.37
Total Medicare Payment Amount 134515.56
Total Medicare Standardized Payment Amount 130564.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 2431
Number Of Medicare Beneficiaries With Medical Services 374
Total Medical Submitted Charge Amount 491986.38
Total Medical Medicare Allowed Amount 183664.37
Total Medical Medicare Payment Amount 134515.56
Total Medical Medicare Standardized Payment Amount 130564.4
Average Age Of Beneficiaries 54
Number Of Beneficiaries Age Less65 282
Number Of Beneficiaries Age 65 to 74 53
Number Of Beneficiaries Age 75 to 84 27
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 195
Number Of Male Beneficiaries 179
Number Of Non Hispanic White Beneficiaries 298
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 40
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 76
Number Of Beneficiaries With Medicare Medicaid Entitlement 298
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 10
Percent Of With Cancer 6
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 50
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 29
Percent Of With Hypertension 33
Percent Of With Ischemic Heart Disease 11
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 23
Percent Of With Schizophrenia Other PsychoticDisorders 58
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1478

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