Medicare Facts for Dr. Shawn C. Shambaugh, MD


National Provider Identifier [NPI]: 1659360253
Last Name Of The Provider SHAMBAUGH
First Name Of The Provider SHAWN
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6501 TRUXTUN AVE
Street Address 2 Of The Provider
City Of The Provider BAKERSFIELD
Zip Code Of The Provider 933090633
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 193
Number Of Services 69373
Number Of Medicare Beneficiaries 842
Total Submitted Charge Amount 4688686
Total Medicare Allowed Amount 1768234.11
Total Medicare Payment Amount 1432487.92
Total Medicare Standardized Payment Amount 1425682.13
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 27130
Number Of Medicare Beneficiaries With Drug Services 272
Total Drug Submitted ChargeAmount 40569
Total Drug Medicare AllowedAmount 11010.15
Total Drug Medicare PaymentAmount 8524.68
Total Drug Medicare Standardized Payment Amount 8524.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 181
Number Of Medical Services 42243
Number Of Medicare Beneficiaries With Medical Services 842
Total Medical Submitted Charge Amount 4648117
Total Medical Medicare Allowed Amount 1757223.96
Total Medical Medicare Payment Amount 1423963.24
Total Medical Medicare Standardized Payment Amount 1417157.45
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 149
Number Of Beneficiaries Age 65 to 74 349
Number Of Beneficiaries Age 75 to 84 240
Number Of Beneficiaries Age Greater 84 104
Number Of Female Beneficiaries 502
Number Of Male Beneficiaries 340
Number Of Non Hispanic White Beneficiaries 598
Number Of Black or African American Beneficiaries 47
Number Of AsianPacific Islander Beneficiaries 15
Number Of Hispanic Beneficiaries 163
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 567
Number Of Beneficiaries With Medicare Medicaid Entitlement 275
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer 42
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 17
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.7763

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