Medicare Facts for Sarah R. Shaffer


National Provider Identifier [NPI]: 1336312560
Last Name Of The Provider SHAFFER
First Name Of The Provider SARAH
Middle Initial Of The Provider A
Credentials Of The Provider D.O.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 HAWKINS DR
Street Address 2 Of The Provider DEPARTMENT OF OBGYN
City Of The Provider IOWA CITY
Zip Code Of The Provider 522421009
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 29
Number Of Medicare Beneficiaries 23
Total Submitted Charge Amount 9040
Total Medicare Allowed Amount 3233.57
Total Medicare Payment Amount 2527.34
Total Medicare Standardized Payment Amount 2554.8
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 9
Number Of Medical Services 29
Number Of Medicare Beneficiaries With Medical Services 23
Total Medical Submitted Charge Amount 9040
Total Medical Medicare Allowed Amount 3233.57
Total Medical Medicare Payment Amount 2527.34
Total Medical Medicare Standardized Payment Amount 2554.8
Average Age Of Beneficiaries 43
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 23
Number Of Male Beneficiaries 0
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2905

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