Medicare Facts for Shannon L. Merriman, RN


National Provider Identifier [NPI]: 1225469729
Last Name Of The Provider MERRIMAN
First Name Of The Provider SHANNON
Middle Initial Of The Provider
Credentials Of The Provider PT, DPT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4045 WADSWORTH BLVD
Street Address 2 Of The Provider
City Of The Provider WHEAT RIDGE
Zip Code Of The Provider 800334642
State Code Of The Provider CO
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 260
Number Of Medicare Beneficiaries 20
Total Submitted Charge Amount 12441.59
Total Medicare Allowed Amount 7796.91
Total Medicare Payment Amount 6112.6
Total Medicare Standardized Payment Amount 3974.78
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 260
Number Of Medicare Beneficiaries With Medical Services 20
Total Medical Submitted Charge Amount 12441.59
Total Medical Medicare Allowed Amount 7796.91
Total Medical Medicare Payment Amount 6112.6
Total Medical Medicare Standardized Payment Amount 3974.78
Average Age Of Beneficiaries 71
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
Number Of Male Beneficiaries
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
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 70
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3746

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