Medicare Facts for Dr. Mark S. Shockley, MD


National Provider Identifier [NPI]: 1831146042
Last Name Of The Provider SHOCKLEY
First Name Of The Provider MARK
Middle Initial Of The Provider S
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2710 SAINT FRANCIS DR
Street Address 2 Of The Provider SUITE 410
City Of The Provider WATERLOO
Zip Code Of The Provider 507025619
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 325
Number Of Medicare Beneficiaries 290
Total Submitted Charge Amount 252655.2
Total Medicare Allowed Amount 58482.5
Total Medicare Payment Amount 44232.48
Total Medicare Standardized Payment Amount 48454.72
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 59
Number Of Medical Services 325
Number Of Medicare Beneficiaries With Medical Services 290
Total Medical Submitted Charge Amount 252655.2
Total Medical Medicare Allowed Amount 58482.5
Total Medical Medicare Payment Amount 44232.48
Total Medical Medicare Standardized Payment Amount 48454.72
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 123
Number Of Beneficiaries Age 75 to 84 88
Number Of Beneficiaries Age Greater 84 38
Number Of Female Beneficiaries 175
Number Of Male Beneficiaries 115
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 244
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 27
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1717

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