Medicare Facts for Dr. Shannon M. Colohan, MD


National Provider Identifier [NPI]: 1225342991
Last Name Of The Provider COLOHAN
First Name Of The Provider SHANNON
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1959 NE PACIFIC ST
Street Address 2 Of The Provider UWMC DIVISION OF PLASTIC SURGERY
City Of The Provider SEATTLE
Zip Code Of The Provider 981950001
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Plastic and Reconstructive Surgery
Medicare Participation Indicator Y
Number Of HCPCS 45
Number Of Services 149
Number Of Medicare Beneficiaries 61
Total Submitted Charge Amount 216500.23
Total Medicare Allowed Amount 66225.82
Total Medicare Payment Amount 51418
Total Medicare Standardized Payment Amount 44884.72
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 45
Number Of Medical Services 149
Number Of Medicare Beneficiaries With Medical Services 61
Total Medical Submitted Charge Amount 216500.23
Total Medical Medicare Allowed Amount 66225.82
Total Medical Medicare Payment Amount 51418
Total Medical Medicare Standardized Payment Amount 44884.72
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 30
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 35
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer 59
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 36
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 31
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2502

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