Medicare Facts for Shauna L. Glenn, CRNA


National Provider Identifier [NPI]: 1285934273
Last Name Of The Provider GLENN
First Name Of The Provider SHAUNA
Middle Initial Of The Provider L
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2202 HARLEM RD
Street Address 2 Of The Provider
City Of The Provider LOVES PARK
Zip Code Of The Provider 611112754
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 382
Number Of Medicare Beneficiaries 331
Total Submitted Charge Amount 402480
Total Medicare Allowed Amount 75868.81
Total Medicare Payment Amount 58952.08
Total Medicare Standardized Payment Amount 54851.03
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 57
Number Of Medical Services 382
Number Of Medicare Beneficiaries With Medical Services 331
Total Medical Submitted Charge Amount 402480
Total Medical Medicare Allowed Amount 75868.81
Total Medical Medicare Payment Amount 58952.08
Total Medical Medicare Standardized Payment Amount 54851.03
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 138
Number Of Beneficiaries Age 75 to 84 125
Number Of Beneficiaries Age Greater 84 39
Number Of Female Beneficiaries 170
Number Of Male Beneficiaries 161
Number Of Non Hispanic White Beneficiaries 300
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 16
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 287
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 20
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 24
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3087

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