Medicare Facts for Dr. Kristina K. Shaffer, MD


National Provider Identifier [NPI]: 1730298910
Last Name Of The Provider SHAFFER
First Name Of The Provider KRISTINA
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1215 TOWN CENTRE DR
Street Address 2 Of The Provider SUITE 200
City Of The Provider EAGAN
Zip Code Of The Provider 551231033
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 2793
Number Of Medicare Beneficiaries 301
Total Submitted Charge Amount 327020
Total Medicare Allowed Amount 141323.82
Total Medicare Payment Amount 104287.73
Total Medicare Standardized Payment Amount 101723.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 57
Number Of Medicare Beneficiaries With Drug Services 28
Total Drug Submitted ChargeAmount 7073
Total Drug Medicare AllowedAmount 5708.3
Total Drug Medicare PaymentAmount 4472.41
Total Drug Medicare Standardized Payment Amount 4472.41
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 2736
Number Of Medicare Beneficiaries With Medical Services 301
Total Medical Submitted Charge Amount 319947
Total Medical Medicare Allowed Amount 135615.52
Total Medical Medicare Payment Amount 99815.32
Total Medical Medicare Standardized Payment Amount 97250.79
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 19
Number Of Beneficiaries Age 65 to 74 128
Number Of Beneficiaries Age 75 to 84 113
Number Of Beneficiaries Age Greater 84 41
Number Of Female Beneficiaries 231
Number Of Male Beneficiaries 70
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 282
Number Of Beneficiaries With Medicare Medicaid Entitlement 19
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 4
Percent Of With Depression 16
Percent Of With Diabetes 16
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 48
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8912

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