Medicare Facts for Dr. Shanon R. Lacy, DO


National Provider Identifier [NPI]: 1003076142
Last Name Of The Provider LACY
First Name Of The Provider SHANON
Middle Initial Of The Provider R
Credentials Of The Provider D.O.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 8901 W LINCOLN AVE
Street Address 2 Of The Provider
City Of The Provider WEST ALLIS
Zip Code Of The Provider 532272409
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Pathology
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 3933
Number Of Medicare Beneficiaries 2211
Total Submitted Charge Amount 914212
Total Medicare Allowed Amount 137299.67
Total Medicare Payment Amount 103520.08
Total Medicare Standardized Payment Amount 83858.19
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 11
Number Of Medical Services 3933
Number Of Medicare Beneficiaries With Medical Services 2211
Total Medical Submitted Charge Amount 914212
Total Medical Medicare Allowed Amount 137299.67
Total Medical Medicare Payment Amount 103520.08
Total Medical Medicare Standardized Payment Amount 83858.19
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 151
Number Of Beneficiaries Age 65 to 74 860
Number Of Beneficiaries Age 75 to 84 760
Number Of Beneficiaries Age Greater 84 440
Number Of Female Beneficiaries 1096
Number Of Male Beneficiaries 1115
Number Of Non Hispanic White Beneficiaries 2120
Number Of Black or African American Beneficiaries 28
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 30
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 2033
Number Of Beneficiaries With Medicare Medicaid Entitlement 178
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 14
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0971

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