Medicare Facts for Shannon Houda


National Provider Identifier [NPI]: 1811322027
Last Name Of The Provider HOUDA
First Name Of The Provider SHANNON
Middle Initial Of The Provider
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1725 W BOUGHTON RD
Street Address 2 Of The Provider
City Of The Provider BOLINGBROOK
Zip Code Of The Provider 604901550
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 140
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 4689.38
Total Medicare Allowed Amount 4594.45
Total Medicare Payment Amount 4036.01
Total Medicare Standardized Payment Amount 4385.55
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 63
Number Of Medicare Beneficiaries With Drug Services 57
Total Drug Submitted ChargeAmount 2100.38
Total Drug Medicare AllowedAmount 2089.71
Total Drug Medicare PaymentAmount 2041.18
Total Drug Medicare Standardized Payment Amount 2041.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 8
Number Of Medical Services 77
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 2589
Total Medical Medicare Allowed Amount 2504.74
Total Medical Medicare Payment Amount 1994.83
Total Medical Medicare Standardized Payment Amount 2344.37
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 49
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 32
Number Of Male Beneficiaries 38
Number Of Non Hispanic White Beneficiaries 55
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.6176

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