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Shana D Fogarty

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NPI Number Detailed Information

Provider Information:

Name: Shana D Fogarty
Gender: F
Provider License Number If Given: MD61238314

NPI Information:

NPI: 1104879899
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/17/2006

Last Update Date: 12/22/2021

Reputation Report:

Provider Business Mailing Address:

Address: 2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
Phone Number: 2086255085
Fax Number: 2086255731

Provider Business Practice Location Address:

Address: 2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
Phone Number: 2086255085
Fax Number: 2086255731

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any): 207QH0002X
State: ID

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About Shana D Fogarty

Shana D Fogarty ( SHANA D FOGARTY ) is Family Family Medicine Physician in Coeur D Alene, ID. The NPI Number for Shana D Fogarty is 1104879899.
The current location address for Shana D Fogarty is 2003 KOOTENAI HEALTH WAY Coeur D Alene, ID 83814 and the contact number is 2086255085 and fax number is 2086255731. The mailing address for Shana D Fogarty is 2003 KOOTENAI HEALTH WAY Coeur D Alene, ID 83814- 2086255085 (mailing address contact number - 2086255085).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Shana D Fogarty ?


Answer: The NPI Number for Shana D Fogarty is 1104879899

Where is Shana D Fogarty located?


Answer: Shana D Fogarty is located at 2003 KOOTENAI HEALTH WAY Coeur D Alene, ID 83814.

What is the specialty for Shana D Fogarty ?


Answer: The Specialty of Shana D Fogarty is Family Family Medicine Physician.

Are there any online reviews for Shana D Fogarty ?


Answer: Yes! Check It Now.

Are there any other health care providers in Coeur D Alene, ID?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Shana D Fogarty

Number of HCPCS 19
Number of Medicare Beneficiaries 364
Number of Services 935
Total Submitted Charge Amount 169016
Total Medicare Allowed Amount 83033.46
Total Medicare Payment Amount 66022.23
Total Medicare Standardized Payment Amount 68121
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 19
Number of Medicare Beneficiaries With Medical 364
Number of Medical Services 935
Total Medical Submitted Charge Amount 169016
Total Medical Medicare Allowed Amount 83033.46
Total Medical Medicare Payment Amount 66022.23
Total Medical Medicare Standardized Payment Amount 68121
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 45
Number of Beneficiaries Age 65 to 74 127
Number of Beneficiaries Age 75 to 84 123
Number of Beneficiaries Age Greater 84 69
Number of Female Beneficiaries 168
Number of Male Beneficiaries 196
Number of Non-Hispanic White Beneficiaries 342
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 85
Number of Beneficiaries With Medicare Only Entitlement 279
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.28
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.37
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.42
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.65
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.31
Percent (%) of Beneficiaries Identified With Depression 0.37
Percent (%) of Beneficiaries Identified With Diabetes 0.44
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.55
Percent (%) of Beneficiaries Identified With Osteoporosis 0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke 0.16
Average HCC Risk Score of Beneficiaries 2.3312

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 222
Number of Standardized 30-Day Fills 225.7
Aggregate Cost Paid for All Claims 9675.59
Number of Day's Supply for All Claims 4379
Number of Medicare Beneficiaries 103
Number of Claims, Including Refills, for Beneficiaries Age 65+ 191
Including Refills, for Beneficiaries Age 65+ 193.66666667
Beneficiaries Age 65+ 6656.78
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3762
Number of Medicare Beneficiaries Age 65+ 88
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 199
Aggregate Cost Paid for Generic Drugs 1938.11
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 108
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 7782.95
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 114
Aggregate Cost Paid for Claims Filled by 1892.64
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 85
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 5240.91
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 137
by Low-Income Subsidy 4434.68
Total Claims of Opioid Drugs, Including 14
Aggregate Cost Paid for Opioid Drugs 100.21
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 6.3063063063
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 32
Aggregate Cost Paid for Antibiotic Drugs 2979.44
Antibiotic Claims 29
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 74.165048544
Number of Beneficiaries Age Less Than 65 15
Number of Beneficiaries Age 65 to 74 30
Number of Beneficiaries Age 75 to 84 40
Number of Female Beneficiaries 48
Number of Male Beneficiaries 55
Number of Non-Hispanic White 99
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 0
Only Entitlement 71
Average Hierarchical Condition Category 2.3163406985

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