Shina Keaonis Gordon

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NPI Number Detailed Information

Provider Information:

Name:	Shina Keaonis Gordon
Gender:	F
Provider License Number If Given:	209013602

NPI Information:

NPI:	1295197697
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	3/24/2016
Last Update Date:	6/27/2022

Provider Business Mailing Address:

Address:	29373 NETWORK PL Chicago, IL 60673
Phone Number:	8473905900
Fax Number:

Provider Business Practice Location Address:

Address:	4101 1ST AVE Lyons, IL 60534
Phone Number:	8003238622
Fax Number:	2242250394

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	IL

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About Shina Keaonis Gordon

Shina Keaonis Gordon ( SHINA KEAONIS GORDON ) is Definition Nurse Practitioner Physician in Lyons, IL. The NPI Number for Shina Keaonis Gordon is 1295197697.

The current location address for Shina Keaonis Gordon is 4101 1ST AVE Lyons, IL 60534 and the contact number is 8473905900 and fax number is . The mailing address for Shina Keaonis Gordon is 29373 NETWORK PL Chicago, IL 60673- 8003238622 (mailing address contact number - 8473905900).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Shina Keaonis Gordon ?

Answer: The NPI Number for Shina Keaonis Gordon is 1295197697

Where is Shina Keaonis Gordon located?

Answer: Shina Keaonis Gordon is located at 4101 1ST AVE Lyons, IL 60534.

What is the specialty for Shina Keaonis Gordon ?

Answer: The Specialty of Shina Keaonis Gordon is Definition Nurse Practitioner Physician.

Are there any online reviews for Shina Keaonis Gordon ?

Answer: Not yet!

Are there any other health care providers in Lyons, IL?

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 Shina Keaonis Gordon

Number of HCPCS	13
Number of Medicare Beneficiaries	29
Number of Services	49
Total Submitted Charge Amount	6610
Total Medicare Allowed Amount	2762.46
Total Medicare Payment Amount	2275.23
Total Medicare Standardized Payment Amount	2178
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	17
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	17
Number of Male Beneficiaries	12
Number of Non-Hispanic White Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.55
Percent (%) of Beneficiaries Identified With Hypertension	0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.835

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	158
Number of Standardized 30-Day Fills	234
Aggregate Cost Paid for All Claims	6644.46
Number of Day's Supply for All Claims	6461
Number of Medicare Beneficiaries	36
Number of Claims, Including Refills, for Beneficiaries Age 65+	59
Including Refills, for Beneficiaries Age 65+	91
Beneficiaries Age 65+	1201.74
Number of Day's Supply for All Claims for Beneficaries Age 65+	2247
Number of Medicare Beneficiaries Age 65+
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	156
Aggregate Cost Paid for Generic Drugs	6552.46
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	77
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	5231.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	81
Aggregate Cost Paid for Claims Filled by	1412.96
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	90
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	5377.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	68
by Low-Income Subsidy	1267.21
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	13
Aggregate Cost Paid for Antibiotic Drugs	128.22
Antibiotic Claims	13
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	68.416666667
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White	21
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	0.8076944444

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