| National Provider Identifier [NPI]: | 1831179571 |
| Last Name Of The Provider | SHANNAHAN |
| First Name Of The Provider | SEAN |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 700 S PARK ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MADISON |
| Zip Code Of The Provider | 537151849 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Radiation Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 201 |
| Number Of Services | 15949 |
| Number Of Medicare Beneficiaries | 3991 |
| Total Submitted Charge Amount | 1885339.77 |
| Total Medicare Allowed Amount | 229312.65 |
| Total Medicare Payment Amount | 175571.35 |
| Total Medicare Standardized Payment Amount | 183689.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 9867 |
| Number Of Medicare Beneficiaries With Drug Services | 112 |
| Total Drug Submitted ChargeAmount | 10481.5 |
| Total Drug Medicare AllowedAmount | 2335.12 |
| Total Drug Medicare PaymentAmount | 1692.15 |
| Total Drug Medicare Standardized Payment Amount | 1692.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 6082 |
| Number Of Medicare Beneficiaries With Medical Services | 3990 |
| Total Medical Submitted Charge Amount | 1874858.27 |
| Total Medical Medicare Allowed Amount | 226977.53 |
| Total Medical Medicare Payment Amount | 173879.2 |
| Total Medical Medicare Standardized Payment Amount | 181997.19 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 667 |
| Number Of Beneficiaries Age 65 to 74 | 1470 |
| Number Of Beneficiaries Age 75 to 84 | 1107 |
| Number Of Beneficiaries Age Greater 84 | 747 |
| Number Of Female Beneficiaries | 2441 |
| Number Of Male Beneficiaries | 1550 |
| Number Of Non Hispanic White Beneficiaries | 3779 |
| Number Of Black or African American Beneficiaries | 100 |
| Number Of AsianPacific Islander Beneficiaries | 13 |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3104 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 887 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2926 |