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Shawnna Tiffany Reilly, PA

Physician Assistant · Dublin

NPI 1124158712

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
4

Offices

4 locations · Pleasanton Emergency Medical Group · 38 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Shawnna Tiffany Reilly’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$32,246

Medicare paid this office $32,246 for 269 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)159$17,097$104
New patient visit (45+ min)56$6,418$115
Short return visit (20+ min)31$2,325$75
Long return visit (40+ min)12$1,730$144

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None

Who their Medicare patients are

269 Original Medicare patients in 2024. Average age 74 · Under 65 8% · 85 and older 13% · Women 60% · Also on Medicaid 21% · Health risk score 1.04. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 72% · Diabetes 25% · Coronary heart disease 24% · Chronic kidney disease 21% · Depression 20% · Atrial fibrillation 16% · Cancer 15% · Heart failure 12% · COPD 11% · Stroke 4%.

The office billed $120,988, Medicare allowed $44,051 and paid $32,246; for 303 services of 17 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024269303741.04$120,988$32,246
2023268301751.06$123,189$30,727
2022210242731.05$97,150$23,603
2021168198721.17$87,708$19,111
202096110691.65$62,179$9,412
20197894661.27$73,557$5,837
20187283641.19$63,164$5,853
201777103671.21$79,897$6,626
2016112157700.95$54,564$11,433
20153339641.16$16,460$2,229
20133637631.27$10,680$1,453

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Return visit (30+ min)144$14,633$97
New patient visit (45+ min)61$7,450$122
Short return visit (20+ min)38$2,512$66
New patient visit (30+ min)12$1,003$84

2022: 4 services

Original Medicare services billed in 2022
Return visit (30+ min)90$9,415$103
New patient visit (45+ min)38$4,924$130
Short return visit (20+ min)42$3,053$71
New patient visit (30+ min)30$2,345$78

2021: 3 services

Original Medicare services billed in 2021
Return visit (30+ min)69$7,499$103
New patient visit (45+ min)36$4,039$112
Short return visit (20+ min)30$2,172$70

2020: 3 services

Original Medicare services billed in 2020
Return visit (30+ min)43$3,919$91
New patient visit (45+ min)14$1,874$134
Emergency department visit with moderate level of medical decision making12$1,067$89

2019: 3 services

Original Medicare services billed in 2019
Emergency department visit with moderate level of medical decision making23$1,704$68
Emergency department visit with high level of medical decision making13$1,377$106
Emergency department visit with low level of medical decision making28$1,126$40

2018: 3 services

Original Medicare services billed in 2018
Emergency department visit with moderate level of medical decision making21$1,448$69
New patient visit (30+ min)11$866$79
Emergency department visit with low level of medical decision making15$675$45

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making19$2,355$124
Emergency department visit with moderate level of medical decision making29$2,063$71
Emergency department visit with low level of medical decision making28$1,140$41
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only13$82$6

2016: 3 services

Original Medicare services billed in 2016
New patient visit (45+ min)41$4,794$117
Return visit (30+ min)21$1,751$80
Emergency department visit with low level of medical decision making23$898$39

2015: 1 service

Original Medicare services billed in 2015
Emergency department visit with moderate level of medical decision making13$1,085$83

Drugs they prescribed that Part D paid

$6,369

Pharmacies billed $6,369 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

236 generic and fewer than 11 brand-name prescriptions · $6,369 in drug cost · 142 antibiotic prescriptions to 124 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Albuterol Sulfate Hfa28$807$29
Prednisone25$292$10
Cephalexin41$226$6
Amoxicillin-Clavulanate Potass25$176$7
Doxycycline Monohydrate15$145$10
See all 7 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa28$807$29
Prednisone25$292$10
Cephalexin41$226$6
Amoxicillin-Clavulanate Potass25$176$7
Doxycycline Monohydrate15$145$10
Azithromycin26$121$4
Nitrofurantoin Mono-Macro11$88$8

Year by year

Part D prescribing by year
2024277205NoneNone$6,369
20232301776% (14)12%$4,930
202216312811% (18)None$2,328
202113611121% (29)None$1,908
20204641NoneNone$816
2019835323% (19)None$1,800
2018544222% (12)None$789
2017764933% (25)None$924
2016644523% (15)None$1,193
2015825426% (21)None$1,561
2014735030% (22)None$1,239
20131177028% (33)None$1,989

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa15$444$30
Cephalexin43$316$7
Amoxicillin-Clavulanate Potass27$227$8
Doxycycline Monohydrate12$201$17
Paxlovid (Eua)13$140$11
Azithromycin19$104$5
Prednisone16$37$2

2022: 3 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa20$776$39
Cephalexin36$284$8
Hydrocodone-Acetaminophen14$82$6

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin31$193$6
Hydrocodone-Acetaminophen18$97$5

2019: 1 drug

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen15$132$9

2018: 1 drug

Part D drugs prescribed in 2018
Cephalexin13$117$9

2017: 2 drugs

Part D drugs prescribed in 2017
Cephalexin15$138$9
Hydrocodone-Acetaminophen22$117$5

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen11$86$8

2015: 2 drugs

Part D drugs prescribed in 2015
Cephalexin12$97$8
Hydrocodone-Acetaminophen13$80$6

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen20$111$6

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen24$140$6

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1124158712
Licence
CA PA19034
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X)
Mailing address
476 E Campbell Ave, Campbell, CA, 95008
NPI first listed
2007-03-06
NPI last updated
2026-01-30
NPI record certified
2026-01-30

This is when the NPI record was last certified, not a medical board exam.