Shann Mika B Ruiz, NP

1 location · Stanford Health Care · 3,152 clinicians in this group

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
  Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024

$51,258

Medicare paid this office $51,258 for 209 people. Most of that is long return visits and Botox.

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

Who their Medicare patients are

209 Original Medicare patients in 2024. Average age 76 · Women 17% · Also on Medicaid 19% · Health risk score 2.71. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: Cancer 75% · High blood pressure 73% · Chronic kidney disease 40% · Coronary heart disease 33% · Diabetes 30% · Atrial fibrillation 18% · Heart failure 17% · Depression 12% · Dementia 8% · Stroke 8% · COPD 7%.

The office billed $316,235, Medicare allowed $65,950 and paid $51,258; for 408 services of 4 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 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.

$56 in 2024

Medicaid paid $56 for 12 billed services this clinician did in 2024, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$3,582,563

Pharmacies billed $3,582,563 in 2024.

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

Opioids were 4% of their Part D prescriptions (36 of 953) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

662 generic and 291 brand-name prescriptions · $3,582,563 in drug cost · 11 antibiotic prescriptions.

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.

Year by year

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

$523 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Medicare did not publish checkup rates for this clinician.

NPI

1689140139

Licence

CA 95009787

Group

Stanford Health Care

Video visits

Lists video visits

Gender

Female