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Shana M Hill, MD

Pulmonary Disease · Santa Rosa

NPI 1871767020

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Providence Medical Foundation · 1,461 clinicians in this group

Looking this up.

Hospitals listed: Providence Santa Rosa Memorial Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Hill’s office at (707) 525-9616 to ask if they take your plan before you enroll.

California Medical Board record

Licence A112894 · Current

Licensed to practise in California · since 2010 · expires 2027-09-30 · University of Minnesota Medical School.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

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

  • Providence Santa Rosa Memorial HospitalSanta Rosa, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 69% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.375, Oct 2024 – Sep 2025
See every measure and the patient survey for Providence Santa Rosa Memorial Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Providence Santa Rosa Memorial Hospital
Clostridium Difficile (C.Diff)Infections0.375BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.19 (0.26 to 2.13) · 1,736 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.76 (0.48 to 1.03)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths181.27 (137.92 to 224.62) · 109 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.1 · 72 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.8 · 129 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.3 · 226 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.2 · 530 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.2 · 448 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.3 · 245 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 2,733 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.03 to 0.4) · 8,115 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.04 to 0.41) · 8,057 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.37 (0.56 to 4.18) · 2,186 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.59 (0.1 to 3.08) · 772 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.27 (0.9 to 3.63) · 1,999 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths5.74 (0.06 to 11.42) · 810 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.04 (0.53 to 7.55) · 768 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.8 (0.38 to 3.21) · 401 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.46 (0 to 1) · 7,051 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.3 · 77 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.915No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.552No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.297No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.353No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 288 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 489 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits0.4 · 259 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-0.4 · 580 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7.5 · 456 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.2 · 431 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.4 (4.9 to 8.3) · 584 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.3 (8.2 to 12.7) · 584 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 72 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.4 · 64 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 133 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (10.8 to 16.7) · 2,810 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (1 to 1.5) · 780 casesNo differentJan 2024 – Dec 2024

What patients said (473 patients answered, 23% of those asked)

Patient survey stars by topic at Providence Santa Rosa Memorial Hospital
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Providence Santa Rosa Memorial Hospital
Room was "always" clean71%
Nurses "always" communicated well76%
Doctors "always" communicated well74%
Staff "always" explained56%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$59,926

Medicare paid this office $59,926 for 157 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes142$54,400$166
Critical care, each additional 30 minutes23$2,303$85
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,357$97

Who their Medicare patients are

157 Original Medicare patients in 2024. Average age 75 · Under 65 13% · 85 and older 19% · Women 37% · Also on Medicaid 43% · Health risk score 2.40. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · Coronary heart disease 50% · Heart failure 50% · Atrial fibrillation 48% · Chronic kidney disease 46% · Diabetes 45% · COPD 39% · Stroke 38% · Depression 36% · Dementia 21% · Cancer 17%.

The office billed $240,942, Medicare allowed $77,327 and paid $59,926; for 394 services of 12 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
2024157394752.40$240,942$59,926
2023117323742.25$216,518$50,239
20226361,640761.63$507,904$136,964
20215391,407751.68$313,418$149,889
20204891,236751.86$273,935$117,388
20194941,864751.84$390,825$157,263
20183921,158731.89$260,819$106,295
20172547683.28$9,070$2,984

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: 2 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes108$45,032$172
Critical care, each additional 30 minutes23$2,368$88

2022: 17 services

Original Medicare services billed in 2022
Return visit (30+ min)327$45,375$106
Critical care, first 30-74 minutes73$32,805$183
New patient visit (45+ min)141$19,616$139
Telephone medical discussion with physician, 11-20 minutes88$7,824$75
Long return visit (40+ min)41$6,179$147
Test to examine how well the lungs exchange gases144$4,031$27
Test to determine lung volumes using gas dilution or washout144$3,424$23
Short return visit (20+ min)31$2,693$77
Critical care, each additional 30 minutes24$2,680$92
Telephone medical discussion with physician, 21-30 minutes25$2,537$98
New patient visit (60+ min)13$2,449$188
Test to measure expiratory airflow and volume changes before and after medication administration95$787$8
Test for exercise-induced lung stress26$695$27
Test to measure rate of airflow49$632$12
Test to determine lung volumes using sensors38$392$10
Test to measure expiratory airflow and volume changes before and after medication administration44$388$9
Test to examine how well the lungs exchange gases29$222$8

2021: 14 services

Original Medicare services billed in 2021
Return visit (30+ min)297$53,223$106
Critical care, first 30-74 minutes92$37,979$185
New patient visit (45+ min)125$17,446$140
Long return visit (40+ min)48$7,995$160
Telephone medical discussion with physician, 21-30 minutes64$6,180$85
Test to examine how well the lungs exchange gases86$4,578$51
Critical care, each additional 30 minutes27$4,216$94
New patient visit (60+ min)22$4,133$188
Test to determine lung volumes using gas dilution or washout83$3,323$39
Telephone medical discussion with physician, 11-20 minutes46$3,058$61
Test to measure expiratory airflow and volume changes before and after medication administration66$1,967$29
Short return visit (20+ min)16$1,247$78
Test for exercise-induced lung stress19$566$30
Test to measure rate of airflow16$526$33

2020: 11 services

Original Medicare services billed in 2020
Return visit (30+ min)262$36,952$85
Critical care, first 30-74 minutes89$31,906$187
New patient visit (45+ min)135$17,781$132
Short return visit (20+ min)100$7,233$62
Critical care, each additional 30 minutes44$6,086$95
Telephone medical discussion with physician, 21-30 minutes47$4,260$84
Telephone medical discussion with physician, 11-20 minutes54$2,825$48
Test to examine how well the lungs exchange gases44$1,774$40
New patient visit (30+ min)19$1,706$90
Test to measure expiratory airflow and volume changes before and after medication administration33$1,542$47
Test to determine lung volumes using gas dilution or washout44$1,533$35

2019: 13 services

Original Medicare services billed in 2019
Return visit (30+ min)268$46,434$86
Critical care, first 30-74 minutes94$40,997$178
New patient visit (45+ min)147$19,327$131
Test to examine how well the lungs exchange gases205$9,805$44
Critical care, each additional 30 minutes46$8,428$91
Test to determine lung volumes using gas dilution or washout213$8,101$35
Test to measure expiratory airflow and volume changes before and after medication administration155$7,896$49
New patient visit (60+ min)39$6,467$166
Test to measure rate of airflow48$1,678$31
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,194$85
Test for exercise-induced lung stress42$1,178$27
Short return visit (20+ min)15$788$49
Smoking and tobacco use intensive counseling, 4-10 minutes12$186$15

2018: 12 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes113$38,897$177
Return visit (30+ min)139$20,065$87
New patient visit (45+ min)100$13,333$133
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes51$6,573$85
Test to examine how well the lungs exchange gases112$5,404$46
Test to measure expiratory airflow and volume changes before and after medication administration84$4,519$52
Test to determine lung volumes using gas dilution or washout112$4,411$38
Short return visit (20+ min)34$2,260$58
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$2,086$60
New patient visit (30+ min)17$1,469$86
Test to measure rate of airflow29$1,092$34
Test for exercise-induced lung stress26$748$28

2017: 1 service

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,617$62

Medicaid work

$18,221 in 2024

Medicaid paid $18,221 for 160 billed services this clinician did in 2024, up to 19 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.

Largest Medicaid services in 2024
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes160$18,221
Medicaid work by year
2024160119$18,221
2023143118$14,592
2022103418$6,407
202180216$5,566
201939212$5,222
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes143$14,592

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes34$3,945
Return visit (30+ min)44$1,266
New patient visit (45+ min)13$892
Diffusing capacity12$305

2021

Largest Medicaid services in 2021
Return visit (30+ min)52$2,867
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes28$2,700

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes27$4,711
Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes12$511

Money from drug and device companies

$72 in 2022

Industry payments by year
202234None$72
2021411None$208
202035None$64
201922None$42

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

A payment is not proof that care is biased.

Payments by company
Baxter HealthcareHillrom - Vest System Model 105 Home Care$44
2 payments
  • Meals for Hillrom - Vest System Model 105 Home Care · 2022-07-26 · $24
  • Meals for Hillrom - Vest System Model 105 Home Care · 2022-04-05 · $19
Philips Electronics North America(8300) Dreamstat Bipap Auto$14
1 payment
  • Meals for (8300) Dreamstat Bipap Auto · 2022-04-13 · $14
GlaxoSmithKlineTrelegy Ellipta$14
1 payment
  • Meals for Trelegy Ellipta · 2022-06-13 · $14
See all 4 published payments
Every published payment
Baxter HealthcareMeals · 2022-07-26Hillrom - Vest System Model 105 Home Care$24
GlaxoSmithKlineMeals · 2022-06-13Trelegy Ellipta$14
Philips Electronics North AmericaMeals · 2022-04-13(8300) Dreamstat Bipap Auto$14
Baxter HealthcareMeals · 2022-04-05Hillrom - Vest System Model 105 Home Care$19
See earlier years (2021, 2020, 2019)

2021: $208

Payments by company in 2021
Advanced RespiratoryThe Vest System Model 105 Home Care$132
8 payments
  • Meals for The Vest System Model 105 Home Care · 2021-11-22 · $21
  • Meals for The Vest System Model 105 Home Care · 2021-10-13 · $20
  • Meals for The Vest System Model 105 Home Care · 2021-03-31 · $10
  • Meals for The Vest System Model 105 Home Care · 2021-03-31 · $10
  • Meals for The Vest System Model 105 Home Care · 2021-03-04 · $17
  • Meals for The Vest System Model 105 Home Care · 2021-03-04 · $15
  • Meals for The Vest System Model 105 Home Care · 2021-01-13 · $20
  • Meals for The Vest System Model 105 Home Care · 2021-01-13 · $20
AstraZeneca Pharmaceuticals LPFasenra$33
1 payment
  • Meals for Fasenra · 2021-05-24 · $33
Jazz PharmaceuticalsSunosi$23
1 payment
  • Meals for Sunosi · 2021-07-30 · $23
GlaxoSmithKlineTrelegy Ellipta$19
1 payment
  • Meals for Trelegy Ellipta · 2021-04-28 · $19

2020: $64

Payments by company in 2020
GlaxoSmithKlineTrelegy Ellipta$41
3 payments
  • Meals for Trelegy Ellipta · 2020-10-20 · $12
  • Meals for Trelegy Ellipta · 2020-08-31 · $14
  • Meals for Trelegy Ellipta · 2020-01-08 · $15
Philips Electronics North America(8357) Dreamwear Full$12
1 payment
  • Meals for (8357) Dreamwear Full · 2020-05-15 · $12
Advanced RespiratoryThe Vest System Model 105 Home Care$11
1 payment
  • Meals for The Vest System Model 105 Home Care · 2020-09-23 · $11

2019: $42

Payments by company in 2019
GlaxoSmithKlineTrelegy Ellipta$27
1 payment
  • Meals for Trelegy Ellipta · 2019-12-10 · $27
Boehringer Ingelheim PharmaceuticalsSpiriva Respimat$15
1 payment
  • Education for Spiriva Respimat · 2019-08-01 · $15

Professional record

NPI
1871767020
Licence
CA A112894California A112894: Current · expires 2027-09-30
Trained
University of Minnesota Medical School, 2008
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RP1001X (207RP1001X); Student in a training program (390200000X)
Mailing address
300 Pasteur Dr, Suite A175, Stanford, CA, 94305
NPI first listed
2008-04-18
NPI last updated
2021-11-03
NPI record certified
2021-11-03

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

Extra NPI addresses: 585 W College Ave Ste A, Santa Rosa, CA, 95401

This office lists an electronic records connection.