National Provider Identifier [NPI]: |
1437273174 |
Last Name Of The Provider |
ROUTHIER |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 COBURG RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
974012433 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
2346 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
341960.58 |
Total Medicare Allowed Amount |
114839.48 |
Total Medicare Payment Amount |
85310.51 |
Total Medicare Standardized Payment Amount |
88799.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
801 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
27888.08 |
Total Drug Medicare AllowedAmount |
16302.4 |
Total Drug Medicare PaymentAmount |
12647.36 |
Total Drug Medicare Standardized Payment Amount |
12647.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
1545 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
314072.5 |
Total Medical Medicare Allowed Amount |
98537.08 |
Total Medical Medicare Payment Amount |
72663.15 |
Total Medical Medicare Standardized Payment Amount |
76151.89 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
355 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
314 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9069 |