National Provider Identifier [NPI]: |
1336135805 |
Last Name Of The Provider |
ROULIER |
First Name Of The Provider |
JULIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 SIDNEY ST |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
BATESVILLE |
Zip Code Of The Provider |
725017203 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
2852 |
Number Of Medicare Beneficiaries |
216 |
Total Submitted Charge Amount |
141968.89 |
Total Medicare Allowed Amount |
88860.31 |
Total Medicare Payment Amount |
63785.52 |
Total Medicare Standardized Payment Amount |
69790.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
227 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
5115.4 |
Total Drug Medicare AllowedAmount |
2328.16 |
Total Drug Medicare PaymentAmount |
2223.13 |
Total Drug Medicare Standardized Payment Amount |
2223.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2625 |
Number Of Medicare Beneficiaries With Medical Services |
216 |
Total Medical Submitted Charge Amount |
136853.49 |
Total Medical Medicare Allowed Amount |
86532.15 |
Total Medical Medicare Payment Amount |
61562.39 |
Total Medical Medicare Standardized Payment Amount |
67567.84 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
48 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8322 |