Medicare Facts for Dr. Rose M. Brouillette, MD


National Provider Identifier [NPI]: 1386664449
Last Name Of The Provider BROUILLETTE
First Name Of The Provider ROSE
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1501 KINGS HWY
Street Address 2 Of The Provider DEPARTMENT OF OB/GYN
City Of The Provider SHREVEPORT
Zip Code Of The Provider 711034228
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 151
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 22994
Total Medicare Allowed Amount 6200.3
Total Medicare Payment Amount 4558.17
Total Medicare Standardized Payment Amount 4734.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 151
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 22994
Total Medical Medicare Allowed Amount 6200.3
Total Medical Medicare Payment Amount 4558.17
Total Medical Medicare Standardized Payment Amount 4734.71
Average Age Of Beneficiaries 40
Number Of Beneficiaries Age Less65 59
Number Of Beneficiaries Age 65 to 74 11
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries 70
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 56
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 20
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 27
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 21
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0937

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