Medicare Facts for Keith D. Rouleau, PA-C


National Provider Identifier [NPI]: 1215130562
Last Name Of The Provider ROULEAU
First Name Of The Provider KEITH
Middle Initial Of The Provider D
Credentials Of The Provider PA-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 29605 SOLANA WAY
Street Address 2 Of The Provider #N6
City Of The Provider TEMECULA
Zip Code Of The Provider 925913758
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 78
Number Of Medicare Beneficiaries 66
Total Submitted Charge Amount 20446
Total Medicare Allowed Amount 5541.6
Total Medicare Payment Amount 4105.56
Total Medicare Standardized Payment Amount 4824.89
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 11
Number Of Medical Services 78
Number Of Medicare Beneficiaries With Medical Services 66
Total Medical Submitted Charge Amount 20446
Total Medical Medicare Allowed Amount 5541.6
Total Medical Medicare Payment Amount 4105.56
Total Medical Medicare Standardized Payment Amount 4824.89
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 19
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 40
Number Of Male Beneficiaries 26
Number Of Non Hispanic White Beneficiaries 39
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 32
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 33
Percent Of With Depression 27
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6268

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