Charles L Boursier

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NPI Number Detailed Information

Provider Information:

Name:	Charles L Boursier
Gender:	M
Provider License Number If Given:	43764020

NPI Information:

NPI:	1619950888
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/22/2005
Last Update Date:	1/30/2012
Reputation Report:

Provider Business Mailing Address:

Address:	2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC Portage, WI 53901
Phone Number:	6087424131
Fax Number:	6087455173

Provider Business Practice Location Address:

Address:	2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC Portage, WI 53901
Phone Number:	6087424131
Fax Number:	6087455173

Provider Taxonomy:

Primary:	207P00000X
Secondary (if any):
State:	WI

Top Doctors in WI

About Charles L Boursier

Charles L Boursier ( CHARLES L BOURSIER ) is An Emergency Medicine Physician in Portage, WI. The NPI Number for Charles L Boursier is 1619950888.

The current location address for Charles L Boursier is 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC Portage, WI 53901 and the contact number is 6087424131 and fax number is 6087455173. The mailing address for Charles L Boursier is 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC Portage, WI 53901- 6087424131 (mailing address contact number - 6087424131).

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Business Location on Map

FAQs:

What is the NPI Number for Charles L Boursier ?

Answer: The NPI Number for Charles L Boursier is 1619950888

Where is Charles L Boursier located?

Answer: Charles L Boursier is located at 2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC Portage, WI 53901.

What is the specialty for Charles L Boursier ?

Answer: The Specialty of Charles L Boursier is An Emergency Medicine Physician.

Are there any online reviews for Charles L Boursier ?

Answer: Yes! Check It Now.

Are there any other health care providers in Portage, WI?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Charles L Boursier

Number of HCPCS	8
Number of Medicare Beneficiaries	76
Number of Services	123
Total Submitted Charge Amount	138286
Total Medicare Allowed Amount	13478.45
Total Medicare Payment Amount	10254.02
Total Medicare Standardized Payment Amount	10056.54
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	8
Number of Medicare Beneficiaries With Medical	76
Number of Medical Services	123
Total Medical Submitted Charge Amount	138286
Total Medical Medicare Allowed Amount	13478.45
Total Medical Medicare Payment Amount	10254.02
Total Medical Medicare Standardized Payment Amount	10056.54
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	13
Number of Beneficiaries Age 65 to 74	23
Number of Beneficiaries Age 75 to 84	20
Number of Beneficiaries Age Greater 84	20
Number of Female Beneficiaries	41
Number of Male Beneficiaries	35
Number of Non-Hispanic White Beneficiaries	65
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	20
Number of Beneficiaries With Medicare Only Entitlement	56
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.21
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.32
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.21
Percent (%) of Beneficiaries Identified With Heart Failure	0.38
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.55
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.37
Percent (%) of Beneficiaries Identified With Depression	0.39
Percent (%) of Beneficiaries Identified With Diabetes	0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.62
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.42
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.47
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.9343

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	25
Number of Standardized 30-Day Fills	25
Aggregate Cost Paid for All Claims	336.45
Number of Day's Supply for All Claims	167
Number of Medicare Beneficiaries	20
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	23
Aggregate Cost Paid for Generic Drugs	312.98
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst	#
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst	#
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	14
Aggregate Cost Paid for Antibiotic Drugs	96.46
Antibiotic Claims	13
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	71.15
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White	15
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.60115

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