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Lori E Rousche

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NPI Number Detailed Information

Provider Information:

Name: Lori E Rousche
Gender: F
Provider License Number If Given: MD042355L

NPI Information:

NPI: 1275588691
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 5/24/2006
Last Update Date: 1/7/2011
Reputation Report:

Provider Business Mailing Address:

Address: 777 ROUTE 113
Souderton, PA 18964
Phone Number: 2157233280
Fax Number:

Provider Business Practice Location Address:

Address: 777 ROUTE 113
Souderton, PA 18964
Phone Number: 2157233280
Fax Number:

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: PA

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About Lori E Rousche

Lori E Rousche ( LORI E ROUSCHE ) is Family Family Medicine Physician in Souderton, PA. The NPI Number for Lori E Rousche is 1275588691.
The current location address for Lori E Rousche is 777 ROUTE 113 Souderton, PA 18964 and the contact number is 2157233280 and fax number is . The mailing address for Lori E Rousche is 777 ROUTE 113 Souderton, PA 18964- 2157233280 (mailing address contact number - 2157233280).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Lori E Rousche ?


Answer: The NPI Number for Lori E Rousche is 1275588691

Where is Lori E Rousche located?


Answer: Lori E Rousche is located at 777 ROUTE 113 Souderton, PA 18964.

What is the specialty for Lori E Rousche ?


Answer: The Specialty of Lori E Rousche is Family Family Medicine Physician.

Are there any online reviews for Lori E Rousche ?


Answer: Yes! Check It Now.

Are there any other health care providers in Souderton, PA?


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 Lori E Rousche

Number of HCPCS 51
Number of Medicare Beneficiaries 344
Number of Services 1402
Total Submitted Charge Amount 168359
Total Medicare Allowed Amount 128897.38
Total Medicare Payment Amount 92205.66
Total Medicare Standardized Payment Amount 105172.95
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 9
Number of Medicare Beneficiaries With Drug Services 116
Number of Drug Services 129
Total Drug Submitted Charge Amount 8449
Total Drug Medicare Allowed Amount 7672.8
Total Drug Medicare Payment Amount 7636.44
Total Drug Medicare Standardized Payment Amount 7483.29
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 42
Number of Medicare Beneficiaries With Medical 344
Number of Medical Services 1273
Total Medical Submitted Charge Amount 159910
Total Medical Medicare Allowed Amount 121224.58
Total Medical Medicare Payment Amount 84569.22
Total Medical Medicare Standardized Payment Amount 97689.66
Average Age of Beneficiaries 79
Number of Beneficiaries Age Less 65 18
Number of Beneficiaries Age 65 to 74 121
Number of Beneficiaries Age 75 to 84 87
Number of Beneficiaries Age Greater 84 118
Number of Female Beneficiaries 263
Number of Male Beneficiaries 81
Number of Non-Hispanic White Beneficiaries 330
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries
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 27
Number of Beneficiaries With Medicare Only Entitlement 317
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.21
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.24
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.4
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.1
Percent (%) of Beneficiaries Identified With Depression 0.37
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.12
Average HCC Risk Score of Beneficiaries 1.3512

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 10088
Number of Standardized 30-Day Fills 15297.3
Aggregate Cost Paid for All Claims 475789.48
Number of Day's Supply for All Claims 432501
Number of Medicare Beneficiaries 401
Number of Claims, Including Refills, for Beneficiaries Age 65+ 9510
Including Refills, for Beneficiaries Age 65+ 14522.666667
Beneficiaries Age 65+ 447132.81
Number of Day's Supply for All Claims for Beneficaries Age 65+ 410339
Number of Medicare Beneficiaries Age 65+ 383
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 907
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 9121
Aggregate Cost Paid for Generic Drugs 182539.34
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 60
Aggregate Cost Paid for Other Drugs 3540.5
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3428
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 185844.7
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 6660
Aggregate Cost Paid for Claims Filled by 289944.78
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1743
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 73018.05
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 8345
by Low-Income Subsidy 402771.43
Total Claims of Opioid Drugs, Including 101
Aggregate Cost Paid for Opioid Drugs 1781.82
Opioid Claims 25
Opioid_Tot_Clms divided by the Tot_Clms 1.0011895321
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 168
Aggregate Cost Paid for Antibiotic Drugs 2266.84
Antibiotic Claims 101
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 203
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 3840.28
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 24
Average Age of Beneficiaries 80.241895262
Number of Beneficiaries Age Less Than 65 18
Number of Beneficiaries Age 65 to 74 115
Number of Beneficiaries Age 75 to 84 105
Number of Female Beneficiaries 322
Number of Male Beneficiaries 79
Number of Non-Hispanic White 386
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 364
Average Hierarchical Condition Category 1.5040641391

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