| National Provider Identifier [NPI]: | 1396704789 |
| Last Name Of The Provider | URRUTIA |
| First Name Of The Provider | ENRIQUE |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DRIVE |
| Street Address 2 Of The Provider | RADIOLOGY ASSOCIATES OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 224 |
| Number Of Services | 25706 |
| Number Of Medicare Beneficiaries | 3761 |
| Total Submitted Charge Amount | 1991720.47 |
| Total Medicare Allowed Amount | 594459.05 |
| Total Medicare Payment Amount | 464291.68 |
| Total Medicare Standardized Payment Amount | 476415.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 20017 |
| Number Of Medicare Beneficiaries With Drug Services | 251 |
| Total Drug Submitted ChargeAmount | 25099 |
| Total Drug Medicare AllowedAmount | 5348.98 |
| Total Drug Medicare PaymentAmount | 4129.21 |
| Total Drug Medicare Standardized Payment Amount | 4129.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 219 |
| Number Of Medical Services | 5689 |
| Number Of Medicare Beneficiaries With Medical Services | 3760 |
| Total Medical Submitted Charge Amount | 1966621.47 |
| Total Medical Medicare Allowed Amount | 589110.07 |
| Total Medical Medicare Payment Amount | 460162.47 |
| Total Medical Medicare Standardized Payment Amount | 472285.85 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 615 |
| Number Of Beneficiaries Age 65 to 74 | 1501 |
| Number Of Beneficiaries Age 75 to 84 | 1088 |
| Number Of Beneficiaries Age Greater 84 | 557 |
| Number Of Female Beneficiaries | 2449 |
| Number Of Male Beneficiaries | 1312 |
| Number Of Non Hispanic White Beneficiaries | 3203 |
| Number Of Black or African American Beneficiaries | 301 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 204 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2875 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 886 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7003 |