| National Provider Identifier [NPI]: | 1669430088 |
| Last Name Of The Provider | JO |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2301 SE 3RD AVE |
| Street Address 2 Of The Provider | BLDG. 100, SUITE A |
| City Of The Provider | OCALA |
| Zip Code Of The Provider | 344715114 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 94 |
| Number Of Services | 28281 |
| Number Of Medicare Beneficiaries | 2303 |
| Total Submitted Charge Amount | 3130061.43 |
| Total Medicare Allowed Amount | 1312534.71 |
| Total Medicare Payment Amount | 989506.02 |
| Total Medicare Standardized Payment Amount | 997000.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 14938 |
| Number Of Medicare Beneficiaries With Drug Services | 614 |
| Total Drug Submitted ChargeAmount | 643551.08 |
| Total Drug Medicare AllowedAmount | 310808.22 |
| Total Drug Medicare PaymentAmount | 241888.79 |
| Total Drug Medicare Standardized Payment Amount | 241888.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 89 |
| Number Of Medical Services | 13343 |
| Number Of Medicare Beneficiaries With Medical Services | 2303 |
| Total Medical Submitted Charge Amount | 2486510.35 |
| Total Medical Medicare Allowed Amount | 1001726.49 |
| Total Medical Medicare Payment Amount | 747617.23 |
| Total Medical Medicare Standardized Payment Amount | 755112.1 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 111 |
| Number Of Beneficiaries Age 65 to 74 | 935 |
| Number Of Beneficiaries Age 75 to 84 | 944 |
| Number Of Beneficiaries Age Greater 84 | 313 |
| Number Of Female Beneficiaries | 783 |
| Number Of Male Beneficiaries | 1520 |
| Number Of Non Hispanic White Beneficiaries | 2090 |
| Number Of Black or African American Beneficiaries | 84 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 85 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2131 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 172 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2966 |