| National Provider Identifier [NPI]: | 1508961756 |
| Last Name Of The Provider | URBAN |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1800 SE 17TH STREET |
| Street Address 2 Of The Provider | SUITE 700 |
| City Of The Provider | OCALA |
| Zip Code Of The Provider | 344714191 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 85 |
| Number Of Services | 6190 |
| Number Of Medicare Beneficiaries | 2226 |
| Total Submitted Charge Amount | 1890536.01 |
| Total Medicare Allowed Amount | 639519.85 |
| Total Medicare Payment Amount | 483237.61 |
| Total Medicare Standardized Payment Amount | 479784.81 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 52 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 4867.12 |
| Total Drug Medicare AllowedAmount | 2751.31 |
| Total Drug Medicare PaymentAmount | 2156.98 |
| Total Drug Medicare Standardized Payment Amount | 2156.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 84 |
| Number Of Medical Services | 6138 |
| Number Of Medicare Beneficiaries With Medical Services | 2226 |
| Total Medical Submitted Charge Amount | 1885668.89 |
| Total Medical Medicare Allowed Amount | 636768.54 |
| Total Medical Medicare Payment Amount | 481080.63 |
| Total Medical Medicare Standardized Payment Amount | 477627.83 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 258 |
| Number Of Beneficiaries Age 65 to 74 | 804 |
| Number Of Beneficiaries Age 75 to 84 | 791 |
| Number Of Beneficiaries Age Greater 84 | 373 |
| Number Of Female Beneficiaries | 1113 |
| Number Of Male Beneficiaries | 1113 |
| Number Of Non Hispanic White Beneficiaries | 1992 |
| Number Of Black or African American Beneficiaries | 128 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1867 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 359 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6054 |