National Provider Identifier [NPI]: |
1295846962 |
Last Name Of The Provider |
URBACH |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
90 TER HEUN DRIVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FALMOUTH |
Zip Code Of The Provider |
02540 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
7711 |
Number Of Medicare Beneficiaries |
2168 |
Total Submitted Charge Amount |
1588403.21 |
Total Medicare Allowed Amount |
637481.91 |
Total Medicare Payment Amount |
475587.88 |
Total Medicare Standardized Payment Amount |
463314.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
788 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
44916 |
Total Drug Medicare AllowedAmount |
41692.45 |
Total Drug Medicare PaymentAmount |
32686.71 |
Total Drug Medicare Standardized Payment Amount |
32686.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
6923 |
Number Of Medicare Beneficiaries With Medical Services |
2168 |
Total Medical Submitted Charge Amount |
1543487.21 |
Total Medical Medicare Allowed Amount |
595789.46 |
Total Medical Medicare Payment Amount |
442901.17 |
Total Medical Medicare Standardized Payment Amount |
430627.59 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
699 |
Number Of Beneficiaries Age 75 to 84 |
813 |
Number Of Beneficiaries Age Greater 84 |
499 |
Number Of Female Beneficiaries |
1110 |
Number Of Male Beneficiaries |
1058 |
Number Of Non Hispanic White Beneficiaries |
2050 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1836 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4898 |