| National Provider Identifier [NPI]: | 1710925730 |
| Last Name Of The Provider | GUREVITCH |
| First Name Of The Provider | EARL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 990 TAMIAMI TRAIL NORTH |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | NAPLES |
| Zip Code Of The Provider | 341025403 |
| 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 | 102 |
| Number Of Services | 14733 |
| Number Of Medicare Beneficiaries | 1970 |
| Total Submitted Charge Amount | 3065900.94 |
| Total Medicare Allowed Amount | 923254.92 |
| Total Medicare Payment Amount | 689525.59 |
| Total Medicare Standardized Payment Amount | 662913.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 989 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 364512.88 |
| Total Drug Medicare AllowedAmount | 105349.66 |
| Total Drug Medicare PaymentAmount | 81900.5 |
| Total Drug Medicare Standardized Payment Amount | 81900.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 13744 |
| Number Of Medicare Beneficiaries With Medical Services | 1970 |
| Total Medical Submitted Charge Amount | 2701388.06 |
| Total Medical Medicare Allowed Amount | 817905.26 |
| Total Medical Medicare Payment Amount | 607625.09 |
| Total Medical Medicare Standardized Payment Amount | 581012.8 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 48 |
| Number Of Beneficiaries Age 65 to 74 | 715 |
| Number Of Beneficiaries Age 75 to 84 | 888 |
| Number Of Beneficiaries Age Greater 84 | 319 |
| Number Of Female Beneficiaries | 395 |
| Number Of Male Beneficiaries | 1575 |
| Number Of Non Hispanic White Beneficiaries | 1873 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 24 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1912 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 58 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 3 |
| Percent Of With Cancer | 37 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1898 |