| National Provider Identifier [NPI]: | 1386619849 |
| Last Name Of The Provider | PURINS |
| First Name Of The Provider | JURIS |
| 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 | 7121 STEPHANIE LN |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | LINCOLN |
| Zip Code Of The Provider | 685165359 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 6335 |
| Number Of Medicare Beneficiaries | 3688 |
| Total Submitted Charge Amount | 812123 |
| Total Medicare Allowed Amount | 197434.25 |
| Total Medicare Payment Amount | 148032.39 |
| Total Medicare Standardized Payment Amount | 158844.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 180 |
| Number Of Medical Services | 6335 |
| Number Of Medicare Beneficiaries With Medical Services | 3688 |
| Total Medical Submitted Charge Amount | 812123 |
| Total Medical Medicare Allowed Amount | 197434.25 |
| Total Medical Medicare Payment Amount | 148032.39 |
| Total Medical Medicare Standardized Payment Amount | 158844.94 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 640 |
| Number Of Beneficiaries Age 65 to 74 | 1291 |
| Number Of Beneficiaries Age 75 to 84 | 1081 |
| Number Of Beneficiaries Age Greater 84 | 676 |
| Number Of Female Beneficiaries | 2264 |
| Number Of Male Beneficiaries | 1424 |
| Number Of Non Hispanic White Beneficiaries | 3448 |
| Number Of Black or African American Beneficiaries | 72 |
| Number Of AsianPacific Islander Beneficiaries | 35 |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | 35 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2810 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 878 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4935 |