| National Provider Identifier [NPI]: | 1760656169 |
| Last Name Of The Provider | HURE |
| First Name Of The Provider | MICHELLE |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2420 SAMARITAN DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN JOSE |
| Zip Code Of The Provider | 951243907 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 10 |
| Number Of Services | 12076 |
| Number Of Medicare Beneficiaries | 5953 |
| Total Submitted Charge Amount | 1950851 |
| Total Medicare Allowed Amount | 1039637.63 |
| Total Medicare Payment Amount | 801247.14 |
| Total Medicare Standardized Payment Amount | 547385.42 |
| 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 | 10 |
| Number Of Medical Services | 12076 |
| Number Of Medicare Beneficiaries With Medical Services | 5953 |
| Total Medical Submitted Charge Amount | 1950851 |
| Total Medical Medicare Allowed Amount | 1039637.63 |
| Total Medical Medicare Payment Amount | 801247.14 |
| Total Medical Medicare Standardized Payment Amount | 547385.42 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 202 |
| Number Of Beneficiaries Age 65 to 74 | 2524 |
| Number Of Beneficiaries Age 75 to 84 | 1976 |
| Number Of Beneficiaries Age Greater 84 | 1251 |
| Number Of Female Beneficiaries | 2926 |
| Number Of Male Beneficiaries | 3027 |
| Number Of Non Hispanic White Beneficiaries | 5344 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 137 |
| Number Of Hispanic Beneficiaries | 345 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 99 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5596 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 357 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 7 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 22 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 60 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 31 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.007 |