PROVIDER PROFILE · NPI 1609855063

Luis UrbinaM.D.

Pulmonary DiseaseCookeville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

813

Unique beneficiaries

—

Total services

1,033

Distinct HCPCS

Medicare payment

$83K

Peer benchmark

Total Medicare services vs. 254 Pulmonary Disease providers in TN — above median (cohort median 889).

PRESCRIBING · PART D · 2024

Total Rx claims

653

Beneficiaries

—

Total drug cost

$430K

Distinct drugs

Brand share

88.8%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter201 claims

Albuterol Sulfate143 claims

Fluticasone/Vilanterol77 claims

Fluticasone Propion/Salmeterol28 claims

Prednisone21 claims

QUALITY · MIPS · 2024

Final MIPS score

88.5

Quality

77.0

Cost

70.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.57%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$424

Payment records

By payment type

Travel and Lodging$356

Food and Beverage$67

REFERRAL NETWORK

Where Luis Urbina's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 90 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
JANDER, HARTWIG	198	786
GADSDEN REGIONAL MEDICAL CENTER LLC	128	442
Mazen Hakim Pulmonary Disease · Gadsden, AL	113	240
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	100	284
Hemant Sinha Internal Medicine · Ashville, AL	75	231
Radwan Mallah Hospitalist · Gadsden, AL	75	116
SOLSTAS LAB PARTNERS GROUP LLC	72	329
Wan Kwan Nephrology · Gadsden, AL	61	176
MONTIEL, DAVID	57	119
Ghanshyam Patel Cardiology · Gadsden, AL	55	131
Advantage Emergency Medical Services, Llc Ambulance Service Provider · Gadsden, AL	55	118
AFFINITY HOSPITAL LLC	53	146

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history