| National Provider Identifier [NPI]: | 1659374551 |
| Last Name Of The Provider | PATLOVICH |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4960 W NEWBERRY RD |
| Street Address 2 Of The Provider | STE 280 |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 326072201 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 146 |
| Number Of Services | 12999 |
| Number Of Medicare Beneficiaries | 3494 |
| Total Submitted Charge Amount | 827198 |
| Total Medicare Allowed Amount | 348285.75 |
| Total Medicare Payment Amount | 287155.54 |
| Total Medicare Standardized Payment Amount | 294506.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7352 |
| Number Of Medicare Beneficiaries With Drug Services | 80 |
| Total Drug Submitted ChargeAmount | 19554 |
| Total Drug Medicare AllowedAmount | 1558.88 |
| Total Drug Medicare PaymentAmount | 1194.97 |
| Total Drug Medicare Standardized Payment Amount | 1194.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 5647 |
| Number Of Medicare Beneficiaries With Medical Services | 3494 |
| Total Medical Submitted Charge Amount | 807644 |
| Total Medical Medicare Allowed Amount | 346726.87 |
| Total Medical Medicare Payment Amount | 285960.57 |
| Total Medical Medicare Standardized Payment Amount | 293311.05 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 547 |
| Number Of Beneficiaries Age 65 to 74 | 1402 |
| Number Of Beneficiaries Age 75 to 84 | 1078 |
| Number Of Beneficiaries Age Greater 84 | 467 |
| Number Of Female Beneficiaries | 2475 |
| Number Of Male Beneficiaries | 1019 |
| Number Of Non Hispanic White Beneficiaries | 2969 |
| Number Of Black or African American Beneficiaries | 409 |
| Number Of AsianPacific Islander Beneficiaries | 20 |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2533 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 961 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5455 |