| National Provider Identifier [NPI]: | 1235284225 |
| Last Name Of The Provider | WILLIAMS |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1817 TRUXTUN AVE |
| Street Address 2 Of The Provider | TRUXTUN RADIOLOGY MEDICAL GROUP LP |
| City Of The Provider | BAKERSFIELD |
| Zip Code Of The Provider | 93301 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 117 |
| Number Of Services | 7196 |
| Number Of Medicare Beneficiaries | 4015 |
| Total Submitted Charge Amount | 476264.59 |
| Total Medicare Allowed Amount | 229624.42 |
| Total Medicare Payment Amount | 154023.94 |
| Total Medicare Standardized Payment Amount | 146557.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 100 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 159.8 |
| Total Drug Medicare AllowedAmount | 12 |
| Total Drug Medicare PaymentAmount | 9.03 |
| Total Drug Medicare Standardized Payment Amount | 9.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 115 |
| Number Of Medical Services | 7096 |
| Number Of Medicare Beneficiaries With Medical Services | 4015 |
| Total Medical Submitted Charge Amount | 476104.79 |
| Total Medical Medicare Allowed Amount | 229612.42 |
| Total Medical Medicare Payment Amount | 154014.91 |
| Total Medical Medicare Standardized Payment Amount | 146548.64 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1171 |
| Number Of Beneficiaries Age 65 to 74 | 1597 |
| Number Of Beneficiaries Age 75 to 84 | 930 |
| Number Of Beneficiaries Age Greater 84 | 317 |
| Number Of Female Beneficiaries | 2357 |
| Number Of Male Beneficiaries | 1658 |
| Number Of Non Hispanic White Beneficiaries | 2064 |
| Number Of Black or African American Beneficiaries | 268 |
| Number Of AsianPacific Islander Beneficiaries | 186 |
| Number Of Hispanic Beneficiaries | 1425 |
| Number Of American Indian Alaska Native Beneficiaries | 33 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1624 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2391 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.4868 |