| National Provider Identifier [NPI]: | 1235127085 |
| Last Name Of The Provider | WILLARD |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1818 SW 15TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | OCALA |
| Zip Code Of The Provider | 344743548 |
| 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 | 197 |
| Number Of Services | 41037 |
| Number Of Medicare Beneficiaries | 6550 |
| Total Submitted Charge Amount | 2814229.4 |
| Total Medicare Allowed Amount | 882431.49 |
| Total Medicare Payment Amount | 715574.92 |
| Total Medicare Standardized Payment Amount | 732621.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 29819 |
| Number Of Medicare Beneficiaries With Drug Services | 363 |
| Total Drug Submitted ChargeAmount | 78134 |
| Total Drug Medicare AllowedAmount | 7162.69 |
| Total Drug Medicare PaymentAmount | 5509.5 |
| Total Drug Medicare Standardized Payment Amount | 5509.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 193 |
| Number Of Medical Services | 11218 |
| Number Of Medicare Beneficiaries With Medical Services | 6545 |
| Total Medical Submitted Charge Amount | 2736095.4 |
| Total Medical Medicare Allowed Amount | 875268.8 |
| Total Medical Medicare Payment Amount | 710065.42 |
| Total Medical Medicare Standardized Payment Amount | 727111.55 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 743 |
| Number Of Beneficiaries Age 65 to 74 | 2436 |
| Number Of Beneficiaries Age 75 to 84 | 2402 |
| Number Of Beneficiaries Age Greater 84 | 969 |
| Number Of Female Beneficiaries | 4560 |
| Number Of Male Beneficiaries | 1990 |
| Number Of Non Hispanic White Beneficiaries | 5727 |
| Number Of Black or African American Beneficiaries | 455 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 259 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5448 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1102 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5585 |