National Provider Identifier [NPI]: |
1003868522 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
WILL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6716 NW 11TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054215 |
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 |
184 |
Number Of Services |
15628 |
Number Of Medicare Beneficiaries |
4769 |
Total Submitted Charge Amount |
1010041 |
Total Medicare Allowed Amount |
316656.42 |
Total Medicare Payment Amount |
241514.8 |
Total Medicare Standardized Payment Amount |
246245.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
8456 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
40679 |
Total Drug Medicare AllowedAmount |
2085.42 |
Total Drug Medicare PaymentAmount |
1607.8 |
Total Drug Medicare Standardized Payment Amount |
1607.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
7172 |
Number Of Medicare Beneficiaries With Medical Services |
4767 |
Total Medical Submitted Charge Amount |
969362 |
Total Medical Medicare Allowed Amount |
314571 |
Total Medical Medicare Payment Amount |
239907 |
Total Medical Medicare Standardized Payment Amount |
244637.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
777 |
Number Of Beneficiaries Age 65 to 74 |
1592 |
Number Of Beneficiaries Age 75 to 84 |
1535 |
Number Of Beneficiaries Age Greater 84 |
865 |
Number Of Female Beneficiaries |
2893 |
Number Of Male Beneficiaries |
1876 |
Number Of Non Hispanic White Beneficiaries |
4054 |
Number Of Black or African American Beneficiaries |
546 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
102 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
3353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1416 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.788 |