| National Provider Identifier [NPI]: | 1205822079 |
| Last Name Of The Provider | WOODARD |
| First Name Of The Provider | VIVIAN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 918 ROLLING ACRES RD |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | LADY LAKE |
| Zip Code Of The Provider | 321595027 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 51 |
| Number Of Services | 6941 |
| Number Of Medicare Beneficiaries | 1851 |
| Total Submitted Charge Amount | 524943 |
| Total Medicare Allowed Amount | 370870.37 |
| Total Medicare Payment Amount | 306070.44 |
| Total Medicare Standardized Payment Amount | 309394.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 17 |
| Number Of Drug Services | 2314 |
| Number Of Medicare Beneficiaries With Drug Services | 1626 |
| Total Drug Submitted ChargeAmount | 171203 |
| Total Drug Medicare AllowedAmount | 124053.84 |
| Total Drug Medicare PaymentAmount | 121130.99 |
| Total Drug Medicare Standardized Payment Amount | 121130.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 34 |
| Number Of Medical Services | 4627 |
| Number Of Medicare Beneficiaries With Medical Services | 1851 |
| Total Medical Submitted Charge Amount | 353740 |
| Total Medical Medicare Allowed Amount | 246816.53 |
| Total Medical Medicare Payment Amount | 184939.45 |
| Total Medical Medicare Standardized Payment Amount | 188263.1 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 26 |
| Number Of Beneficiaries Age 65 to 74 | 685 |
| Number Of Beneficiaries Age 75 to 84 | 900 |
| Number Of Beneficiaries Age Greater 84 | 240 |
| Number Of Female Beneficiaries | 1106 |
| Number Of Male Beneficiaries | 745 |
| Number Of Non Hispanic White Beneficiaries | 1751 |
| Number Of Black or African American Beneficiaries | 48 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 15 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1828 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 23 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9753 |