| National Provider Identifier [NPI]: | 1871715482 |
| Last Name Of The Provider | HOLLAND |
| First Name Of The Provider | BENJAMIN |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1199 PRINCE AVE |
| Street Address 2 Of The Provider | MSB 2ND FLOOR |
| City Of The Provider | ATHENS |
| Zip Code Of The Provider | 306062797 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 80 |
| Number Of Services | 3779 |
| Number Of Medicare Beneficiaries | 1619 |
| Total Submitted Charge Amount | 689729.5 |
| Total Medicare Allowed Amount | 325944.23 |
| Total Medicare Payment Amount | 245945.16 |
| Total Medicare Standardized Payment Amount | 264189.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 196 |
| Number Of Medicare Beneficiaries With Drug Services | 49 |
| Total Drug Submitted ChargeAmount | 15680 |
| Total Drug Medicare AllowedAmount | 10378.05 |
| Total Drug Medicare PaymentAmount | 7719.24 |
| Total Drug Medicare Standardized Payment Amount | 7719.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 79 |
| Number Of Medical Services | 3583 |
| Number Of Medicare Beneficiaries With Medical Services | 1619 |
| Total Medical Submitted Charge Amount | 674049.5 |
| Total Medical Medicare Allowed Amount | 315566.18 |
| Total Medical Medicare Payment Amount | 238225.92 |
| Total Medical Medicare Standardized Payment Amount | 256470.73 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 275 |
| Number Of Beneficiaries Age 65 to 74 | 598 |
| Number Of Beneficiaries Age 75 to 84 | 513 |
| Number Of Beneficiaries Age Greater 84 | 233 |
| Number Of Female Beneficiaries | 848 |
| Number Of Male Beneficiaries | 771 |
| Number Of Non Hispanic White Beneficiaries | 1345 |
| Number Of Black or African American Beneficiaries | 239 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1156 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 463 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8131 |