| National Provider Identifier [NPI]: | 1538144977 |
| Last Name Of The Provider | HOLLAND |
| First Name Of The Provider | ELIZABETH |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4440 W 95TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | OAK LAWN |
| Zip Code Of The Provider | 604532600 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 121 |
| Number Of Services | 10685 |
| Number Of Medicare Beneficiaries | 6047 |
| Total Submitted Charge Amount | 1495496.41 |
| Total Medicare Allowed Amount | 218365.98 |
| Total Medicare Payment Amount | 185400.42 |
| Total Medicare Standardized Payment Amount | 172765.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 121 |
| Number Of Medical Services | 10685 |
| Number Of Medicare Beneficiaries With Medical Services | 6047 |
| Total Medical Submitted Charge Amount | 1495496.41 |
| Total Medical Medicare Allowed Amount | 218365.98 |
| Total Medical Medicare Payment Amount | 185400.42 |
| Total Medical Medicare Standardized Payment Amount | 172765.23 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 819 |
| Number Of Beneficiaries Age 65 to 74 | 2595 |
| Number Of Beneficiaries Age 75 to 84 | 1909 |
| Number Of Beneficiaries Age Greater 84 | 724 |
| Number Of Female Beneficiaries | 4736 |
| Number Of Male Beneficiaries | 1311 |
| Number Of Non Hispanic White Beneficiaries | 3971 |
| Number Of Black or African American Beneficiaries | 1585 |
| Number Of AsianPacific Islander Beneficiaries | 63 |
| Number Of Hispanic Beneficiaries | 364 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4690 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1357 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6496 |