| National Provider Identifier [NPI]: | 1659390581 |
| Last Name Of The Provider | MIDDLEKAUFF |
| First Name Of The Provider | HOLLY |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 MEDICAL PLAZA |
| Street Address 2 Of The Provider | #365,420,120,530 |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 90095 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 12 |
| Number Of Services | 7965 |
| Number Of Medicare Beneficiaries | 4156 |
| Total Submitted Charge Amount | 375812 |
| Total Medicare Allowed Amount | 110624.99 |
| Total Medicare Payment Amount | 84204.16 |
| Total Medicare Standardized Payment Amount | 79592.28 |
| 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 | 12 |
| Number Of Medical Services | 7965 |
| Number Of Medicare Beneficiaries With Medical Services | 4156 |
| Total Medical Submitted Charge Amount | 375812 |
| Total Medical Medicare Allowed Amount | 110624.99 |
| Total Medical Medicare Payment Amount | 84204.16 |
| Total Medical Medicare Standardized Payment Amount | 79592.28 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 685 |
| Number Of Beneficiaries Age 65 to 74 | 1485 |
| Number Of Beneficiaries Age 75 to 84 | 1185 |
| Number Of Beneficiaries Age Greater 84 | 801 |
| Number Of Female Beneficiaries | 2102 |
| Number Of Male Beneficiaries | 2054 |
| Number Of Non Hispanic White Beneficiaries | 2589 |
| Number Of Black or African American Beneficiaries | 462 |
| Number Of AsianPacific Islander Beneficiaries | 431 |
| Number Of Hispanic Beneficiaries | 532 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2741 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1415 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1631 |