| National Provider Identifier [NPI]: | 1396784658 |
| Last Name Of The Provider | HOLLAND |
| First Name Of The Provider | WESLEY |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 25 HOSPITAL CENTER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | HILTON HEAD ISLAND |
| Zip Code Of The Provider | 299262738 |
| State Code Of The Provider | SC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 134 |
| Number Of Services | 5426 |
| Number Of Medicare Beneficiaries | 3421 |
| Total Submitted Charge Amount | 597193 |
| Total Medicare Allowed Amount | 160952.02 |
| Total Medicare Payment Amount | 122869.12 |
| Total Medicare Standardized Payment Amount | 124169.25 |
| 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 | 134 |
| Number Of Medical Services | 5426 |
| Number Of Medicare Beneficiaries With Medical Services | 3421 |
| Total Medical Submitted Charge Amount | 597193 |
| Total Medical Medicare Allowed Amount | 160952.02 |
| Total Medical Medicare Payment Amount | 122869.12 |
| Total Medical Medicare Standardized Payment Amount | 124169.25 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 616 |
| Number Of Beneficiaries Age 65 to 74 | 995 |
| Number Of Beneficiaries Age 75 to 84 | 1115 |
| Number Of Beneficiaries Age Greater 84 | 695 |
| Number Of Female Beneficiaries | 1910 |
| Number Of Male Beneficiaries | 1511 |
| Number Of Non Hispanic White Beneficiaries | 2786 |
| Number Of Black or African American Beneficiaries | 293 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 276 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2334 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1087 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 41 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.0514 |