| National Provider Identifier [NPI]: | 1043211576 |
| Last Name Of The Provider | HOLMES |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 11TH CR |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329604804 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 227 |
| Number Of Services | 19937 |
| Number Of Medicare Beneficiaries | 5576 |
| Total Submitted Charge Amount | 1633777.03 |
| Total Medicare Allowed Amount | 687147.75 |
| Total Medicare Payment Amount | 532963.86 |
| Total Medicare Standardized Payment Amount | 516188.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 10832 |
| Number Of Medicare Beneficiaries With Drug Services | 325 |
| Total Drug Submitted ChargeAmount | 15898.36 |
| Total Drug Medicare AllowedAmount | 5553.18 |
| Total Drug Medicare PaymentAmount | 4348.69 |
| Total Drug Medicare Standardized Payment Amount | 4348.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 220 |
| Number Of Medical Services | 9105 |
| Number Of Medicare Beneficiaries With Medical Services | 5575 |
| Total Medical Submitted Charge Amount | 1617878.67 |
| Total Medical Medicare Allowed Amount | 681594.57 |
| Total Medical Medicare Payment Amount | 528615.17 |
| Total Medical Medicare Standardized Payment Amount | 511840.26 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 549 |
| Number Of Beneficiaries Age 65 to 74 | 1892 |
| Number Of Beneficiaries Age 75 to 84 | 1927 |
| Number Of Beneficiaries Age Greater 84 | 1208 |
| Number Of Female Beneficiaries | 3274 |
| Number Of Male Beneficiaries | 2302 |
| Number Of Non Hispanic White Beneficiaries | 5145 |
| Number Of Black or African American Beneficiaries | 237 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 113 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4857 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 719 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5492 |