| National Provider Identifier [NPI]: | 1083830749 |
| Last Name Of The Provider | HOLMAN |
| First Name Of The Provider | BENJAMIN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | JOHNS HOPKINS RADIOLOGY |
| Street Address 2 Of The Provider | 600 N. WOLF ST. |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212870001 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 170 |
| Number Of Services | 5514 |
| Number Of Medicare Beneficiaries | 4102 |
| Total Submitted Charge Amount | 780503 |
| Total Medicare Allowed Amount | 173025.37 |
| Total Medicare Payment Amount | 131694.09 |
| Total Medicare Standardized Payment Amount | 140141.46 |
| 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 | 170 |
| Number Of Medical Services | 5514 |
| Number Of Medicare Beneficiaries With Medical Services | 4102 |
| Total Medical Submitted Charge Amount | 780503 |
| Total Medical Medicare Allowed Amount | 173025.37 |
| Total Medical Medicare Payment Amount | 131694.09 |
| Total Medical Medicare Standardized Payment Amount | 140141.46 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1135 |
| Number Of Beneficiaries Age 65 to 74 | 1374 |
| Number Of Beneficiaries Age 75 to 84 | 1023 |
| Number Of Beneficiaries Age Greater 84 | 570 |
| Number Of Female Beneficiaries | 2327 |
| Number Of Male Beneficiaries | 1775 |
| Number Of Non Hispanic White Beneficiaries | 2221 |
| Number Of Black or African American Beneficiaries | 1821 |
| 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 | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2599 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1503 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.4362 |