| National Provider Identifier [NPI]: | 1164466744 |
| Last Name Of The Provider | HOLLANDER |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1900 ELECTRIC RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALEM |
| Zip Code Of The Provider | 241537474 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 239 |
| Number Of Services | 10126 |
| Number Of Medicare Beneficiaries | 5119 |
| Total Submitted Charge Amount | 1625579.66 |
| Total Medicare Allowed Amount | 441527.67 |
| Total Medicare Payment Amount | 335847.94 |
| Total Medicare Standardized Payment Amount | 348353.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 579 |
| Number Of Medicare Beneficiaries With Drug Services | 60 |
| Total Drug Submitted ChargeAmount | 4902 |
| Total Drug Medicare AllowedAmount | 841.22 |
| Total Drug Medicare PaymentAmount | 633.69 |
| Total Drug Medicare Standardized Payment Amount | 633.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 235 |
| Number Of Medical Services | 9547 |
| Number Of Medicare Beneficiaries With Medical Services | 5119 |
| Total Medical Submitted Charge Amount | 1620677.66 |
| Total Medical Medicare Allowed Amount | 440686.45 |
| Total Medical Medicare Payment Amount | 335214.25 |
| Total Medical Medicare Standardized Payment Amount | 347719.69 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 850 |
| Number Of Beneficiaries Age 65 to 74 | 1773 |
| Number Of Beneficiaries Age 75 to 84 | 1579 |
| Number Of Beneficiaries Age Greater 84 | 917 |
| Number Of Female Beneficiaries | 3081 |
| Number Of Male Beneficiaries | 2038 |
| Number Of Non Hispanic White Beneficiaries | 4593 |
| Number Of Black or African American Beneficiaries | 434 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4123 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 996 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.4806 |