| National Provider Identifier [NPI]: | 1285784801 |
| Last Name Of The Provider | HOLZMAN |
| First Name Of The Provider | GLENDA |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2101 N WALDRON ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | HUTCHINSON |
| Zip Code Of The Provider | 675021131 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 227 |
| Number Of Services | 72738 |
| Number Of Medicare Beneficiaries | 5498 |
| Total Submitted Charge Amount | 4473916.01 |
| Total Medicare Allowed Amount | 1159187.97 |
| Total Medicare Payment Amount | 887968.33 |
| Total Medicare Standardized Payment Amount | 983814.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 61951 |
| Number Of Medicare Beneficiaries With Drug Services | 1001 |
| Total Drug Submitted ChargeAmount | 343846.01 |
| Total Drug Medicare AllowedAmount | 29232.3 |
| Total Drug Medicare PaymentAmount | 22697.7 |
| Total Drug Medicare Standardized Payment Amount | 22697.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 10787 |
| Number Of Medicare Beneficiaries With Medical Services | 5498 |
| Total Medical Submitted Charge Amount | 4130070 |
| Total Medical Medicare Allowed Amount | 1129955.67 |
| Total Medical Medicare Payment Amount | 865270.63 |
| Total Medical Medicare Standardized Payment Amount | 961116.52 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 681 |
| Number Of Beneficiaries Age 65 to 74 | 2153 |
| Number Of Beneficiaries Age 75 to 84 | 1829 |
| Number Of Beneficiaries Age Greater 84 | 835 |
| Number Of Female Beneficiaries | 3463 |
| Number Of Male Beneficiaries | 2035 |
| Number Of Non Hispanic White Beneficiaries | 5209 |
| Number Of Black or African American Beneficiaries | 70 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 154 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4594 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 904 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1416 |