| National Provider Identifier [NPI]: | 1598729105 |
| Last Name Of The Provider | ANDERSON |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 701 UNIVERSITY BLVD E |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | TUSCALOOSA |
| Zip Code Of The Provider | 35401 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 9539 |
| Number Of Medicare Beneficiaries | 2473 |
| Total Submitted Charge Amount | 1329988.5 |
| Total Medicare Allowed Amount | 729139.39 |
| Total Medicare Payment Amount | 524975.51 |
| Total Medicare Standardized Payment Amount | 585973.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 202 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 1128 |
| Total Drug Medicare AllowedAmount | 578.84 |
| Total Drug Medicare PaymentAmount | 449.19 |
| Total Drug Medicare Standardized Payment Amount | 449.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 106 |
| Number Of Medical Services | 9337 |
| Number Of Medicare Beneficiaries With Medical Services | 2473 |
| Total Medical Submitted Charge Amount | 1328860.5 |
| Total Medical Medicare Allowed Amount | 728560.55 |
| Total Medical Medicare Payment Amount | 524526.32 |
| Total Medical Medicare Standardized Payment Amount | 585523.99 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 463 |
| Number Of Beneficiaries Age 65 to 74 | 858 |
| Number Of Beneficiaries Age 75 to 84 | 805 |
| Number Of Beneficiaries Age Greater 84 | 347 |
| Number Of Female Beneficiaries | 1218 |
| Number Of Male Beneficiaries | 1255 |
| Number Of Non Hispanic White Beneficiaries | 1805 |
| Number Of Black or African American Beneficiaries | 657 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1892 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 581 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5788 |