| National Provider Identifier [NPI]: | 1730169681 |
| Last Name Of The Provider | ANDREWS |
| First Name Of The Provider | DOUGLAS |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 700 S PARK ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MADISON |
| Zip Code Of The Provider | 537151849 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 10128 |
| Number Of Medicare Beneficiaries | 4121 |
| Total Submitted Charge Amount | 1619038.75 |
| Total Medicare Allowed Amount | 203020.87 |
| Total Medicare Payment Amount | 156066.88 |
| Total Medicare Standardized Payment Amount | 163311.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 3248 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 3367.75 |
| Total Drug Medicare AllowedAmount | 761.55 |
| Total Drug Medicare PaymentAmount | 586.19 |
| Total Drug Medicare Standardized Payment Amount | 586.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 198 |
| Number Of Medical Services | 6880 |
| Number Of Medicare Beneficiaries With Medical Services | 4120 |
| Total Medical Submitted Charge Amount | 1615671 |
| Total Medical Medicare Allowed Amount | 202259.32 |
| Total Medical Medicare Payment Amount | 155480.69 |
| Total Medical Medicare Standardized Payment Amount | 162725.45 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 711 |
| Number Of Beneficiaries Age 65 to 74 | 1559 |
| Number Of Beneficiaries Age 75 to 84 | 1118 |
| Number Of Beneficiaries Age Greater 84 | 733 |
| Number Of Female Beneficiaries | 2596 |
| Number Of Male Beneficiaries | 1525 |
| Number Of Non Hispanic White Beneficiaries | 3920 |
| Number Of Black or African American Beneficiaries | 64 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | 31 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3175 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 946 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.278 |