| National Provider Identifier [NPI]: | 1528048881 |
| Last Name Of The Provider | ANDERSEN |
| First Name Of The Provider | JAMES |
| 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 | 201 |
| Number Of Services | 14463 |
| Number Of Medicare Beneficiaries | 3437 |
| Total Submitted Charge Amount | 1658601.26 |
| Total Medicare Allowed Amount | 202011.93 |
| Total Medicare Payment Amount | 155204.93 |
| Total Medicare Standardized Payment Amount | 163346.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 9277 |
| Number Of Medicare Beneficiaries With Drug Services | 101 |
| Total Drug Submitted ChargeAmount | 9566 |
| Total Drug Medicare AllowedAmount | 1884.4 |
| Total Drug Medicare PaymentAmount | 1325.63 |
| Total Drug Medicare Standardized Payment Amount | 1325.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 195 |
| Number Of Medical Services | 5186 |
| Number Of Medicare Beneficiaries With Medical Services | 3437 |
| Total Medical Submitted Charge Amount | 1649035.26 |
| Total Medical Medicare Allowed Amount | 200127.53 |
| Total Medical Medicare Payment Amount | 153879.3 |
| Total Medical Medicare Standardized Payment Amount | 162021.07 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 534 |
| Number Of Beneficiaries Age 65 to 74 | 1326 |
| Number Of Beneficiaries Age 75 to 84 | 990 |
| Number Of Beneficiaries Age Greater 84 | 587 |
| Number Of Female Beneficiaries | 2133 |
| Number Of Male Beneficiaries | 1304 |
| Number Of Non Hispanic White Beneficiaries | 3281 |
| Number Of Black or African American Beneficiaries | 56 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 33 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2671 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 766 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3165 |