| National Provider Identifier [NPI]: | 1609832377 |
| Last Name Of The Provider | ANDERSON |
| First Name Of The Provider | DREW |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 401 W MCGALLIARD RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MUNCIE |
| Zip Code Of The Provider | 473031828 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 89 |
| Number Of Services | 18104 |
| Number Of Medicare Beneficiaries | 3325 |
| Total Submitted Charge Amount | 2065475 |
| Total Medicare Allowed Amount | 936146.78 |
| Total Medicare Payment Amount | 699476.74 |
| Total Medicare Standardized Payment Amount | 701506.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 466 |
| Number Of Medicare Beneficiaries With Drug Services | 77 |
| Total Drug Submitted ChargeAmount | 10889 |
| Total Drug Medicare AllowedAmount | 8228.3 |
| Total Drug Medicare PaymentAmount | 5980.16 |
| Total Drug Medicare Standardized Payment Amount | 5980.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 85 |
| Number Of Medical Services | 17638 |
| Number Of Medicare Beneficiaries With Medical Services | 3325 |
| Total Medical Submitted Charge Amount | 2054586 |
| Total Medical Medicare Allowed Amount | 927918.48 |
| Total Medical Medicare Payment Amount | 693496.58 |
| Total Medical Medicare Standardized Payment Amount | 695526.73 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 116 |
| Number Of Beneficiaries Age 65 to 74 | 1618 |
| Number Of Beneficiaries Age 75 to 84 | 1164 |
| Number Of Beneficiaries Age Greater 84 | 427 |
| Number Of Female Beneficiaries | 1722 |
| Number Of Male Beneficiaries | 1603 |
| Number Of Non Hispanic White Beneficiaries | 3265 |
| Number Of Black or African American Beneficiaries | 17 |
| 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 | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3207 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 118 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9359 |