| National Provider Identifier [NPI]: | 1750318523 |
| Last Name Of The Provider | ANDERLA |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2500 E CAPITOL DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | APPLETON |
| Zip Code Of The Provider | 549118735 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 340 |
| Number Of Services | 31086 |
| Number Of Medicare Beneficiaries | 2658 |
| Total Submitted Charge Amount | 2003670.51 |
| Total Medicare Allowed Amount | 359858.68 |
| Total Medicare Payment Amount | 301766.15 |
| Total Medicare Standardized Payment Amount | 315118 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 14 |
| Number Of Drug Services | 16583 |
| Number Of Medicare Beneficiaries With Drug Services | 282 |
| Total Drug Submitted ChargeAmount | 18341.84 |
| Total Drug Medicare AllowedAmount | 7487.37 |
| Total Drug Medicare PaymentAmount | 5892.33 |
| Total Drug Medicare Standardized Payment Amount | 5892.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 326 |
| Number Of Medical Services | 14503 |
| Number Of Medicare Beneficiaries With Medical Services | 2657 |
| Total Medical Submitted Charge Amount | 1985328.67 |
| Total Medical Medicare Allowed Amount | 352371.31 |
| Total Medical Medicare Payment Amount | 295873.82 |
| Total Medical Medicare Standardized Payment Amount | 309225.67 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 532 |
| Number Of Beneficiaries Age 65 to 74 | 1210 |
| Number Of Beneficiaries Age 75 to 84 | 664 |
| Number Of Beneficiaries Age Greater 84 | 252 |
| Number Of Female Beneficiaries | 1684 |
| Number Of Male Beneficiaries | 974 |
| Number Of Non Hispanic White Beneficiaries | 2500 |
| Number Of Black or African American Beneficiaries | 15 |
| Number Of AsianPacific Islander Beneficiaries | 43 |
| Number Of Hispanic Beneficiaries | 36 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2174 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 484 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 59 |
| Percent Of With Ischemic Heart Disease | 24 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1133 |