| National Provider Identifier [NPI]: | 1821050022 |
| Last Name Of The Provider | ANDERSON |
| First Name Of The Provider | LESLIE |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 130 J F BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LONOKE |
| Zip Code Of The Provider | 720869365 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 202 |
| Number Of Services | 15386 |
| Number Of Medicare Beneficiaries | 876 |
| Total Submitted Charge Amount | 734041.96 |
| Total Medicare Allowed Amount | 356067.32 |
| Total Medicare Payment Amount | 256127.7 |
| Total Medicare Standardized Payment Amount | 281286.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 23 |
| Number Of Drug Services | 4674 |
| Number Of Medicare Beneficiaries With Drug Services | 549 |
| Total Drug Submitted ChargeAmount | 29493 |
| Total Drug Medicare AllowedAmount | 12663.97 |
| Total Drug Medicare PaymentAmount | 10545.34 |
| Total Drug Medicare Standardized Payment Amount | 10545.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 10712 |
| Number Of Medicare Beneficiaries With Medical Services | 874 |
| Total Medical Submitted Charge Amount | 704548.96 |
| Total Medical Medicare Allowed Amount | 343403.35 |
| Total Medical Medicare Payment Amount | 245582.36 |
| Total Medical Medicare Standardized Payment Amount | 270741.15 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 162 |
| Number Of Beneficiaries Age 65 to 74 | 383 |
| Number Of Beneficiaries Age 75 to 84 | 251 |
| Number Of Beneficiaries Age Greater 84 | 80 |
| Number Of Female Beneficiaries | 516 |
| Number Of Male Beneficiaries | 360 |
| Number Of Non Hispanic White Beneficiaries | 799 |
| Number Of Black or African American Beneficiaries | 57 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 739 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 137 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 13 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 38 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 31 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9603 |