National Provider Identifier [NPI]: |
1063447977 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4645 NW 8TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054524 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
20538 |
Number Of Medicare Beneficiaries |
1931 |
Total Submitted Charge Amount |
1960756.96 |
Total Medicare Allowed Amount |
1728157.64 |
Total Medicare Payment Amount |
1332947.27 |
Total Medicare Standardized Payment Amount |
1364609.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
14318 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
25304.8 |
Total Drug Medicare AllowedAmount |
23079.31 |
Total Drug Medicare PaymentAmount |
18054.68 |
Total Drug Medicare Standardized Payment Amount |
18054.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
6220 |
Number Of Medicare Beneficiaries With Medical Services |
1931 |
Total Medical Submitted Charge Amount |
1935452.16 |
Total Medical Medicare Allowed Amount |
1705078.33 |
Total Medical Medicare Payment Amount |
1314892.59 |
Total Medical Medicare Standardized Payment Amount |
1346555.01 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
726 |
Number Of Beneficiaries Age 75 to 84 |
697 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
1029 |
Number Of Male Beneficiaries |
902 |
Number Of Non Hispanic White Beneficiaries |
1653 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1452 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
479 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7596 |