| National Provider Identifier [NPI]: | 1164434676 |
| Last Name Of The Provider | RHEE |
| First Name Of The Provider | EDWARD |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | DPM |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3400 W BALL RD |
| Street Address 2 Of The Provider | SUITE 209 |
| City Of The Provider | ANAHEIM |
| Zip Code Of The Provider | 928043738 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Podiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 50 |
| Number Of Services | 21435 |
| Number Of Medicare Beneficiaries | 2321 |
| Total Submitted Charge Amount | 2803046 |
| Total Medicare Allowed Amount | 1801792.77 |
| Total Medicare Payment Amount | 1406000.48 |
| Total Medicare Standardized Payment Amount | 1145823.24 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2693 |
| Number Of Medicare Beneficiaries With Drug Services | 754 |
| Total Drug Submitted ChargeAmount | 18851 |
| Total Drug Medicare AllowedAmount | 4801.74 |
| Total Drug Medicare PaymentAmount | 3745.12 |
| Total Drug Medicare Standardized Payment Amount | 3745.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 49 |
| Number Of Medical Services | 18742 |
| Number Of Medicare Beneficiaries With Medical Services | 2321 |
| Total Medical Submitted Charge Amount | 2784195 |
| Total Medical Medicare Allowed Amount | 1796991.03 |
| Total Medical Medicare Payment Amount | 1402255.36 |
| Total Medical Medicare Standardized Payment Amount | 1142078.12 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 27 |
| Number Of Beneficiaries Age 65 to 74 | 777 |
| Number Of Beneficiaries Age 75 to 84 | 1112 |
| Number Of Beneficiaries Age Greater 84 | 405 |
| Number Of Female Beneficiaries | 1623 |
| Number Of Male Beneficiaries | 698 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 2199 |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 84 |
| Number Of Beneficiaries With Medicare Only Entitlement | 140 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2181 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 5 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 68 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 30 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 69 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.3612 |