| National Provider Identifier [NPI]: | 1821012253 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | GRAHAM |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4801 W 110TH ST |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | OVERLAND PARK |
| Zip Code Of The Provider | 662111347 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 204 |
| Number Of Services | 8712 |
| Number Of Medicare Beneficiaries | 3877 |
| Total Submitted Charge Amount | 1514109 |
| Total Medicare Allowed Amount | 340381.55 |
| Total Medicare Payment Amount | 253730.08 |
| Total Medicare Standardized Payment Amount | 264610.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 204 |
| Number Of Medical Services | 8712 |
| Number Of Medicare Beneficiaries With Medical Services | 3877 |
| Total Medical Submitted Charge Amount | 1514109 |
| Total Medical Medicare Allowed Amount | 340381.55 |
| Total Medical Medicare Payment Amount | 253730.08 |
| Total Medical Medicare Standardized Payment Amount | 264610.74 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1276 |
| Number Of Beneficiaries Age 65 to 74 | 1247 |
| Number Of Beneficiaries Age 75 to 84 | 892 |
| Number Of Beneficiaries Age Greater 84 | 462 |
| Number Of Female Beneficiaries | 2229 |
| Number Of Male Beneficiaries | 1648 |
| Number Of Non Hispanic White Beneficiaries | 2340 |
| Number Of Black or African American Beneficiaries | 1420 |
| Number Of AsianPacific Islander Beneficiaries | 20 |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2514 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1363 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.882 |