| National Provider Identifier [NPI]: | 1659379725 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 260 MIDDLE COUNTRY RD |
| Street Address 2 Of The Provider | SUITE 214 |
| City Of The Provider | SMITHTOWN |
| Zip Code Of The Provider | 117872982 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 57 |
| Number Of Services | 11627 |
| Number Of Medicare Beneficiaries | 2843 |
| Total Submitted Charge Amount | 1832460.5 |
| Total Medicare Allowed Amount | 1161919.36 |
| Total Medicare Payment Amount | 884470.07 |
| Total Medicare Standardized Payment Amount | 782757 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2420 |
| Number Of Medicare Beneficiaries With Drug Services | 361 |
| Total Drug Submitted ChargeAmount | 68887.5 |
| Total Drug Medicare AllowedAmount | 3567.55 |
| Total Drug Medicare PaymentAmount | 2766.95 |
| Total Drug Medicare Standardized Payment Amount | 2766.95 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 54 |
| Number Of Medical Services | 9207 |
| Number Of Medicare Beneficiaries With Medical Services | 2843 |
| Total Medical Submitted Charge Amount | 1763573 |
| Total Medical Medicare Allowed Amount | 1158351.81 |
| Total Medical Medicare Payment Amount | 881703.12 |
| Total Medical Medicare Standardized Payment Amount | 779990.05 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 300 |
| Number Of Beneficiaries Age 65 to 74 | 1011 |
| Number Of Beneficiaries Age 75 to 84 | 1017 |
| Number Of Beneficiaries Age Greater 84 | 515 |
| Number Of Female Beneficiaries | 1481 |
| Number Of Male Beneficiaries | 1362 |
| Number Of Non Hispanic White Beneficiaries | 2360 |
| Number Of Black or African American Beneficiaries | 135 |
| Number Of AsianPacific Islander Beneficiaries | 48 |
| Number Of Hispanic Beneficiaries | 239 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2294 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 549 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6721 |