National Provider Identifier [NPI]: |
1316947385 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 W MORRIS BLVD |
Street Address 2 Of The Provider |
SUITE 400-C |
City Of The Provider |
MORRISTOWN |
Zip Code Of The Provider |
378132283 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
174941 |
Number Of Medicare Beneficiaries |
801 |
Total Submitted Charge Amount |
6283864.66 |
Total Medicare Allowed Amount |
2113752.48 |
Total Medicare Payment Amount |
1609180.69 |
Total Medicare Standardized Payment Amount |
1627575.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
157079 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
4475851.66 |
Total Drug Medicare AllowedAmount |
1633658.77 |
Total Drug Medicare PaymentAmount |
1235161.48 |
Total Drug Medicare Standardized Payment Amount |
1235161.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
17862 |
Number Of Medicare Beneficiaries With Medical Services |
801 |
Total Medical Submitted Charge Amount |
1808013 |
Total Medical Medicare Allowed Amount |
480093.71 |
Total Medical Medicare Payment Amount |
374019.21 |
Total Medical Medicare Standardized Payment Amount |
392413.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
522 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
771 |
Number Of Black or African American Beneficiaries |
|
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 |
569 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6002 |