| National Provider Identifier [NPI]: | 1558561092 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | SUNGMIN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 LAKELAND HILLS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 338053019 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 15204 |
| Number Of Medicare Beneficiaries | 4398 |
| Total Submitted Charge Amount | 1931966 |
| Total Medicare Allowed Amount | 675432.67 |
| Total Medicare Payment Amount | 506229.83 |
| Total Medicare Standardized Payment Amount | 527448.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8572 |
| Number Of Medicare Beneficiaries With Drug Services | 96 |
| Total Drug Submitted ChargeAmount | 17265 |
| Total Drug Medicare AllowedAmount | 3599.77 |
| Total Drug Medicare PaymentAmount | 2775.06 |
| Total Drug Medicare Standardized Payment Amount | 2775.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 181 |
| Number Of Medical Services | 6632 |
| Number Of Medicare Beneficiaries With Medical Services | 4397 |
| Total Medical Submitted Charge Amount | 1914701 |
| Total Medical Medicare Allowed Amount | 671832.9 |
| Total Medical Medicare Payment Amount | 503454.77 |
| Total Medical Medicare Standardized Payment Amount | 524673.26 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 455 |
| Number Of Beneficiaries Age 65 to 74 | 1562 |
| Number Of Beneficiaries Age 75 to 84 | 1592 |
| Number Of Beneficiaries Age Greater 84 | 789 |
| Number Of Female Beneficiaries | 2602 |
| Number Of Male Beneficiaries | 1796 |
| Number Of Non Hispanic White Beneficiaries | 3943 |
| Number Of Black or African American Beneficiaries | 232 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 165 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3691 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 707 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5652 |