National Provider Identifier [NPI]: |
1306814256 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
CINDY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 HARRIS CT |
Street Address 2 Of The Provider |
BLDG. T SUITE 103 |
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405750 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
4143 |
Number Of Medicare Beneficiaries |
431 |
Total Submitted Charge Amount |
329244.39 |
Total Medicare Allowed Amount |
243171.88 |
Total Medicare Payment Amount |
185280.79 |
Total Medicare Standardized Payment Amount |
181768.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1347 |
Number Of Medicare Beneficiaries With Drug Services |
244 |
Total Drug Submitted ChargeAmount |
37631 |
Total Drug Medicare AllowedAmount |
28013.28 |
Total Drug Medicare PaymentAmount |
24237.83 |
Total Drug Medicare Standardized Payment Amount |
24237.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2796 |
Number Of Medicare Beneficiaries With Medical Services |
431 |
Total Medical Submitted Charge Amount |
291613.39 |
Total Medical Medicare Allowed Amount |
215158.6 |
Total Medical Medicare Payment Amount |
161042.96 |
Total Medical Medicare Standardized Payment Amount |
157530.89 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
413 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.986 |