| National Provider Identifier [NPI]: | 1588754402 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | SHANG-CHIUN |
| 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 | 1900 S NATIONAL AVE |
| Street Address 2 Of The Provider | SUITE 3600 |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 658042265 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiac Electrophysiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 66 |
| Number Of Services | 8794 |
| Number Of Medicare Beneficiaries | 4661 |
| Total Submitted Charge Amount | 958073.22 |
| Total Medicare Allowed Amount | 283771.7 |
| Total Medicare Payment Amount | 208171.85 |
| Total Medicare Standardized Payment Amount | 218289.3 |
| 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 | 66 |
| Number Of Medical Services | 8794 |
| Number Of Medicare Beneficiaries With Medical Services | 4661 |
| Total Medical Submitted Charge Amount | 958073.22 |
| Total Medical Medicare Allowed Amount | 283771.7 |
| Total Medical Medicare Payment Amount | 208171.85 |
| Total Medical Medicare Standardized Payment Amount | 218289.3 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 836 |
| Number Of Beneficiaries Age 65 to 74 | 1637 |
| Number Of Beneficiaries Age 75 to 84 | 1391 |
| Number Of Beneficiaries Age Greater 84 | 797 |
| Number Of Female Beneficiaries | 2410 |
| Number Of Male Beneficiaries | 2251 |
| Number Of Non Hispanic White Beneficiaries | 4512 |
| Number Of Black or African American Beneficiaries | 53 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3554 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1107 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.635 |