National Provider Identifier [NPI]: |
1972583490 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
STEVE |
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 |
701 E EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN VIEW |
Zip Code Of The Provider |
940402833 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
3306 |
Number Of Medicare Beneficiaries |
1519 |
Total Submitted Charge Amount |
1125924.05 |
Total Medicare Allowed Amount |
395528.02 |
Total Medicare Payment Amount |
297781.12 |
Total Medicare Standardized Payment Amount |
257802.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
24527 |
Total Drug Medicare AllowedAmount |
8291.96 |
Total Drug Medicare PaymentAmount |
6435.12 |
Total Drug Medicare Standardized Payment Amount |
6435.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
3134 |
Number Of Medicare Beneficiaries With Medical Services |
1518 |
Total Medical Submitted Charge Amount |
1101397.05 |
Total Medical Medicare Allowed Amount |
387236.06 |
Total Medical Medicare Payment Amount |
291346 |
Total Medical Medicare Standardized Payment Amount |
251367.67 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
630 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
792 |
Number Of Male Beneficiaries |
727 |
Number Of Non Hispanic White Beneficiaries |
1054 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
264 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
64 |
Number Of Beneficiaries With Medicare Only Entitlement |
1221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.194 |