National Provider Identifier [NPI]: |
1720223803 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
JAMES |
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 |
2900 LINDEN LN |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209101265 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3657 |
Number Of Medicare Beneficiaries |
1614 |
Total Submitted Charge Amount |
669969 |
Total Medicare Allowed Amount |
320568.74 |
Total Medicare Payment Amount |
243897.49 |
Total Medicare Standardized Payment Amount |
218196.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
16320 |
Total Drug Medicare AllowedAmount |
10804.09 |
Total Drug Medicare PaymentAmount |
8431.3 |
Total Drug Medicare Standardized Payment Amount |
8431.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3453 |
Number Of Medicare Beneficiaries With Medical Services |
1614 |
Total Medical Submitted Charge Amount |
653649 |
Total Medical Medicare Allowed Amount |
309764.65 |
Total Medical Medicare Payment Amount |
235466.19 |
Total Medical Medicare Standardized Payment Amount |
209765.35 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
163 |
Number Of Beneficiaries Age 65 to 74 |
397 |
Number Of Beneficiaries Age 75 to 84 |
517 |
Number Of Beneficiaries Age Greater 84 |
537 |
Number Of Female Beneficiaries |
963 |
Number Of Male Beneficiaries |
651 |
Number Of Non Hispanic White Beneficiaries |
955 |
Number Of Black or African American Beneficiaries |
429 |
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
114 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
367 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.8406 |