| National Provider Identifier [NPI]: | 1649208745 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 E DIXIE AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487699 |
| 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 | 150 |
| Number Of Services | 20057 |
| Number Of Medicare Beneficiaries | 7394 |
| Total Submitted Charge Amount | 1917187 |
| Total Medicare Allowed Amount | 919169.98 |
| Total Medicare Payment Amount | 768806.62 |
| Total Medicare Standardized Payment Amount | 788675.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7811 |
| Number Of Medicare Beneficiaries With Drug Services | 151 |
| Total Drug Submitted ChargeAmount | 22598 |
| Total Drug Medicare AllowedAmount | 3059.31 |
| Total Drug Medicare PaymentAmount | 2387.89 |
| Total Drug Medicare Standardized Payment Amount | 2387.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 147 |
| Number Of Medical Services | 12246 |
| Number Of Medicare Beneficiaries With Medical Services | 7394 |
| Total Medical Submitted Charge Amount | 1894589 |
| Total Medical Medicare Allowed Amount | 916110.67 |
| Total Medical Medicare Payment Amount | 766418.73 |
| Total Medical Medicare Standardized Payment Amount | 786287.65 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 257 |
| Number Of Beneficiaries Age 65 to 74 | 4025 |
| Number Of Beneficiaries Age 75 to 84 | 2537 |
| Number Of Beneficiaries Age Greater 84 | 575 |
| Number Of Female Beneficiaries | 5236 |
| Number Of Male Beneficiaries | 2158 |
| Number Of Non Hispanic White Beneficiaries | 6999 |
| Number Of Black or African American Beneficiaries | 166 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 98 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 90 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7161 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 233 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.0852 |