| National Provider Identifier [NPI]: | 1881866101 |
| Last Name Of The Provider | LE |
| First Name Of The Provider | ALEXANDER |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 LAKELAND HILLS BLVD. |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 338053019 |
| 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 | 157 |
| Number Of Services | 32099 |
| Number Of Medicare Beneficiaries | 3768 |
| Total Submitted Charge Amount | 1979254 |
| Total Medicare Allowed Amount | 550711.13 |
| Total Medicare Payment Amount | 414321.66 |
| Total Medicare Standardized Payment Amount | 429077.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 26882 |
| Number Of Medicare Beneficiaries With Drug Services | 304 |
| Total Drug Submitted ChargeAmount | 53775 |
| Total Drug Medicare AllowedAmount | 10993.01 |
| Total Drug Medicare PaymentAmount | 8486.94 |
| Total Drug Medicare Standardized Payment Amount | 8486.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 5217 |
| Number Of Medicare Beneficiaries With Medical Services | 3761 |
| Total Medical Submitted Charge Amount | 1925479 |
| Total Medical Medicare Allowed Amount | 539718.12 |
| Total Medical Medicare Payment Amount | 405834.72 |
| Total Medical Medicare Standardized Payment Amount | 420590.24 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 399 |
| Number Of Beneficiaries Age 65 to 74 | 1314 |
| Number Of Beneficiaries Age 75 to 84 | 1356 |
| Number Of Beneficiaries Age Greater 84 | 699 |
| Number Of Female Beneficiaries | 2245 |
| Number Of Male Beneficiaries | 1523 |
| Number Of Non Hispanic White Beneficiaries | 3366 |
| Number Of Black or African American Beneficiaries | 212 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 125 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3189 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 579 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5079 |