| National Provider Identifier [NPI]: | 1528380011 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 101 THE CITY DR RT 140 |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORANGE |
| Zip Code Of The Provider | 92868 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 200 |
| Number Of Services | 7860 |
| Number Of Medicare Beneficiaries | 3492 |
| Total Submitted Charge Amount | 1234094 |
| Total Medicare Allowed Amount | 239292.11 |
| Total Medicare Payment Amount | 178258 |
| Total Medicare Standardized Payment Amount | 170186.05 |
| 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 | 200 |
| Number Of Medical Services | 7860 |
| Number Of Medicare Beneficiaries With Medical Services | 3492 |
| Total Medical Submitted Charge Amount | 1234094 |
| Total Medical Medicare Allowed Amount | 239292.11 |
| Total Medical Medicare Payment Amount | 178258 |
| Total Medical Medicare Standardized Payment Amount | 170186.05 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 806 |
| Number Of Beneficiaries Age 65 to 74 | 1135 |
| Number Of Beneficiaries Age 75 to 84 | 926 |
| Number Of Beneficiaries Age Greater 84 | 625 |
| Number Of Female Beneficiaries | 2107 |
| Number Of Male Beneficiaries | 1385 |
| Number Of Non Hispanic White Beneficiaries | 1132 |
| Number Of Black or African American Beneficiaries | 942 |
| Number Of AsianPacific Islander Beneficiaries | 371 |
| Number Of Hispanic Beneficiaries | 967 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1093 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2399 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 56 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 15 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.7066 |