Medicare Facts for Dr. Domingo A. Lee, MD


National Provider Identifier [NPI]: 1528081643
Last Name Of The Provider LEE
First Name Of The Provider DOMINGO
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8435 CLEARVISTA PLACE
Street Address 2 Of The Provider SUITE 101
City Of The Provider INDIANAPOLIS
Zip Code Of The Provider 462563761
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 1200
Number Of Medicare Beneficiaries 398
Total Submitted Charge Amount 109501
Total Medicare Allowed Amount 78881.54
Total Medicare Payment Amount 55600.64
Total Medicare Standardized Payment Amount 59811.62
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 66
Number Of Beneficiaries Age 65 to 74 204
Number Of Beneficiaries Age 75 to 84 104
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 247
Number Of Male Beneficiaries 151
Number Of Non Hispanic White Beneficiaries 324
Number Of Black or African American Beneficiaries 50
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 11
Number Of Beneficiaries With Medicare Only Entitlement 337
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 10
Percent Of With Cancer 8
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 24
Percent Of With Diabetes 66
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.4289

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