| National Provider Identifier [NPI]: | 1568493062 |
| Last Name Of The Provider | LE |
| First Name Of The Provider | SON |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5651 FRIST BLVD |
| Street Address 2 Of The Provider | #712 |
| City Of The Provider | HERMITAGE |
| Zip Code Of The Provider | 37076 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Physical Medicine and Rehabilitation |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 162 |
| Number Of Services | 84565 |
| Number Of Medicare Beneficiaries | 1195 |
| Total Submitted Charge Amount | 8527993.14 |
| Total Medicare Allowed Amount | 2768715.95 |
| Total Medicare Payment Amount | 2588441.27 |
| Total Medicare Standardized Payment Amount | 2265416.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 2144 |
| Number Of Medicare Beneficiaries With Drug Services | 146 |
| Total Drug Submitted ChargeAmount | 27564.89 |
| Total Drug Medicare AllowedAmount | 9615.63 |
| Total Drug Medicare PaymentAmount | 7444.38 |
| Total Drug Medicare Standardized Payment Amount | 7444.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 82421 |
| Number Of Medicare Beneficiaries With Medical Services | 1195 |
| Total Medical Submitted Charge Amount | 8500428.25 |
| Total Medical Medicare Allowed Amount | 2759100.32 |
| Total Medical Medicare Payment Amount | 2580996.89 |
| Total Medical Medicare Standardized Payment Amount | 2257972.27 |
| Average Age Of Beneficiaries | 59 |
| Number Of Beneficiaries Age Less65 | 756 |
| Number Of Beneficiaries Age 65 to 74 | 293 |
| Number Of Beneficiaries Age 75 to 84 | 115 |
| Number Of Beneficiaries Age Greater 84 | 31 |
| Number Of Female Beneficiaries | 783 |
| Number Of Male Beneficiaries | 412 |
| Number Of Non Hispanic White Beneficiaries | 1015 |
| Number Of Black or African American Beneficiaries | 155 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 587 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 608 |
| Percent Of With Atrial Fibrillation | 5 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 4 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 24 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.5231 |