National Provider Identifier [NPI]: |
1992877427 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 S HOBART BLVD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900203635 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
18010 |
Number Of Medicare Beneficiaries |
2303 |
Total Submitted Charge Amount |
745083.4 |
Total Medicare Allowed Amount |
656114.9 |
Total Medicare Payment Amount |
511670.26 |
Total Medicare Standardized Payment Amount |
472372.27 |
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 |
30 |
Number Of Medical Services |
18010 |
Number Of Medicare Beneficiaries With Medical Services |
2303 |
Total Medical Submitted Charge Amount |
745083.4 |
Total Medical Medicare Allowed Amount |
656114.9 |
Total Medical Medicare Payment Amount |
511670.26 |
Total Medical Medicare Standardized Payment Amount |
472372.27 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
873 |
Number Of Beneficiaries Age 75 to 84 |
1017 |
Number Of Beneficiaries Age Greater 84 |
376 |
Number Of Female Beneficiaries |
1299 |
Number Of Male Beneficiaries |
1004 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
2143 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
91 |
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2017 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.219 |