National Provider Identifier [NPI]: |
1497834147 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3239 STEVENS CREEK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951171145 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
5907 |
Number Of Medicare Beneficiaries |
3610 |
Total Submitted Charge Amount |
903103 |
Total Medicare Allowed Amount |
779630.61 |
Total Medicare Payment Amount |
604137.75 |
Total Medicare Standardized Payment Amount |
530774.65 |
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 |
20 |
Number Of Medical Services |
5907 |
Number Of Medicare Beneficiaries With Medical Services |
3610 |
Total Medical Submitted Charge Amount |
903103 |
Total Medical Medicare Allowed Amount |
779630.61 |
Total Medical Medicare Payment Amount |
604137.75 |
Total Medical Medicare Standardized Payment Amount |
530774.65 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
618 |
Number Of Beneficiaries Age 75 to 84 |
935 |
Number Of Beneficiaries Age Greater 84 |
1733 |
Number Of Female Beneficiaries |
2386 |
Number Of Male Beneficiaries |
1224 |
Number Of Non Hispanic White Beneficiaries |
1715 |
Number Of Black or African American Beneficiaries |
344 |
Number Of AsianPacific Islander Beneficiaries |
726 |
Number Of Hispanic Beneficiaries |
747 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
3418 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3366 |