| National Provider Identifier [NPI]: | 1023201977 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | CALEB |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7070 E DR N |
| Street Address 2 Of The Provider | |
| City Of The Provider | BATTLE CREEK |
| Zip Code Of The Provider | 490148562 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 63 |
| Number Of Services | 12516 |
| Number Of Medicare Beneficiaries | 3065 |
| Total Submitted Charge Amount | 845632.7 |
| Total Medicare Allowed Amount | 775542.58 |
| Total Medicare Payment Amount | 558285.11 |
| Total Medicare Standardized Payment Amount | 573041.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 110 |
| Number Of Medicare Beneficiaries With Drug Services | 81 |
| Total Drug Submitted ChargeAmount | 23508.82 |
| Total Drug Medicare AllowedAmount | 23292.52 |
| Total Drug Medicare PaymentAmount | 16580.54 |
| Total Drug Medicare Standardized Payment Amount | 16580.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 62 |
| Number Of Medical Services | 12406 |
| Number Of Medicare Beneficiaries With Medical Services | 3065 |
| Total Medical Submitted Charge Amount | 822123.88 |
| Total Medical Medicare Allowed Amount | 752250.06 |
| Total Medical Medicare Payment Amount | 541704.57 |
| Total Medical Medicare Standardized Payment Amount | 556461.11 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 192 |
| Number Of Beneficiaries Age 65 to 74 | 1172 |
| Number Of Beneficiaries Age 75 to 84 | 1098 |
| Number Of Beneficiaries Age Greater 84 | 603 |
| Number Of Female Beneficiaries | 1528 |
| Number Of Male Beneficiaries | 1537 |
| Number Of Non Hispanic White Beneficiaries | 2981 |
| Number Of Black or African American Beneficiaries | 29 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2832 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 233 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.105 |