| National Provider Identifier [NPI]: | 1104806421 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | DON |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1510 S CENTRAL AVE |
| Street Address 2 Of The Provider | SUITE 150 |
| City Of The Provider | GLENDALE |
| Zip Code Of The Provider | 912042500 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 102 |
| Number Of Services | 21310 |
| Number Of Medicare Beneficiaries | 2756 |
| Total Submitted Charge Amount | 8958501.25 |
| Total Medicare Allowed Amount | 4042548.41 |
| Total Medicare Payment Amount | 3076631.96 |
| Total Medicare Standardized Payment Amount | 2906503.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 3177 |
| Number Of Medicare Beneficiaries With Drug Services | 851 |
| Total Drug Submitted ChargeAmount | 480861.25 |
| Total Drug Medicare AllowedAmount | 159944.64 |
| Total Drug Medicare PaymentAmount | 126299.53 |
| Total Drug Medicare Standardized Payment Amount | 126299.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 98 |
| Number Of Medical Services | 18133 |
| Number Of Medicare Beneficiaries With Medical Services | 2756 |
| Total Medical Submitted Charge Amount | 8477640 |
| Total Medical Medicare Allowed Amount | 3882603.77 |
| Total Medical Medicare Payment Amount | 2950332.43 |
| Total Medical Medicare Standardized Payment Amount | 2780203.9 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 179 |
| Number Of Beneficiaries Age 65 to 74 | 1041 |
| Number Of Beneficiaries Age 75 to 84 | 1072 |
| Number Of Beneficiaries Age Greater 84 | 464 |
| Number Of Female Beneficiaries | 1548 |
| Number Of Male Beneficiaries | 1208 |
| Number Of Non Hispanic White Beneficiaries | 1585 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 525 |
| Number Of Hispanic Beneficiaries | 413 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 184 |
| Number Of Beneficiaries With Medicare Only Entitlement | 449 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2307 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 56 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.6233 |