| National Provider Identifier [NPI]: | 1174729974 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 101 MANNING DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHAPEL HILL |
| Zip Code Of The Provider | 275990001 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 151 |
| Number Of Services | 8727 |
| Number Of Medicare Beneficiaries | 4226 |
| Total Submitted Charge Amount | 1048464.37 |
| Total Medicare Allowed Amount | 284484.37 |
| Total Medicare Payment Amount | 217917.18 |
| Total Medicare Standardized Payment Amount | 209651.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1261 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 1444.36 |
| Total Drug Medicare AllowedAmount | 419.72 |
| Total Drug Medicare PaymentAmount | 329.06 |
| Total Drug Medicare Standardized Payment Amount | 329.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 149 |
| Number Of Medical Services | 7466 |
| Number Of Medicare Beneficiaries With Medical Services | 4226 |
| Total Medical Submitted Charge Amount | 1047020.01 |
| Total Medical Medicare Allowed Amount | 284064.65 |
| Total Medical Medicare Payment Amount | 217588.12 |
| Total Medical Medicare Standardized Payment Amount | 209322.43 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1035 |
| Number Of Beneficiaries Age 65 to 74 | 1280 |
| Number Of Beneficiaries Age 75 to 84 | 1077 |
| Number Of Beneficiaries Age Greater 84 | 834 |
| Number Of Female Beneficiaries | 2487 |
| Number Of Male Beneficiaries | 1739 |
| Number Of Non Hispanic White Beneficiaries | 3279 |
| Number Of Black or African American Beneficiaries | 679 |
| Number Of AsianPacific Islander Beneficiaries | 66 |
| Number Of Hispanic Beneficiaries | 149 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2942 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1284 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.0025 |