| National Provider Identifier [NPI]: | 1528079969 |
| Last Name Of The Provider | LEE |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 LANTANA ROAD |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | CROSSVILLE |
| Zip Code Of The Provider | 385551903 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 147 |
| Number Of Services | 10846 |
| Number Of Medicare Beneficiaries | 1698 |
| Total Submitted Charge Amount | 1088649 |
| Total Medicare Allowed Amount | 386617.58 |
| Total Medicare Payment Amount | 294976.04 |
| Total Medicare Standardized Payment Amount | 316328.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 258 |
| Number Of Medicare Beneficiaries With Drug Services | 183 |
| Total Drug Submitted ChargeAmount | 17495 |
| Total Drug Medicare AllowedAmount | 6898.63 |
| Total Drug Medicare PaymentAmount | 5855.59 |
| Total Drug Medicare Standardized Payment Amount | 5855.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 139 |
| Number Of Medical Services | 10588 |
| Number Of Medicare Beneficiaries With Medical Services | 1697 |
| Total Medical Submitted Charge Amount | 1071154 |
| Total Medical Medicare Allowed Amount | 379718.95 |
| Total Medical Medicare Payment Amount | 289120.45 |
| Total Medical Medicare Standardized Payment Amount | 310472.84 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 77 |
| Number Of Beneficiaries Age 65 to 74 | 740 |
| Number Of Beneficiaries Age 75 to 84 | 638 |
| Number Of Beneficiaries Age Greater 84 | 243 |
| Number Of Female Beneficiaries | 806 |
| Number Of Male Beneficiaries | 892 |
| Number Of Non Hispanic White Beneficiaries | 1662 |
| Number Of Black or African American Beneficiaries | |
| 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 | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1534 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 164 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.0936 |