| National Provider Identifier [NPI]: | 1366589236 |
| Last Name Of The Provider | LEEN |
| First Name Of The Provider | VICTOR |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1780 NW MYHRE RD |
| Street Address 2 Of The Provider | SUITE 1220 |
| City Of The Provider | SILVERDALE |
| Zip Code Of The Provider | 983838676 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 223 |
| Number Of Services | 7386 |
| Number Of Medicare Beneficiaries | 2932 |
| Total Submitted Charge Amount | 780829.78 |
| Total Medicare Allowed Amount | 296860.9 |
| Total Medicare Payment Amount | 249418.27 |
| Total Medicare Standardized Payment Amount | 251578.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2112 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 899.41 |
| Total Drug Medicare AllowedAmount | 899.41 |
| Total Drug Medicare PaymentAmount | 705.16 |
| Total Drug Medicare Standardized Payment Amount | 705.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 5274 |
| Number Of Medicare Beneficiaries With Medical Services | 2932 |
| Total Medical Submitted Charge Amount | 779930.37 |
| Total Medical Medicare Allowed Amount | 295961.49 |
| Total Medical Medicare Payment Amount | 248713.11 |
| Total Medical Medicare Standardized Payment Amount | 250873.79 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 428 |
| Number Of Beneficiaries Age 65 to 74 | 1263 |
| Number Of Beneficiaries Age 75 to 84 | 832 |
| Number Of Beneficiaries Age Greater 84 | 409 |
| Number Of Female Beneficiaries | 2111 |
| Number Of Male Beneficiaries | 821 |
| Number Of Non Hispanic White Beneficiaries | 2641 |
| Number Of Black or African American Beneficiaries | 46 |
| Number Of AsianPacific Islander Beneficiaries | 98 |
| Number Of Hispanic Beneficiaries | 67 |
| Number Of American Indian Alaska Native Beneficiaries | 35 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2309 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 623 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4195 |