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Jivianne Kristine Tan Lee

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NPI Number Detailed Information

Provider Information:

Name: Jivianne Kristine Tan Lee
Gender: F
Provider License Number If Given: A72248

NPI Information:

NPI: 1184772972
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/8/2007

Last Update Date: 12/4/2019

Reputation Report:

Provider Business Mailing Address:

Address: 5767 W CENTURY BLVD STE 400
Los Angeles, CA 90045
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1131 WILSHIRE BLVD STE 302
Santa Monica, CA 90401
Phone Number: 4242596559
Fax Number: 3103193877

Provider Taxonomy:

Primary: 207YX0007X
Secondary (if any):
State: CA

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About Jivianne Kristine Tan Lee

Jivianne Kristine Tan Lee ( JIVIANNE KRISTINE TAN LEE ) is An Otolaryngology Physician in Santa Monica, CA. The NPI Number for Jivianne Kristine Tan Lee is 1184772972.
The current location address for Jivianne Kristine Tan Lee is 1131 WILSHIRE BLVD STE 302 Santa Monica, CA 90401 and the contact number is and fax number is . The mailing address for Jivianne Kristine Tan Lee is 5767 W CENTURY BLVD STE 400 Los Angeles, CA 90045- 4242596559 (mailing address contact number - ).
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jivianne Kristine Tan Lee ?


Answer: The NPI Number for Jivianne Kristine Tan Lee is 1184772972

Where is Jivianne Kristine Tan Lee located?


Answer: Jivianne Kristine Tan Lee is located at 1131 WILSHIRE BLVD STE 302 Santa Monica, CA 90401.

What is the specialty for Jivianne Kristine Tan Lee ?


Answer: The Specialty of Jivianne Kristine Tan Lee is An Otolaryngology Physician.

Are there any online reviews for Jivianne Kristine Tan Lee ?


Answer: Yes! Check It Now.

Are there any other health care providers in Santa Monica, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jivianne Kristine Tan Lee

Number of HCPCS 38
Number of Medicare Beneficiaries 93
Number of Services 464
Total Submitted Charge Amount 1197171.15
Total Medicare Allowed Amount 128573.51
Total Medicare Payment Amount 101271.04
Total Medicare Standardized Payment Amount 85382.84
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 38
Number of Medicare Beneficiaries With Medical 93
Number of Medical Services 464
Total Medical Submitted Charge Amount 1197171.15
Total Medical Medicare Allowed Amount 128573.51
Total Medical Medicare Payment Amount 101271.04
Total Medical Medicare Standardized Payment Amount 85382.84
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 46
Number of Beneficiaries Age 75 to 84 28
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 46
Number of Male Beneficiaries 47
Number of Non-Hispanic White Beneficiaries 68
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 13
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 18
Number of Beneficiaries With Medicare Only Entitlement 75
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.16
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis 0.16
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.54
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2851

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 169
Number of Standardized 30-Day Fills 220.03333333
Aggregate Cost Paid for All Claims 8131.39
Number of Day's Supply for All Claims 4481
Number of Medicare Beneficiaries 62
Number of Claims, Including Refills, for Beneficiaries Age 65+ 148
Including Refills, for Beneficiaries Age 65+ 195.03333333
Beneficiaries Age 65+ 7749.39
Number of Day's Supply for All Claims for Beneficaries Age 65+ 4093
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 162
Aggregate Cost Paid for Generic Drugs 6334.77
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 54
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1138.1
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 115
Aggregate Cost Paid for Claims Filled by 6993.29
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 36
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 696.78
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 133
by Low-Income Subsidy 7434.61
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 55
Aggregate Cost Paid for Antibiotic Drugs 819.4
Antibiotic Claims 34
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.822580645
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 34
Number of Male Beneficiaries 28
Number of Non-Hispanic White 41
Number of Black or African American
Number of Asian Pacific Islander 11
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 50
Average Hierarchical Condition Category 1.2223409314

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