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Dr. Sang Dae Lee

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NPI Number Detailed Information

Provider Information:

Name: Dr. Sang Dae Lee
Gender: M
Provider License Number If Given: E4416

NPI Information:

NPI: 1780694356
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/8/2006

Last Update Date: 9/11/2009

Reputation Report:

Provider Business Mailing Address:

Address: 467 REDTAIL DR
Brea, CA 92823
Phone Number: 9098823800
Fax Number:

Provider Business Practice Location Address:

Address: 2095 N WATERMAN AVE
San Bernardino, CA 92404
Phone Number: 9098823800
Fax Number: 9098823380

Provider Taxonomy:

Primary: 213ES0103X
Secondary (if any):
State: CA

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About Dr. Sang Dae Lee

Dr. Sang Dae Lee (DR. SANG DAE LEE ) is Definition Podiatrist Physician in San Bernardino, CA. The NPI Number for Dr. Sang Dae Lee is 1780694356.
The current location address for Dr. Sang Dae Lee is 2095 N WATERMAN AVE San Bernardino, CA 92404 and the contact number is 9098823800 and fax number is . The mailing address for Dr. Sang Dae Lee is 467 REDTAIL DR Brea, CA 92823- 9098823800 (mailing address contact number - 9098823800).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Sang Dae Lee ?


Answer: The NPI Number for Dr. Sang Dae Lee is 1780694356

Where is Dr. Sang Dae Lee located?


Answer: Dr. Sang Dae Lee is located at 2095 N WATERMAN AVE San Bernardino, CA 92404.

What is the specialty for Dr. Sang Dae Lee ?


Answer: The Specialty of Dr. Sang Dae Lee is Definition Podiatrist Physician.

Are there any online reviews for Dr. Sang Dae Lee ?


Answer: Yes! Check It Now.

Are there any other health care providers in San Bernardino, 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 Dr. Sang Dae Lee

Number of HCPCS 15
Number of Medicare Beneficiaries 358
Number of Services 1112
Total Submitted Charge Amount 88151
Total Medicare Allowed Amount 63975
Total Medicare Payment Amount 45848.55
Total Medicare Standardized Payment Amount 44442.91
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 15
Number of Medicare Beneficiaries With Medical 358
Number of Medical Services 1112
Total Medical Submitted Charge Amount 88151
Total Medical Medicare Allowed Amount 63975
Total Medical Medicare Payment Amount 45848.55
Total Medical Medicare Standardized Payment Amount 44442.91
Average Age of Beneficiaries 68
Number of Beneficiaries Age Less 65 109
Number of Beneficiaries Age 65 to 74 159
Number of Beneficiaries Age 75 to 84 52
Number of Beneficiaries Age Greater 84 38
Number of Female Beneficiaries 185
Number of Male Beneficiaries 173
Number of Non-Hispanic White Beneficiaries 81
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 211
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 308
Number of Beneficiaries With Medicare Only Entitlement 50
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.05
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.33
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.49
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.26
Percent (%) of Beneficiaries Identified With Diabetes 0.73
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.55
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.35
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.11
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 2.2809

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 Podiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 518
Number of Standardized 30-Day Fills 548.5
Aggregate Cost Paid for All Claims 10212.23
Number of Day's Supply for All Claims 10655
Number of Medicare Beneficiaries 221
Number of Claims, Including Refills, for Beneficiaries Age 65+ 388
Including Refills, for Beneficiaries Age 65+ 410.4
Beneficiaries Age 65+ 7773.67
Number of Day's Supply for All Claims for Beneficaries Age 65+ 8063
Number of Medicare Beneficiaries Age 65+ 164
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 47
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 471
Aggregate Cost Paid for Generic Drugs 9756.51
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 335
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 6651.34
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 183
Aggregate Cost Paid for Claims Filled by 3560.89
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 437
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 8743.45
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 81
by Low-Income Subsidy 1468.78
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 133
Aggregate Cost Paid for Antibiotic Drugs 1387.58
Antibiotic Claims 107
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 0
Average Age of Beneficiaries 67.556561086
Number of Beneficiaries Age Less Than 65 57
Number of Beneficiaries Age 65 to 74 114
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 119
Number of Male Beneficiaries 102
Number of Non-Hispanic White 38
Number of Black or African American 23
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 153
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 48
Average Hierarchical Condition Category 1.9086380403

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