| National Provider Identifier [NPI]: | 1629058540 |
| Last Name Of The Provider | RAISIS |
| First Name Of The Provider | LEONIDAS |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4745 OGLETOWN STANTON RD |
| Street Address 2 Of The Provider | SUITE 225 |
| City Of The Provider | NEWARK |
| Zip Code Of The Provider | 197132067 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Orthopedic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 77 |
| Number Of Services | 9767 |
| Number Of Medicare Beneficiaries | 1486 |
| Total Submitted Charge Amount | 3908109.44 |
| Total Medicare Allowed Amount | 873140.07 |
| Total Medicare Payment Amount | 658808.45 |
| Total Medicare Standardized Payment Amount | 638609.29 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 2925 |
| Number Of Medicare Beneficiaries With Drug Services | 813 |
| Total Drug Submitted ChargeAmount | 285105.44 |
| Total Drug Medicare AllowedAmount | 148790.43 |
| Total Drug Medicare PaymentAmount | 114895.48 |
| Total Drug Medicare Standardized Payment Amount | 114895.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 72 |
| Number Of Medical Services | 6842 |
| Number Of Medicare Beneficiaries With Medical Services | 1486 |
| Total Medical Submitted Charge Amount | 3623004 |
| Total Medical Medicare Allowed Amount | 724349.64 |
| Total Medical Medicare Payment Amount | 543912.97 |
| Total Medical Medicare Standardized Payment Amount | 523713.81 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 132 |
| Number Of Beneficiaries Age 65 to 74 | 760 |
| Number Of Beneficiaries Age 75 to 84 | 446 |
| Number Of Beneficiaries Age Greater 84 | 148 |
| Number Of Female Beneficiaries | 951 |
| Number Of Male Beneficiaries | 535 |
| Number Of Non Hispanic White Beneficiaries | 1253 |
| Number Of Black or African American Beneficiaries | 148 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1375 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 111 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9834 |