| National Provider Identifier [NPI]: | 1619948072 |
| Last Name Of The Provider | DEMASI |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 397 LITTLE NECK RD |
| Street Address 2 Of The Provider | STE 100 3300 SOUTH BLDG |
| City Of The Provider | VA BEACH |
| Zip Code Of The Provider | 23452 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Vascular Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 11825 |
| Number Of Medicare Beneficiaries | 3393 |
| Total Submitted Charge Amount | 2867447.5 |
| Total Medicare Allowed Amount | 941530.05 |
| Total Medicare Payment Amount | 715231.9 |
| Total Medicare Standardized Payment Amount | 746268.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6505 |
| Number Of Medicare Beneficiaries With Drug Services | 106 |
| Total Drug Submitted ChargeAmount | 9475 |
| Total Drug Medicare AllowedAmount | 3044.38 |
| Total Drug Medicare PaymentAmount | 2386.71 |
| Total Drug Medicare Standardized Payment Amount | 2386.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 5320 |
| Number Of Medicare Beneficiaries With Medical Services | 3393 |
| Total Medical Submitted Charge Amount | 2857972.5 |
| Total Medical Medicare Allowed Amount | 938485.67 |
| Total Medical Medicare Payment Amount | 712845.19 |
| Total Medical Medicare Standardized Payment Amount | 743882.23 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 537 |
| Number Of Beneficiaries Age 65 to 74 | 1205 |
| Number Of Beneficiaries Age 75 to 84 | 1128 |
| Number Of Beneficiaries Age Greater 84 | 523 |
| Number Of Female Beneficiaries | 1809 |
| Number Of Male Beneficiaries | 1584 |
| Number Of Non Hispanic White Beneficiaries | 2282 |
| Number Of Black or African American Beneficiaries | 942 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2794 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 599 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.3159 |