| National Provider Identifier [NPI]: | 1790744746 |
| Last Name Of The Provider | RASKAUSKAS |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6901 INTERNATIONAL CENTER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | FT MYERS |
| Zip Code Of The Provider | 339127125 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 46 |
| Number Of Services | 22378 |
| Number Of Medicare Beneficiaries | 2426 |
| Total Submitted Charge Amount | 9558630.18 |
| Total Medicare Allowed Amount | 5662940.28 |
| Total Medicare Payment Amount | 4361763.52 |
| Total Medicare Standardized Payment Amount | 4311536.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6440 |
| Number Of Medicare Beneficiaries With Drug Services | 642 |
| Total Drug Submitted ChargeAmount | 6589020 |
| Total Drug Medicare AllowedAmount | 4261143.01 |
| Total Drug Medicare PaymentAmount | 3324200.73 |
| Total Drug Medicare Standardized Payment Amount | 3324200.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 42 |
| Number Of Medical Services | 15938 |
| Number Of Medicare Beneficiaries With Medical Services | 2425 |
| Total Medical Submitted Charge Amount | 2969610.18 |
| Total Medical Medicare Allowed Amount | 1401797.27 |
| Total Medical Medicare Payment Amount | 1037562.79 |
| Total Medical Medicare Standardized Payment Amount | 987335.62 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 42 |
| Number Of Beneficiaries Age 65 to 74 | 646 |
| Number Of Beneficiaries Age 75 to 84 | 979 |
| Number Of Beneficiaries Age Greater 84 | 759 |
| Number Of Female Beneficiaries | 1354 |
| Number Of Male Beneficiaries | 1072 |
| Number Of Non Hispanic White Beneficiaries | 2299 |
| Number Of Black or African American Beneficiaries | 29 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 66 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2322 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 104 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3511 |