| National Provider Identifier [NPI]: | 1518961564 |
| Last Name Of The Provider | DEMJANENKO |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 120 E 2ND ST |
| Street Address 2 Of The Provider | 2ND FLOOR |
| City Of The Provider | ERIE |
| Zip Code Of The Provider | 165071537 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 54 |
| Number Of Services | 6508 |
| Number Of Medicare Beneficiaries | 4050 |
| Total Submitted Charge Amount | 733247 |
| Total Medicare Allowed Amount | 235981.54 |
| Total Medicare Payment Amount | 176857.79 |
| Total Medicare Standardized Payment Amount | 183542.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 54 |
| Number Of Medical Services | 6508 |
| Number Of Medicare Beneficiaries With Medical Services | 4050 |
| Total Medical Submitted Charge Amount | 733247 |
| Total Medical Medicare Allowed Amount | 235981.54 |
| Total Medical Medicare Payment Amount | 176857.79 |
| Total Medical Medicare Standardized Payment Amount | 183542.97 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 842 |
| Number Of Beneficiaries Age 65 to 74 | 1450 |
| Number Of Beneficiaries Age 75 to 84 | 1149 |
| Number Of Beneficiaries Age Greater 84 | 609 |
| Number Of Female Beneficiaries | 2056 |
| Number Of Male Beneficiaries | 1994 |
| Number Of Non Hispanic White Beneficiaries | 3722 |
| Number Of Black or African American Beneficiaries | 196 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 85 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2895 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1155 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6316 |