| National Provider Identifier [NPI]: | 1831189521 |
| Last Name Of The Provider | CAROLAN |
| First Name Of The Provider | FREDRICK |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1106 DRUID RD S |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563846 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 181 |
| Number Of Services | 17331 |
| Number Of Medicare Beneficiaries | 4123 |
| Total Submitted Charge Amount | 1297673.89 |
| Total Medicare Allowed Amount | 302927.56 |
| Total Medicare Payment Amount | 236833.42 |
| Total Medicare Standardized Payment Amount | 241181.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 11300 |
| Number Of Medicare Beneficiaries With Drug Services | 124 |
| Total Drug Submitted ChargeAmount | 26957 |
| Total Drug Medicare AllowedAmount | 2853.36 |
| Total Drug Medicare PaymentAmount | 2213.22 |
| Total Drug Medicare Standardized Payment Amount | 2213.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 6031 |
| Number Of Medicare Beneficiaries With Medical Services | 4122 |
| Total Medical Submitted Charge Amount | 1270716.89 |
| Total Medical Medicare Allowed Amount | 300074.2 |
| Total Medical Medicare Payment Amount | 234620.2 |
| Total Medical Medicare Standardized Payment Amount | 238968.56 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 462 |
| Number Of Beneficiaries Age 65 to 74 | 1381 |
| Number Of Beneficiaries Age 75 to 84 | 1305 |
| Number Of Beneficiaries Age Greater 84 | 975 |
| Number Of Female Beneficiaries | 2533 |
| Number Of Male Beneficiaries | 1590 |
| Number Of Non Hispanic White Beneficiaries | 3791 |
| Number Of Black or African American Beneficiaries | 115 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 150 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3378 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 745 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8032 |