| National Provider Identifier [NPI]: | 1083832521 |
| Last Name Of The Provider | GARROTT |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1200 7TH AVENUE NORTH |
| Street Address 2 Of The Provider | SUITE 340 |
| City Of The Provider | ST. PETERSBURG |
| Zip Code Of The Provider | 337051300 |
| 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 | 206 |
| Number Of Services | 14062 |
| Number Of Medicare Beneficiaries | 3112 |
| Total Submitted Charge Amount | 1489992.39 |
| Total Medicare Allowed Amount | 514617.85 |
| Total Medicare Payment Amount | 402676.84 |
| Total Medicare Standardized Payment Amount | 408562.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8752 |
| Number Of Medicare Beneficiaries With Drug Services | 91 |
| Total Drug Submitted ChargeAmount | 23019.4 |
| Total Drug Medicare AllowedAmount | 1977.08 |
| Total Drug Medicare PaymentAmount | 1524.7 |
| Total Drug Medicare Standardized Payment Amount | 1524.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 5310 |
| Number Of Medicare Beneficiaries With Medical Services | 3111 |
| Total Medical Submitted Charge Amount | 1466972.99 |
| Total Medical Medicare Allowed Amount | 512640.77 |
| Total Medical Medicare Payment Amount | 401152.14 |
| Total Medical Medicare Standardized Payment Amount | 407037.98 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 561 |
| Number Of Beneficiaries Age 65 to 74 | 1044 |
| Number Of Beneficiaries Age 75 to 84 | 918 |
| Number Of Beneficiaries Age Greater 84 | 589 |
| Number Of Female Beneficiaries | 1941 |
| Number Of Male Beneficiaries | 1171 |
| Number Of Non Hispanic White Beneficiaries | 2509 |
| Number Of Black or African American Beneficiaries | 454 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 89 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2247 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 865 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9971 |