| National Provider Identifier [NPI]: | 1639328362 |
| Last Name Of The Provider | ROJAS |
| First Name Of The Provider | CARLOS |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DRIVE |
| Street Address 2 Of The Provider | RADIOLOGY ASSOC OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| 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 | 199 |
| Number Of Services | 15020 |
| Number Of Medicare Beneficiaries | 4831 |
| Total Submitted Charge Amount | 1331585 |
| Total Medicare Allowed Amount | 418594.58 |
| Total Medicare Payment Amount | 320529.17 |
| Total Medicare Standardized Payment Amount | 325222.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8227 |
| Number Of Medicare Beneficiaries With Drug Services | 143 |
| Total Drug Submitted ChargeAmount | 14366 |
| Total Drug Medicare AllowedAmount | 2815.17 |
| Total Drug Medicare PaymentAmount | 2144.98 |
| Total Drug Medicare Standardized Payment Amount | 2144.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 196 |
| Number Of Medical Services | 6793 |
| Number Of Medicare Beneficiaries With Medical Services | 4825 |
| Total Medical Submitted Charge Amount | 1317219 |
| Total Medical Medicare Allowed Amount | 415779.41 |
| Total Medical Medicare Payment Amount | 318384.19 |
| Total Medical Medicare Standardized Payment Amount | 323078 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 829 |
| Number Of Beneficiaries Age 65 to 74 | 1889 |
| Number Of Beneficiaries Age 75 to 84 | 1463 |
| Number Of Beneficiaries Age Greater 84 | 650 |
| Number Of Female Beneficiaries | 2709 |
| Number Of Male Beneficiaries | 2122 |
| Number Of Non Hispanic White Beneficiaries | 3773 |
| Number Of Black or African American Beneficiaries | 490 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 439 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3776 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1055 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.9514 |