| National Provider Identifier [NPI]: | 1295736692 |
| Last Name Of The Provider | KEDEM |
| First Name Of The Provider | CAROLINE |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 11TH CR |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329604804 |
| 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 | 11024 |
| Number Of Medicare Beneficiaries | 4726 |
| Total Submitted Charge Amount | 955313.49 |
| Total Medicare Allowed Amount | 541814.34 |
| Total Medicare Payment Amount | 443062.89 |
| Total Medicare Standardized Payment Amount | 426147.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2758 |
| Number Of Medicare Beneficiaries With Drug Services | 72 |
| Total Drug Submitted ChargeAmount | 3556.5 |
| Total Drug Medicare AllowedAmount | 1789.57 |
| Total Drug Medicare PaymentAmount | 1403.03 |
| Total Drug Medicare Standardized Payment Amount | 1403.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 8266 |
| Number Of Medicare Beneficiaries With Medical Services | 4726 |
| Total Medical Submitted Charge Amount | 951756.99 |
| Total Medical Medicare Allowed Amount | 540024.77 |
| Total Medical Medicare Payment Amount | 441659.86 |
| Total Medical Medicare Standardized Payment Amount | 424744.62 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 395 |
| Number Of Beneficiaries Age 65 to 74 | 1808 |
| Number Of Beneficiaries Age 75 to 84 | 1609 |
| Number Of Beneficiaries Age Greater 84 | 914 |
| Number Of Female Beneficiaries | 3284 |
| Number Of Male Beneficiaries | 1442 |
| Number Of Non Hispanic White Beneficiaries | 4398 |
| Number Of Black or African American Beneficiaries | 167 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 102 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4191 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 535 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4177 |