| National Provider Identifier [NPI]: | 1306882873 |
| Last Name Of The Provider | CANDOCIA |
| First Name Of The Provider | FABIAN |
| 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 | 1500 BAY RD |
| Street Address 2 Of The Provider | 330 |
| City Of The Provider | MIAMI BEACH |
| Zip Code Of The Provider | 331393252 |
| 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 | 157 |
| Number Of Services | 6643 |
| Number Of Medicare Beneficiaries | 2557 |
| Total Submitted Charge Amount | 1346793.41 |
| Total Medicare Allowed Amount | 215479.8 |
| Total Medicare Payment Amount | 160124.76 |
| Total Medicare Standardized Payment Amount | 155761.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2900 |
| Number Of Medicare Beneficiaries With Drug Services | 25 |
| Total Drug Submitted ChargeAmount | 4528 |
| Total Drug Medicare AllowedAmount | 551.7 |
| Total Drug Medicare PaymentAmount | 432.46 |
| Total Drug Medicare Standardized Payment Amount | 432.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 156 |
| Number Of Medical Services | 3743 |
| Number Of Medicare Beneficiaries With Medical Services | 2557 |
| Total Medical Submitted Charge Amount | 1342265.41 |
| Total Medical Medicare Allowed Amount | 214928.1 |
| Total Medical Medicare Payment Amount | 159692.3 |
| Total Medical Medicare Standardized Payment Amount | 155329.44 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 241 |
| Number Of Beneficiaries Age 65 to 74 | 1147 |
| Number Of Beneficiaries Age 75 to 84 | 855 |
| Number Of Beneficiaries Age Greater 84 | 314 |
| Number Of Female Beneficiaries | 1334 |
| Number Of Male Beneficiaries | 1223 |
| Number Of Non Hispanic White Beneficiaries | 1839 |
| Number Of Black or African American Beneficiaries | 267 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 346 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2170 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 387 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6173 |