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Dr. Raphael A. Carandang, MD

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Specializes in: Vascular Neurology

University of the East, Ramon Magsaysay Memorial Medical Center

Professional interests include: traumatic brain injury, cerebrovascular disease, intensive care, and more.

14 Prospect Street
Milford, MA 01757

(508) 847-1190

Dr. Raphael A. Carandang, MD is a vascular neurologist in Milford, MA specializing in vascular neurology. He graduated from University of the East, Ramon Magsaysay Memorial Medical Center. Dr. Raphael A. Carandang, MD is affiliated with Day Kimball Healthcare, UMass Memorial Medical Center, UMass Memorial Health and UMASS MEMORIAL MEDICAL GROUP INC.

Office Locations

UMass Memorial Health

14 Prospect Street
Milford, MA 01757

(508) 847-1190

(508) 863-3687

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UMass Memorial Health

55 Lake Avenue North
Worcester, MA 01655

(508) 334-2527

(508) 856-6778

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Some issues Dr. Raphael A. Carandang, MD can help you with:

Ischemic Stroke

Ischemic stroke is the more common form of stroke and occurs when a blood vessel in the brain becomes blocked. Ischemic strokes are caused by blood clots or by built-up plaque (deposits of fat and cholesterol) in the arteries and are dangerous medical events that require immediate treatment.

Ischemic strokes are severe because it restricts blood flow and an inadequate blood supply damages the brain, which cannot function without a steady supply of oxygen and nutrients. Ischemic strokes may alter appearance by leaving one side of the face paralyzed, also affecting speech and communication. Additionally, ischemic strokes can result in impaired movement, cognitive ability, and can impede important physical functions like walking.

The main cause of ischemic stroke is from plaque (deposits of fat and cholesterol) accumulating in blood vessels. Plaque causes atherosclerosis, a condition where the blood vessels narrow and harden with cholesterol, fat, and calcium, causing damage to the endothelium (inner layer of cells in the arteries), which in turn restricts blood flow. At some point, a large blockage of plaque or bits of broken up plaque may result in an ischemic stroke.

People who are older are more likely to have ischemic strokes due to accumulated plaque. Additionally, certain repeated behaviors are associated with an increased risk of ischemic stroke. These behaviors include:

Smoking
High fat diet
Lack of exercise
High salt diet
Alcohol abuse

Conditions such as heart disease, diabetes, high blood pressure, and high levels of cholesterol and lipids are also known to be correlated with ischemic strokes. If possible, people are advised to avoid modifiable risk factors (factors one can change themselves) such as smoking and lack of exercise by keeping an active lifestyle and a healthy diet.

Signs of stroke include:

Disorientation or confusion
Difficulty speaking
Difficulty walking
Impaired vision
Weakness in the face, legs, or arms
Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Hospital treatment generally begins immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed using a catheter (thin needle) to the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Ischemic stroke patients who have lost some essential functions while the blood flow to their brain was obstructed may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, ischemic stroke rehabilitation can last for years.

If someone begins to show signs of ischemic stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate ischemic stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2012 were hospital care, inpatient care and emergency care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

emergency care	12
hospital care	199
inpatient care	199

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2013 were hospital care, inpatient care and emergency care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

emergency care	15
hospital care	265
inpatient care	265

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	115
Female	99

**Ethnicity**
Non-Hispanic White	200
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	63
85 and over	49
Less than 65	49

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2013

Hypertension	75
High Cholesterol	70
Stroke	73
Ischemic Heart Disease	64
Depression	47
Chronic Kidney Disease	47
Asthma	10
Osteoperosis	6
Atrial Fibrilation	35
Heart Failure	45
Chronic Obstructive Pulmonary Disease	25
Diabetes	44
Dementia	31
Cancer	13

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2014 were hospital care, inpatient care and emergency care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

emergency care	38
hospital care	277
inpatient care	277

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	139
Female	129

**Ethnicity**
Non-Hispanic White	239
Black	0
Hispanic	18
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	86
From 75 to 84	77
85 and over	55
Less than 65	50

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	59
Depression	35
Chronic Kidney Disease	46
Asthma	10
Osteoperosis	9
Atrial Fibrilation	35
Heart Failure	40
Chronic Obstructive Pulmonary Disease	20
Diabetes	41
Dementia	26
Cancer	16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	267
inpatient care	267

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	234
Female	244

**Ethnicity**
Non-Hispanic White	448
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	136
From 75 to 84	162
85 and over	110
Less than 65	70

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2015

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	54
Depression	50
Chronic Kidney Disease	53
Asthma	18
Osteoperosis	12
Atrial Fibrilation	29
Heart Failure	39
Chronic Obstructive Pulmonary Disease	26
Diabetes	43
Dementia	38
Cancer	19

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	223
inpatient care	223

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	109
Female	111

**Ethnicity**
Non-Hispanic White	197
Black	0
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	74
85 and over	39
Less than 65	38

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	71
Ischemic Heart Disease	51
Depression	49
Chronic Kidney Disease	51
Asthma	26
Osteoperosis	8
Atrial Fibrilation	30
Heart Failure	42
Chronic Obstructive Pulmonary Disease	24
Diabetes	37
Dementia	37
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	173
inpatient care	173

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	93
Female	83

**Ethnicity**
Non-Hispanic White	161
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	58
From 75 to 84	49
85 and over	39
Less than 65	30

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2017

Hypertension	75
High Cholesterol	75
Stroke	69
Ischemic Heart Disease	51
Depression	49
Chronic Kidney Disease	52
Asthma	14
Osteoperosis	14
Atrial Fibrilation	28
Heart Failure	37
Chronic Obstructive Pulmonary Disease	25
Diabetes	38
Dementia	43
Cancer	16

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	158
inpatient care	158

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	98
Female	79

**Ethnicity**
Non-Hispanic White	157
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	66
From 75 to 84	43
85 and over	26
Less than 65	42

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2018

Hypertension	75
High Cholesterol	71
Stroke	72
Ischemic Heart Disease	54
Depression	48
Chronic Kidney Disease	54
Asthma	8
Osteoperosis	8
Atrial Fibrilation	29
Heart Failure	32
Chronic Obstructive Pulmonary Disease	22
Diabetes	36
Dementia	34
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	140
inpatient care	140

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	80
Female	81

**Ethnicity**
Non-Hispanic White	140
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	43
85 and over	33
Less than 65	31

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	52
Depression	48
Chronic Kidney Disease	60
Asthma	9
Osteoperosis	9
Atrial Fibrilation	29
Heart Failure	39
Chronic Obstructive Pulmonary Disease	28
Diabetes	42
Dementia	40
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	113
inpatient care	113

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	81
Female	78

**Ethnicity**
Non-Hispanic White	135
Black	0
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	54
85 and over	31
Less than 65	28

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	71
Ischemic Heart Disease	53
Depression	50
Chronic Kidney Disease	62
Asthma	12
Osteoperosis	8
Atrial Fibrilation	38
Heart Failure	40
Chronic Obstructive Pulmonary Disease	31
Diabetes	43
Dementia	35
Cancer	16

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	188
inpatient care	188

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	109
Female	100

**Ethnicity**
Non-Hispanic White	180
Black	11
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	62
From 75 to 84	65
85 and over	47
Less than 65	35

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	59
Ischemic Heart Disease	58
Depression	45
Chronic Kidney Disease	69
Asthma	11
Osteoperosis	12
Atrial Fibrilation	28
Heart Failure	41
Chronic Obstructive Pulmonary Disease	26
Diabetes	44
Dementia	37
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

hospital care	133
inpatient care	133

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	72
Female	72

**Ethnicity**
Non-Hispanic White	127
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	44
85 and over	37
Less than 65	20

Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	48
Depression	39
Chronic Kidney Disease	49
Asthma	13
Osteoperosis	15
Atrial Fibrilation	42
Heart Failure	38
Chronic Obstructive Pulmonary Disease	38
Diabetes	35
Dementia	33
Cancer	26

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Raphael A. Carandang, MD for Medicare patients.

The highest averages for the top procedures that Dr. Raphael A. Carandang, MD treated as a vascular neurologist in Milford, MA were hospital care, inpatient care and emergency care.

emergency care	21
hospital care	194
inpatient care	194

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Raphael A. Carandang, MD.

**Gender**
Male	102
Female	97

**Ethnicity**
Black / African American	1
Asian / Pacific Islander	0
Non-Hispanic White	180
Hispanic	3
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	61
85 and over	42
Less than 65	35
65 to 74	61

Average of Total of Conditions of Medicare patients treated by Dr. Raphael A. Carandang, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Raphael A. Carandang, MD treated were hypertension, high cholesterol, stroke and chronic kidney disease.

Hypertension	68
High Cholesterol	67
Stroke	65
Ischemic Heart Disease	49
Depression	41
Chronic Kidney Disease	49
Asthma	11
Osteoporosis	9
Heart Failure	35
Chronic Obstructive Pulmonary Disease	24
Diabetes	36
Atrial Fibrillation	29
Cancer	14
Dementia	32

Education & Training

Dr. Raphael A. Carandang, MD graduated from University of the East, Ramon Magsaysay Memorial Medical Center. He completed residency at Boston Medical Center. He is certified by the Board Certification: Vascular Neurology and has a state license in Massachusetts.

Medical School: University of the East, Ramon Magsaysay Memorial Medical Center

Residency: Boston Medical Center

Board Certification: Board Certification: Vascular Neurology

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Raphael A. Carandang, MD is associated with these hospitals and organizations:

Day Kimball Healthcare

UMass Memorial Medical Center

UMass Memorial Health

UMASS MEMORIAL MEDICAL GROUP INC

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General Payments

These charts describe general payments received by Dr. Raphael A. Carandang, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Biogen, Inc.	$48 $48

**Types of Payments**
Food and Beverage	$48

Research Payments

Dr. Raphael A. Carandang, MD has received 1 research payments totaling $14,321.

Biography

Dr. Raphael Carandang's specialty is vascular neurology. Dr. Carandang graduated from the University of the East, Ramon Magsaysay Memorial Medical Center and then he performed his residency at Boston Medical Center. His areas of expertise include traumatic brain injury, ischemic stroke, and neurocritical care. He is conversant in Filipino. Dr. Carandang's professional affiliations include Day Kimball Healthcare and UMass Memorial Medical Center.