| National Provider Identifier [NPI]: | 1922033745 |
| Last Name Of The Provider | TIGGES |
| First Name Of The Provider | STEFAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | THE EMORY CINIC RADIOLOGY 1365 CLIFTON RD |
| Street Address 2 Of The Provider | SUITE AT500 |
| City Of The Provider | ATLANTA |
| Zip Code Of The Provider | 303220001 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 22 |
| Number Of Services | 6408 |
| Number Of Medicare Beneficiaries | 4562 |
| Total Submitted Charge Amount | 388282 |
| Total Medicare Allowed Amount | 131797.94 |
| Total Medicare Payment Amount | 98056.75 |
| Total Medicare Standardized Payment Amount | 102255.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 22 |
| Number Of Medical Services | 6408 |
| Number Of Medicare Beneficiaries With Medical Services | 4562 |
| Total Medical Submitted Charge Amount | 388282 |
| Total Medical Medicare Allowed Amount | 131797.94 |
| Total Medical Medicare Payment Amount | 98056.75 |
| Total Medical Medicare Standardized Payment Amount | 102255.15 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1108 |
| Number Of Beneficiaries Age 65 to 74 | 1778 |
| Number Of Beneficiaries Age 75 to 84 | 1129 |
| Number Of Beneficiaries Age Greater 84 | 547 |
| Number Of Female Beneficiaries | 2196 |
| Number Of Male Beneficiaries | 2366 |
| Number Of Non Hispanic White Beneficiaries | 2629 |
| Number Of Black or African American Beneficiaries | 1735 |
| Number Of AsianPacific Islander Beneficiaries | 67 |
| Number Of Hispanic Beneficiaries | 68 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3269 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1293 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.3547 |