| National Provider Identifier [NPI]: | 1386951887 |
| Last Name Of The Provider | GITHU |
| First Name Of The Provider | TANGAYI |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 13992 |
| Number Of Medicare Beneficiaries | 5277 |
| Total Submitted Charge Amount | 750832.98 |
| Total Medicare Allowed Amount | 294747.87 |
| Total Medicare Payment Amount | 228956.32 |
| Total Medicare Standardized Payment Amount | 250367.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5996 |
| Number Of Medicare Beneficiaries With Drug Services | 67 |
| Total Drug Submitted ChargeAmount | 6659 |
| Total Drug Medicare AllowedAmount | 1596.73 |
| Total Drug Medicare PaymentAmount | 1233.66 |
| Total Drug Medicare Standardized Payment Amount | 1233.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 7996 |
| Number Of Medicare Beneficiaries With Medical Services | 5277 |
| Total Medical Submitted Charge Amount | 744173.98 |
| Total Medical Medicare Allowed Amount | 293151.14 |
| Total Medical Medicare Payment Amount | 227722.66 |
| Total Medical Medicare Standardized Payment Amount | 249133.66 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1000 |
| Number Of Beneficiaries Age 65 to 74 | 1910 |
| Number Of Beneficiaries Age 75 to 84 | 1642 |
| Number Of Beneficiaries Age Greater 84 | 725 |
| Number Of Female Beneficiaries | 3069 |
| Number Of Male Beneficiaries | 2208 |
| Number Of Non Hispanic White Beneficiaries | 4367 |
| Number Of Black or African American Beneficiaries | 810 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4041 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1236 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7272 |