| National Provider Identifier [NPI]: | 1760469548 |
| Last Name Of The Provider | TIRMAN |
| First Name Of The Provider | PHILLIP |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 504 REDWOOD BLVD |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | NOVATO |
| Zip Code Of The Provider | 949476922 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 106 |
| Number Of Services | 5070 |
| Number Of Medicare Beneficiaries | 2429 |
| Total Submitted Charge Amount | 3518357.41 |
| Total Medicare Allowed Amount | 617056.2 |
| Total Medicare Payment Amount | 460784.16 |
| Total Medicare Standardized Payment Amount | 412326.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1707 |
| Number Of Medicare Beneficiaries With Drug Services | 83 |
| Total Drug Submitted ChargeAmount | 2762.44 |
| Total Drug Medicare AllowedAmount | 1550.26 |
| Total Drug Medicare PaymentAmount | 1215.41 |
| Total Drug Medicare Standardized Payment Amount | 1215.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 3363 |
| Number Of Medicare Beneficiaries With Medical Services | 2428 |
| Total Medical Submitted Charge Amount | 3515594.97 |
| Total Medical Medicare Allowed Amount | 615505.94 |
| Total Medical Medicare Payment Amount | 459568.75 |
| Total Medical Medicare Standardized Payment Amount | 411110.8 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 351 |
| Number Of Beneficiaries Age 65 to 74 | 1194 |
| Number Of Beneficiaries Age 75 to 84 | 643 |
| Number Of Beneficiaries Age Greater 84 | 241 |
| Number Of Female Beneficiaries | 1518 |
| Number Of Male Beneficiaries | 911 |
| Number Of Non Hispanic White Beneficiaries | 1299 |
| Number Of Black or African American Beneficiaries | 175 |
| Number Of AsianPacific Islander Beneficiaries | 493 |
| Number Of Hispanic Beneficiaries | 377 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1290 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1139 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 74 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.4566 |