| National Provider Identifier [NPI]: | 1831148923 |
| Last Name Of The Provider | TIEMANN |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 705 DUNN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUMA |
| Zip Code Of The Provider | 703604765 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 225 |
| Number Of Services | 10361 |
| Number Of Medicare Beneficiaries | 4511 |
| Total Submitted Charge Amount | 1104947 |
| Total Medicare Allowed Amount | 282362.92 |
| Total Medicare Payment Amount | 218923.32 |
| Total Medicare Standardized Payment Amount | 228425.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1440 |
| Number Of Medicare Beneficiaries With Drug Services | 20 |
| Total Drug Submitted ChargeAmount | 2385 |
| Total Drug Medicare AllowedAmount | 424.05 |
| Total Drug Medicare PaymentAmount | 332.45 |
| Total Drug Medicare Standardized Payment Amount | 332.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 222 |
| Number Of Medical Services | 8921 |
| Number Of Medicare Beneficiaries With Medical Services | 4511 |
| Total Medical Submitted Charge Amount | 1102562 |
| Total Medical Medicare Allowed Amount | 281938.87 |
| Total Medical Medicare Payment Amount | 218590.87 |
| Total Medical Medicare Standardized Payment Amount | 228092.87 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1124 |
| Number Of Beneficiaries Age 65 to 74 | 1654 |
| Number Of Beneficiaries Age 75 to 84 | 1223 |
| Number Of Beneficiaries Age Greater 84 | 510 |
| Number Of Female Beneficiaries | 2745 |
| Number Of Male Beneficiaries | 1766 |
| Number Of Non Hispanic White Beneficiaries | 3412 |
| Number Of Black or African American Beneficiaries | 934 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 99 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2814 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1697 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.551 |