| National Provider Identifier [NPI]: | 1205837804 |
| Last Name Of The Provider | CREMER |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 615 VALLEY VIEW DR. |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | MOLINE |
| Zip Code Of The Provider | 612656180 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 217 |
| Number Of Services | 6611 |
| Number Of Medicare Beneficiaries | 4362 |
| Total Submitted Charge Amount | 756207.61 |
| Total Medicare Allowed Amount | 222619.34 |
| Total Medicare Payment Amount | 174235.68 |
| Total Medicare Standardized Payment Amount | 181537.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 132 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 948.15 |
| Total Drug Medicare AllowedAmount | 263.04 |
| Total Drug Medicare PaymentAmount | 179.25 |
| Total Drug Medicare Standardized Payment Amount | 179.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 216 |
| Number Of Medical Services | 6479 |
| Number Of Medicare Beneficiaries With Medical Services | 4362 |
| Total Medical Submitted Charge Amount | 755259.46 |
| Total Medical Medicare Allowed Amount | 222356.3 |
| Total Medical Medicare Payment Amount | 174056.43 |
| Total Medical Medicare Standardized Payment Amount | 181358.52 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 673 |
| Number Of Beneficiaries Age 65 to 74 | 1670 |
| Number Of Beneficiaries Age 75 to 84 | 1283 |
| Number Of Beneficiaries Age Greater 84 | 736 |
| Number Of Female Beneficiaries | 2788 |
| Number Of Male Beneficiaries | 1574 |
| Number Of Non Hispanic White Beneficiaries | 3982 |
| Number Of Black or African American Beneficiaries | 221 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 117 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3456 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 906 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4243 |