| National Provider Identifier [NPI]: | 1073514758 |
| Last Name Of The Provider | PATRAMANIS |
| First Name Of The Provider | GEORGE |
| Middle Initial Of The Provider | M |
| 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 | 213 |
| Number Of Services | 7875 |
| Number Of Medicare Beneficiaries | 4892 |
| Total Submitted Charge Amount | 815553.57 |
| Total Medicare Allowed Amount | 235343.41 |
| Total Medicare Payment Amount | 186180.09 |
| Total Medicare Standardized Payment Amount | 194097.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 293 |
| Number Of Medicare Beneficiaries With Drug Services | 33 |
| Total Drug Submitted ChargeAmount | 2105.6 |
| Total Drug Medicare AllowedAmount | 579.29 |
| Total Drug Medicare PaymentAmount | 454.27 |
| Total Drug Medicare Standardized Payment Amount | 454.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 212 |
| Number Of Medical Services | 7582 |
| Number Of Medicare Beneficiaries With Medical Services | 4892 |
| Total Medical Submitted Charge Amount | 813447.97 |
| Total Medical Medicare Allowed Amount | 234764.12 |
| Total Medical Medicare Payment Amount | 185725.82 |
| Total Medical Medicare Standardized Payment Amount | 193643.2 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 680 |
| Number Of Beneficiaries Age 65 to 74 | 1926 |
| Number Of Beneficiaries Age 75 to 84 | 1493 |
| Number Of Beneficiaries Age Greater 84 | 793 |
| Number Of Female Beneficiaries | 3140 |
| Number Of Male Beneficiaries | 1752 |
| Number Of Non Hispanic White Beneficiaries | 4492 |
| Number Of Black or African American Beneficiaries | 214 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 128 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3954 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 938 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4137 |