| National Provider Identifier [NPI]: | 1609877265 |
| Last Name Of The Provider | SWANSON |
| First Name Of The Provider | JOHN |
| 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 | 229 |
| Number Of Services | 6733 |
| Number Of Medicare Beneficiaries | 4109 |
| Total Submitted Charge Amount | 782368.33 |
| Total Medicare Allowed Amount | 225143.11 |
| Total Medicare Payment Amount | 175380.12 |
| Total Medicare Standardized Payment Amount | 182023.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 267 |
| Number Of Medicare Beneficiaries With Drug Services | 26 |
| Total Drug Submitted ChargeAmount | 1919.4 |
| Total Drug Medicare AllowedAmount | 527.55 |
| Total Drug Medicare PaymentAmount | 412.38 |
| Total Drug Medicare Standardized Payment Amount | 412.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 228 |
| Number Of Medical Services | 6466 |
| Number Of Medicare Beneficiaries With Medical Services | 4109 |
| Total Medical Submitted Charge Amount | 780448.93 |
| Total Medical Medicare Allowed Amount | 224615.56 |
| Total Medical Medicare Payment Amount | 174967.74 |
| Total Medical Medicare Standardized Payment Amount | 181611.22 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 645 |
| Number Of Beneficiaries Age 65 to 74 | 1534 |
| Number Of Beneficiaries Age 75 to 84 | 1248 |
| Number Of Beneficiaries Age Greater 84 | 682 |
| Number Of Female Beneficiaries | 2494 |
| Number Of Male Beneficiaries | 1615 |
| Number Of Non Hispanic White Beneficiaries | 3721 |
| Number Of Black or African American Beneficiaries | 209 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 120 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3215 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 894 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5259 |