| National Provider Identifier [NPI]: | 1679574347 |
| Last Name Of The Provider | KREINBRING |
| First Name Of The Provider | KYLE |
| Middle Initial Of The Provider | R |
| 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 | 212 |
| Number Of Services | 6192 |
| Number Of Medicare Beneficiaries | 3979 |
| Total Submitted Charge Amount | 644809.11 |
| Total Medicare Allowed Amount | 191698.19 |
| Total Medicare Payment Amount | 150114.95 |
| Total Medicare Standardized Payment Amount | 155770.4 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 192 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 1378.65 |
| Total Drug Medicare AllowedAmount | 378.82 |
| Total Drug Medicare PaymentAmount | 297.06 |
| Total Drug Medicare Standardized Payment Amount | 297.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 6000 |
| Number Of Medicare Beneficiaries With Medical Services | 3979 |
| Total Medical Submitted Charge Amount | 643430.46 |
| Total Medical Medicare Allowed Amount | 191319.37 |
| Total Medical Medicare Payment Amount | 149817.89 |
| Total Medical Medicare Standardized Payment Amount | 155473.34 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 560 |
| Number Of Beneficiaries Age 65 to 74 | 1508 |
| Number Of Beneficiaries Age 75 to 84 | 1248 |
| Number Of Beneficiaries Age Greater 84 | 663 |
| Number Of Female Beneficiaries | 2617 |
| Number Of Male Beneficiaries | 1362 |
| Number Of Non Hispanic White Beneficiaries | 3657 |
| Number Of Black or African American Beneficiaries | 174 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 110 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3199 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 780 |
| 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 | 25 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 50 |
| 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 | 1.3956 |