| National Provider Identifier [NPI]: | 1144213141 |
| Last Name Of The Provider | EMRICK |
| First Name Of The Provider | FRED |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 307 HIGHLAND BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | NATCHEZ |
| Zip Code Of The Provider | 391204610 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 167 |
| Number Of Services | 11984 |
| Number Of Medicare Beneficiaries | 4416 |
| Total Submitted Charge Amount | 1502530 |
| Total Medicare Allowed Amount | 298339.66 |
| Total Medicare Payment Amount | 230232.63 |
| Total Medicare Standardized Payment Amount | 242770.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 11984 |
| Number Of Medicare Beneficiaries With Medical Services | 4416 |
| Total Medical Submitted Charge Amount | 1502530 |
| Total Medical Medicare Allowed Amount | 298339.66 |
| Total Medical Medicare Payment Amount | 230232.63 |
| Total Medical Medicare Standardized Payment Amount | 242770.28 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1155 |
| Number Of Beneficiaries Age 65 to 74 | 1584 |
| Number Of Beneficiaries Age 75 to 84 | 1163 |
| Number Of Beneficiaries Age Greater 84 | 514 |
| Number Of Female Beneficiaries | 2842 |
| Number Of Male Beneficiaries | 1574 |
| Number Of Non Hispanic White Beneficiaries | 2291 |
| Number Of Black or African American Beneficiaries | 2088 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2315 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2101 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3804 |