| National Provider Identifier [NPI]: | 1720026255 |
| Last Name Of The Provider | EDMONDSON |
| First Name Of The Provider | MARSHALL |
| 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 | 620 CROSSOVER ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014944 |
| 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 | 166 |
| Number Of Services | 23000 |
| Number Of Medicare Beneficiaries | 10212 |
| Total Submitted Charge Amount | 1292494.25 |
| Total Medicare Allowed Amount | 392374.05 |
| Total Medicare Payment Amount | 297893.17 |
| Total Medicare Standardized Payment Amount | 322429.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6250 |
| Number Of Medicare Beneficiaries With Drug Services | 68 |
| Total Drug Submitted ChargeAmount | 6414.64 |
| Total Drug Medicare AllowedAmount | 1173.55 |
| Total Drug Medicare PaymentAmount | 897.04 |
| Total Drug Medicare Standardized Payment Amount | 897.04 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 164 |
| Number Of Medical Services | 16750 |
| Number Of Medicare Beneficiaries With Medical Services | 10212 |
| Total Medical Submitted Charge Amount | 1286079.61 |
| Total Medical Medicare Allowed Amount | 391200.5 |
| Total Medical Medicare Payment Amount | 296996.13 |
| Total Medical Medicare Standardized Payment Amount | 321532.51 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 2626 |
| Number Of Beneficiaries Age 65 to 74 | 3762 |
| Number Of Beneficiaries Age 75 to 84 | 2664 |
| Number Of Beneficiaries Age Greater 84 | 1160 |
| Number Of Female Beneficiaries | 6749 |
| Number Of Male Beneficiaries | 3463 |
| Number Of Non Hispanic White Beneficiaries | 8309 |
| Number Of Black or African American Beneficiaries | 1809 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6282 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3930 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3719 |