| National Provider Identifier [NPI]: | 1518982537 |
| Last Name Of The Provider | LARRICK |
| First Name Of The Provider | RANDY |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1655 W MARKET ST |
| Street Address 2 Of The Provider | 510 |
| City Of The Provider | AKRON |
| Zip Code Of The Provider | 443137004 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 131 |
| Number Of Services | 13471 |
| Number Of Medicare Beneficiaries | 3991 |
| Total Submitted Charge Amount | 1676997.98 |
| Total Medicare Allowed Amount | 219779.38 |
| Total Medicare Payment Amount | 169835.5 |
| Total Medicare Standardized Payment Amount | 179700.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 7658 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 94323.98 |
| Total Drug Medicare AllowedAmount | 1527.15 |
| Total Drug Medicare PaymentAmount | 1197.35 |
| Total Drug Medicare Standardized Payment Amount | 1197.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 130 |
| Number Of Medical Services | 5813 |
| Number Of Medicare Beneficiaries With Medical Services | 3990 |
| Total Medical Submitted Charge Amount | 1582674 |
| Total Medical Medicare Allowed Amount | 218252.23 |
| Total Medical Medicare Payment Amount | 168638.15 |
| Total Medical Medicare Standardized Payment Amount | 178503.09 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 596 |
| Number Of Beneficiaries Age 65 to 74 | 1685 |
| Number Of Beneficiaries Age 75 to 84 | 1118 |
| Number Of Beneficiaries Age Greater 84 | 592 |
| Number Of Female Beneficiaries | 2544 |
| Number Of Male Beneficiaries | 1447 |
| Number Of Non Hispanic White Beneficiaries | 3526 |
| Number Of Black or African American Beneficiaries | 297 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3176 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 815 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5598 |