| National Provider Identifier [NPI]: | 1154325959 |
| Last Name Of The Provider | SANAPATI |
| First Name Of The Provider | MAHENDRA |
| 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 | 1101 PROFESSIONAL BLVD |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | EVANSVILLE |
| Zip Code Of The Provider | 477148016 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Pain Management |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 101 |
| Number Of Services | 44607 |
| Number Of Medicare Beneficiaries | 1945 |
| Total Submitted Charge Amount | 2376885.92 |
| Total Medicare Allowed Amount | 1236196.68 |
| Total Medicare Payment Amount | 1085744.84 |
| Total Medicare Standardized Payment Amount | 842032.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 1837 |
| Number Of Medicare Beneficiaries With Drug Services | 74 |
| Total Drug Submitted ChargeAmount | 20330.14 |
| Total Drug Medicare AllowedAmount | 5046.69 |
| Total Drug Medicare PaymentAmount | 3618.5 |
| Total Drug Medicare Standardized Payment Amount | 3618.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 42770 |
| Number Of Medicare Beneficiaries With Medical Services | 1945 |
| Total Medical Submitted Charge Amount | 2356555.78 |
| Total Medical Medicare Allowed Amount | 1231149.99 |
| Total Medical Medicare Payment Amount | 1082126.34 |
| Total Medical Medicare Standardized Payment Amount | 838413.64 |
| Average Age Of Beneficiaries | 58 |
| Number Of Beneficiaries Age Less65 | 1298 |
| Number Of Beneficiaries Age 65 to 74 | 450 |
| Number Of Beneficiaries Age 75 to 84 | 164 |
| Number Of Beneficiaries Age Greater 84 | 33 |
| Number Of Female Beneficiaries | 1144 |
| Number Of Male Beneficiaries | 801 |
| Number Of Non Hispanic White Beneficiaries | 1738 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 848 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1097 |
| Percent Of With Atrial Fibrillation | 5 |
| Percent Of With Alzheimers Disease or Dementia | 4 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 5 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 49 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 45 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.3307 |