| National Provider Identifier [NPI]: | 1992805410 |
| Last Name Of The Provider | GUTTI |
| First Name Of The Provider | SAI |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 515 N BYPASS RD |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | PIKEVILLE |
| Zip Code Of The Provider | 415011331 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pain Management |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 29 |
| Number Of Services | 9623 |
| Number Of Medicare Beneficiaries | 675 |
| Total Submitted Charge Amount | 1308693 |
| Total Medicare Allowed Amount | 368074.68 |
| Total Medicare Payment Amount | 261604.62 |
| Total Medicare Standardized Payment Amount | 289529.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5164 |
| Number Of Medicare Beneficiaries With Drug Services | 421 |
| Total Drug Submitted ChargeAmount | 154893 |
| Total Drug Medicare AllowedAmount | 26523.41 |
| Total Drug Medicare PaymentAmount | 20127.91 |
| Total Drug Medicare Standardized Payment Amount | 20127.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 27 |
| Number Of Medical Services | 4459 |
| Number Of Medicare Beneficiaries With Medical Services | 675 |
| Total Medical Submitted Charge Amount | 1153800 |
| Total Medical Medicare Allowed Amount | 341551.27 |
| Total Medical Medicare Payment Amount | 241476.71 |
| Total Medical Medicare Standardized Payment Amount | 269401.7 |
| Average Age Of Beneficiaries | 55 |
| Number Of Beneficiaries Age Less65 | 498 |
| Number Of Beneficiaries Age 65 to 74 | 136 |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 279 |
| Number Of Male Beneficiaries | 396 |
| Number Of Non Hispanic White Beneficiaries | 663 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 0 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 243 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 432 |
| Percent Of With Atrial Fibrillation | 4 |
| Percent Of With Alzheimers Disease or Dementia | 4 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 4 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 3 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.257 |