| National Provider Identifier [NPI]: | 1477537090 |
| Last Name Of The Provider | MAKHECHA |
| First Name Of The Provider | SANJIV |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4799 ROSEBUD LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEWBURGH |
| Zip Code Of The Provider | 476309225 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 217 |
| Number Of Services | 7541 |
| Number Of Medicare Beneficiaries | 4609 |
| Total Submitted Charge Amount | 779151 |
| Total Medicare Allowed Amount | 242800.56 |
| Total Medicare Payment Amount | 185862.62 |
| Total Medicare Standardized Payment Amount | 196797.06 |
| 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 | 217 |
| Number Of Medical Services | 7541 |
| Number Of Medicare Beneficiaries With Medical Services | 4609 |
| Total Medical Submitted Charge Amount | 779151 |
| Total Medical Medicare Allowed Amount | 242800.56 |
| Total Medical Medicare Payment Amount | 185862.62 |
| Total Medical Medicare Standardized Payment Amount | 196797.06 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1015 |
| Number Of Beneficiaries Age 65 to 74 | 1645 |
| Number Of Beneficiaries Age 75 to 84 | 1268 |
| Number Of Beneficiaries Age Greater 84 | 681 |
| Number Of Female Beneficiaries | 2720 |
| Number Of Male Beneficiaries | 1889 |
| Number Of Non Hispanic White Beneficiaries | 4311 |
| Number Of Black or African American Beneficiaries | 230 |
| Number Of AsianPacific Islander Beneficiaries | 15 |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3348 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1261 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6213 |