Advanced Pain Care Clinic PSC

Advanced Pain Care Clinic PSC was paid $1.18M by Medicaid between Jan 2018 and May 2019, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoADVANCED PAIN CARE CLINIC PSC
EVANSVILLE, IN 47714

33aNPI1942378112assigned 12/04/2006

33bProvider typeInterventional Pain Medicine Physician

28Total paid$1.18M

24GClaims40,296

24DCodes billed36

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Interventional Pain Medicine Physician providers in Indiana

Rank by total paid#1 of 17

Median peer was paid$3K

This provider vs. median374×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	36,472	$997K
2019	3,824	$185K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	14,309	12,377	$251K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed	18%	2,174	2,030	$207K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	7,445	6,627	$201K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	17%	6,653	6,237	$201K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	8.1%	3,509	3,280	$95K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.8%	956	860	$56K
64493		2.7%	437	363	$32K
76881		2.1%	478	406	$25K
95911		1.7%	284	239	$20K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	350	320	$17K
64494		1.4%	438	362	$17K
95886		1.3%	319	270	$15K

24 more codes

64495		1.1%	298	$13K
62370		<1%	422	$8K
64635		<1%	21	$6K
64636		<1%	43	$5K
20611		<1%	223	$4K
76942		<1%	129	$2K
95923		<1%	111	$1K
99406		<1%	681	$997.47
27096		<1%	13	$945.73
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	58	$858.82
93923		<1%	169	$787.09
20610		<1%	25	$692.64
99407		<1%	69	$521.94
62323		<1%	12	$238.30
95924		<1%	65	$208.66
20552		<1%	22	$204.39
95921		<1%	87	$75.58
93040		<1%	85	$48.75
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	$26.42
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	15	$2.48
90834	Psychotherapy session, about 45 minutes	0%	265	$0.00
J3490	Unclassified drugs	0%	71	$0.00
A4220	Refill kit for implantable infusion pump	0%	15	$0.00
G0659	Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes	0%	32	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSANAPATI, MAHENDRA (OWNER)

Same official

Other billing entities under SANAPATI, MAHENDRA

Full network →

Provider	Location	Paid
Pain Management Centers of America, PSC	Evansville, IN	$11.24M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.