| National Provider Identifier [NPI]: | 1467441741 |
| Last Name Of The Provider | AVULA |
| First Name Of The Provider | SAI |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1118 ROSS CLARK CIR |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | DOTHAN |
| Zip Code Of The Provider | 363013001 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 107 |
| Number Of Services | 18373 |
| Number Of Medicare Beneficiaries | 2295 |
| Total Submitted Charge Amount | 1224082.5 |
| Total Medicare Allowed Amount | 802550.81 |
| Total Medicare Payment Amount | 610623.93 |
| Total Medicare Standardized Payment Amount | 658718.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 14 |
| Number Of Drug Services | 908 |
| Number Of Medicare Beneficiaries With Drug Services | 449 |
| Total Drug Submitted ChargeAmount | 24401 |
| Total Drug Medicare AllowedAmount | 16467.79 |
| Total Drug Medicare PaymentAmount | 14462.52 |
| Total Drug Medicare Standardized Payment Amount | 14462.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 17465 |
| Number Of Medicare Beneficiaries With Medical Services | 2295 |
| Total Medical Submitted Charge Amount | 1199681.5 |
| Total Medical Medicare Allowed Amount | 786083.02 |
| Total Medical Medicare Payment Amount | 596161.41 |
| Total Medical Medicare Standardized Payment Amount | 644255.55 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 542 |
| Number Of Beneficiaries Age 65 to 74 | 842 |
| Number Of Beneficiaries Age 75 to 84 | 623 |
| Number Of Beneficiaries Age Greater 84 | 288 |
| Number Of Female Beneficiaries | 1372 |
| Number Of Male Beneficiaries | 923 |
| Number Of Non Hispanic White Beneficiaries | 1659 |
| Number Of Black or African American Beneficiaries | 581 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1489 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 806 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8024 |