PROVIDER PROFILE · NPI 1952320236

Sunil LalM.D.

PRACTICEAUGUSTA PRIMARY CARE SERVICES, LLCSee all providers at this practice →

GastroenterologyAugusta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,010

Unique beneficiaries

—

Total services

1,239

Distinct HCPCS

Medicare payment

$118K

Peer benchmark

Total Medicare services vs. 389 Gastroenterology providers in GA — above median (cohort median 747).

PRESCRIBING · PART D · 2024

Total Rx claims

1,529

Beneficiaries

—

Total drug cost

$1.6M

Distinct drugs

Brand share

39.4%

Top prescribed drugs

Promethazine Hcl314 claims

Pantoprazole Sodium278 claims

Sodium, Potassium,mag Sulfates197 claims

Linaclotide95 claims

Famotidine91 claims

QUALITY · MIPS · 2024

Final MIPS score

99.2

Quality

0.0

Cost

77.6

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

1.02%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

108

By payment type

Food and Beverage$2K

Education$19

REFERRAL NETWORK

Where Sunil Lal's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 78 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Gold Cross Ems, Inc. Ambulance Service Provider · Martinez, GA	122	468
James Davis Diagnostic Radiology · Evans, GA	111	396
Rodney Hobbs Diagnostic Radiology · Evans, GA	109	343
William Johnson Diagnostic Radiology · Evans, GA	105	450
Jose Bauza Diagnostic Radiology · Augusta, GA	98	356
PRATHER, STUART	92	263
SELECT SPECIALTY HOSPITAL - AUGUSTA INC	92	192
Forrest Walker Diagnostic Radiology · Augusta, GA	88	289
Harold Jones Diagnostic Radiology · Evans, GA	88	324
Stephen Adams Pathology · Augusta, GA	86	268
BROOKS, WILLIAM	73	204
AU MEDICAL CENTER, INC	63	206

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history