What is Sunil Lal's specialty?

Sunil Lal (NPI 1952320236) is a Medicare-billing provider whose primary specialty is Gastroenterology in Augusta, GA.

Where does Sunil Lal practice?

Sunil Lal practices in Augusta, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1952320236.

How much does Medicare pay Sunil Lal?

Sunil Lal (NPI 1952320236) received approximately $125K in total Medicare Part B payments, serving 508 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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