Physician

Akshay Avula, M.D.

According to 2025 Medicare claims, Akshay Avula, M.D. (NPI: 1104114776) practices critical care (intensivists) in the Harrisburg-Carlisle, PA market, with the plurality of this provider's patient population coming from Dauphin, PA. This provider's primary affiliated billing organization is PINNACLE HEALTH MEDICAL SERVICES (NPI: 1235617317; TIN: 251709054) and primary practice location at 17101-2010. Avula is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Avula's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 186 traditional Medicare patients, billed 429 HCPCS/CPT codes, and received $35,507 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 478 prescription claims across 133 beneficiaries totaling $176,112 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 116 claims. Open Payments data shows 3 records totaling $264. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing started with an early spike, then settled into a lower baseline, moving from $97,491 to $35,507. In contrast, Part D prescription costs have moved sharply higher in recent years, from $2,162 to $176,112. For DME billing, reported payments moved sharply higher in recent years, from $1,566 to $15,811.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	383	1,143	$97,491
2016	340	943	$91,349
2017	165	466	$43,354
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	63	140	$18,556
2021	111	213	$29,144
2022	158	307	$29,432
2023	179	361	$30,646
2024	186	429	$35,507

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	33	72	$2,162
2016	52	92	$2,702
2017	31	55	$3,051
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	24	67	$19,898
2022	108	489	$159,083
2023	118	513	$265,247
2024	133	478	$176,112

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	29	$1,998
2023	N/R	134	$7,000
2024	N/R	116	$5,148

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99291	Critical care, first 30-74 minutes	29	80	$161
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	62	$87
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	57	$85
94727	Test to determine lung volumes using gas dilution or washout	23	23	$9
94729	Test to examine how well the lungs exchange gases	32	32	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	50	2,040	$42,307
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	61	1,980	$40,264
Stiolto Respimat	Tiotropium Br/Olodaterol Hcl	30	900	$13,392
Spiriva Respimat	Tiotropium Bromide	20	780	$12,912
Bevespi Aerosphere	Glycopyrrolate/Formoterol Fum	19	750	$10,043

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	28	$1,598
A7031	Face mask interface, replacement for full face mask, each	N	N/R	12	$933
A7030	Full face mask used with positive airway pressure device, each	N	N/R	11	$895
E1392	Portable oxygen concentrator, rental	Y	N/R	21	$653
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	14	$519

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$264	SANOFI-AVENTIS U.S. LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Akshay Avula, M.D.?

Tedicare shows public-source Medicare data for Akshay Avula, M.D. (NPI 1104114776), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Akshay Avula, M.D. have ACO affiliation data?

Akshay Avula, M.D. is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Akshay Avula, M.D.?

Akshay Avula, M.D. is linked to PINNACLE HEALTH MEDICAL SERVICES (billing NPI 1235617317) in the available physician profile data.

Does Akshay Avula, M.D. have Open Payments data?

Akshay Avula, M.D. has 3 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.