Physician

Sai Avula, M.D.

According to 2025 Medicare claims, Sai Avula, M.D. (NPI: 1467441741) practices internal medicine in the Dothan, AL market, with the plurality of this provider's patient population coming from Houston, AL. This provider's primary affiliated billing organization is DOTHAN MEDICAL ASSOCIATES, P.C. (NPI: 1972693778; TIN: 630991466) and primary practice location at 36301-3001. Avula is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Avula's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,098 traditional Medicare patients, billed 20,274 HCPCS/CPT codes, and received $465,803 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 23,227 prescription claims across 1,017 beneficiaries totaling $2,612,524 in drug costs, led by Ozempic (Semaglutide). DME data shows 660 claims. Open Payments data shows 33 records totaling $774. 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 has declined steadily, from $716,254 to $465,803. In contrast, Part D prescription costs have risen steadily, from $1,382,751 to $2,612,524. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$374K$749K2015 Medicare payment: $716,254 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $748,886 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $709,301 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $632,306 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $573,387 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $423,049 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $440,466 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $413,717 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $550,009 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $465,803 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,68819,240$716,254
20162,28017,552$748,886
20172,17016,812$709,301
20182,04815,505$632,306
20191,90414,416$573,387
20201,75511,235$423,049
20211,61711,032$440,466
20221,0079,134$413,717
20231,36112,748$550,009
20241,09820,274$465,803

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.4M$2.8M2015 Drug cost: $1,382,751 (USD; Tot_Drug_Cst)2016 Drug cost: $1,365,872 (USD; Tot_Drug_Cst)2017 Drug cost: $1,562,025 (USD; Tot_Drug_Cst)2018 Drug cost: $1,718,213 (USD; Tot_Drug_Cst)2019 Drug cost: $1,753,405 (USD; Tot_Drug_Cst)2020 Drug cost: $1,817,965 (USD; Tot_Drug_Cst)2021 Drug cost: $1,931,896 (USD; Tot_Drug_Cst)2022 Drug cost: $2,205,125 (USD; Tot_Drug_Cst)2023 Drug cost: $2,825,185 (USD; Tot_Drug_Cst)2024 Drug cost: $2,612,524 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201583318,371$1,382,751
201679417,078$1,365,872
201782418,561$1,562,025
201881719,482$1,718,213
201982219,659$1,753,405
202080919,311$1,817,965
202183018,214$1,931,896
202284719,605$2,205,125
20231,04221,687$2,825,185
20241,01723,227$2,612,524

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$88K$177K2015 Medicare payment: $163,465 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $133,060 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $107,384 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $84,275 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $67,738 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $77,717 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $111,841 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $147,443 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $158,646 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $176,555 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20157082,265$163,465
20166852,536$133,060
20174871,774$107,384
20183381,399$84,275
20192621,009$67,738
2020155842$77,717
2021115852$111,841
2022121744$147,443
2023109710$158,646
202483660$176,555

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4001,648$85
80061Blood test, lipids (cholesterol and triglycerides)372718$13
80053Blood test, comprehensive group of blood chemicals375769$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count383968$8
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only569767$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide28012,361$370,103
FarxigaDapagliflozin Propanediol23413,231$240,099
MounjaroTirzepatide1255,222$196,216
EliquisApixaban1789,567$180,650
TrulicityDulaglutide1134,914$169,623

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)Y12110$96,163
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN32124$51,828
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, eachYN/R11$9,194
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY1279$6,000
K0823Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 poundsYN/R13$2,953

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.33$774GlaxoSmithKline, LLC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

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

Tedicare shows public-source Medicare data for Sai Avula, M.D. (NPI 1467441741), 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 Sai Avula, M.D. have ACO affiliation data?

Sai Avula, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

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

Sai Avula, M.D. is linked to DOTHAN MEDICAL ASSOCIATES, P.C. (billing NPI 1972693778) in the available physician profile data.

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

Sai Avula, M.D. has 33 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.