| National Provider Identifier [NPI]: | 1225270440 |
| Last Name Of The Provider | PUKIS |
| First Name Of The Provider | VYTAUTAS |
| 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 | 2121 WHITESBURG DR SE |
| Street Address 2 Of The Provider | SUITE C |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014501 |
| 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 | 70 |
| Number Of Services | 13514 |
| Number Of Medicare Beneficiaries | 1768 |
| Total Submitted Charge Amount | 1418829 |
| Total Medicare Allowed Amount | 1119275.04 |
| Total Medicare Payment Amount | 843155.48 |
| Total Medicare Standardized Payment Amount | 902967.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 923 |
| Number Of Medicare Beneficiaries With Drug Services | 381 |
| Total Drug Submitted ChargeAmount | 10680 |
| Total Drug Medicare AllowedAmount | 5032.67 |
| Total Drug Medicare PaymentAmount | 4683.97 |
| Total Drug Medicare Standardized Payment Amount | 4683.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 64 |
| Number Of Medical Services | 12591 |
| Number Of Medicare Beneficiaries With Medical Services | 1768 |
| Total Medical Submitted Charge Amount | 1408149 |
| Total Medical Medicare Allowed Amount | 1114242.37 |
| Total Medical Medicare Payment Amount | 838471.51 |
| Total Medical Medicare Standardized Payment Amount | 898283.39 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 280 |
| Number Of Beneficiaries Age 65 to 74 | 609 |
| Number Of Beneficiaries Age 75 to 84 | 570 |
| Number Of Beneficiaries Age Greater 84 | 309 |
| Number Of Female Beneficiaries | 1010 |
| Number Of Male Beneficiaries | 758 |
| Number Of Non Hispanic White Beneficiaries | 1526 |
| Number Of Black or African American Beneficiaries | 193 |
| Number Of AsianPacific Islander Beneficiaries | 13 |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1420 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 348 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8606 |