JOSEPH MODICA, MD
Neurology Physician · BUFFALO, NY
Individual Active NPI 1023545654
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 324 | 39,169 | $1,187,850 | $814,515 | $641,330 |
| 2023 | 230 | 16,447 | $779,142 | $521,836 | $412,806 |
| 2022 | 102 | 5,668 | $177,739 | $123,491 | $98,052 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 3,230 | $48 | $38 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 145 | $169 | $121 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 126 | $122 | $84 |
| J7050 | Infusion, normal saline solution, 250 cc | 88 | $1 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 75 | $60 | $45 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 68 | $121 | $97 |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 66 | $19 | $15 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 53 | $57 | $43 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $157 | $92 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 34 | $15 | $10 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 34 | $210 | $143 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 31 | $87 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ✓ | 301104 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.