ASHESH MODI, M.D.
Specialist · NEWARK, DE
Individual Active NPI 1174674816
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 583 | 10,570 | $989,592 | $327,276 | $262,521 |
| 2023 | 677 | 5,672 | $749,207 | $243,243 | $194,279 |
| 2022 | 598 | 6,795 | $740,811 | $274,758 | $215,652 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 8,400 | $22 | $17 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 122 | $76 | $61 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 104 | $244 | $206 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 94 | $122 | $92 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 88 | $101 | $81 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 75 | $96 | $80 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 75 | $88 | $57 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 74 | $171 | $171 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 46 | $109 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $164 | $121 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 29 | $61 | $49 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $165 | $165 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | C10005584 | DE |
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.