BRIAN MODENA, M.D., MSC
Allergy & Immunology Physician · LA JOLLA, CA
Individual Active NPI 1235379207
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 199 | 56,198 | $2,314,999 | $1,323,891 | $1,045,922 |
| 2023 | 188 | 35,080 | $1,483,981 | $839,591 | $664,114 |
| 2022 | 142 | 12,251 | $422,608 | $258,159 | $202,823 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2356 | Injection, tezepelumab-ekko, 1 mg | 33,390 | $18 | $14 |
| J2182 | Injection, mepolizumab, 1 mg | 8,400 | $30 | $24 |
| J2357 | Injection, omalizumab, 5 mg | 5,580 | $38 | $30 |
| 95004 | Test for allergy using allergenic extract | 2,411 | $4 | $3 |
| 95044 | Test for allergy using skin patch | 1,200 | $6 | $4 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 481 | $17 | $13 |
| 96372 | Injection of drug or substance under skin or into muscle | 421 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 362 | $137 | $99 |
| 95117 | Professional service for multiple injections of allergen | 279 | $14 | $11 |
| 95012 | Test to measure the level of nitric oxide gas | 194 | $22 | $17 |
| 94010 | Test to measure expiratory airflow and volume | 187 | $31 | $23 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 116 | $53 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ✓ | A103242 | CA |
| Internal Medicine Physician | 207R00000X | A103242 | CA | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | A103242 | CA |
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.