ACHAL MODI, MD
Urology Physician · WAXAHACHIE, TX
Individual Active NPI 1255540514
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 602 | 2,334 | $584,622 | $191,985 | $141,272 |
| 2023 | 702 | 5,499 | $514,657 | $227,915 | $171,080 |
| 2022 | 777 | 6,112 | $693,181 | $303,190 | $227,047 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 512 | $122 | $81 |
| 81003 | Automated urinalysis test | 299 | $2 | $2 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 258 | $10 | $8 |
| 36415 | Insertion of needle into vein for collection of blood sample | 220 | $9 | $9 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 157 | $159 | $119 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 109 | $86 | $64 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 88 | $223 | $171 |
| 84153 | Psa (prostate specific antigen) measurement, total | 50 | $18 | $18 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 27 | $23 | $18 |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 25 | $300 | $239 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $125 | $99 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | $75 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | N9270 | TX |
| Urology Physician | 208800000X | 57012170 | OH |
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.