SIMPLE MODI, MD
Rheumatology Physician · HAMPTON, VA
Individual Active NPI 1487182812
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 311 | 870 | $148,500 | $72,376 | $51,357 |
| 2023 | 259 | 544 | $103,474 | $52,723 | $37,914 |
| 2022 | 39 | 42 | $6,920 | $4,136 | $3,295 |
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 | 300 | $92 | $57 |
| 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 | 248 | $16 | $13 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 202 | $137 | $107 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 41 | $127 | $85 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 30 | $174 | $138 |
| 20610 | Aspiration and/or injection of fluid from large joint | 25 | $48 | $36 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 13 | $93 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 0101276540 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT212870 | PA |
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.