APURVA MODI, M.D.
Gastroenterology Physician · FORT WORTH, TX
Individual Active NPI 1558300137
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 289 | 866 | $239,272 | $86,755 | $64,907 |
| 2023 | 302 | 691 | $208,721 | $79,905 | $59,724 |
| 2022 | 342 | 739 | $183,979 | $92,446 | $67,820 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 173 | $16 | $12 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 112 | $76 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 104 | $122 | $83 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 86 | $174 | $128 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 79 | $115 | $91 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 50 | $160 | $110 |
| 36415 | Insertion of needle into vein for collection of blood sample | 28 | $9 | $9 |
| 99291 | Critical care, first 30-74 minutes | 27 | $206 | $161 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 25 | $212 | $153 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $123 | $99 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $109 | $80 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | $168 | $134 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | N9912 | TX |
| Hepatology Physician | 207RI0008X | N9912 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Texas
- NPI 1710947833
- NPI 1306166483
- NPI 1962601328
- NPI 1639348469
- NPI 1558300756
- NPI 1457446064
- NPI 1932425907
- NPI 1649274135
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.