FAGUNKUMAR MODI, MD
Pulmonary Disease Physician · CRYSTAL RIVER, FL
Individual Active NPI 1619117421
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 948 | 3,899 | $605,823 | $435,437 | $338,256 |
| 2023 | 889 | 3,676 | $619,221 | $429,399 | $334,283 |
| 2022 | 1,025 | 3,861 | $646,261 | $451,156 | $349,264 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,372 | $115 | $92 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 584 | $124 | $91 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 363 | $168 | $131 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 131 | $175 | $131 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 120 | $25 | $25 |
| 99291 | Critical care, first 30-74 minutes | 114 | $210 | $166 |
| 94729 | Test to examine how well the lungs exchange gases | 102 | $53 | $42 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 102 | $42 | $33 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 101 | $37 | $29 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 91 | $47 | $36 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 77 | $215 | $167 |
| 99239 | Hospital discharge day management, more than 30 minutes | 75 | $110 | $86 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | ME120896 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Florida
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- NPI 1871567669
- NPI 1194790857
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.