CHINTAN MODI, M.D.
Gastroenterology Physician · EDISON, NJ
Individual Active NPI 1649506932
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 720 | 3,446 | $1,395,735 | $417,691 | $335,347 |
| 2023 | 717 | 3,263 | $1,167,030 | $381,382 | $304,359 |
| 2022 | 636 | 3,639 | $1,281,465 | $364,981 | $291,405 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,391 | $89 | $72 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 493 | $148 | $116 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 252 | $134 | $108 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 209 | $147 | $119 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 179 | $56 | $45 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 153 | $193 | $145 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 151 | $133 | $107 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 124 | $194 | $158 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 109 | $105 | $82 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 101 | $98 | $80 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 67 | $264 | $214 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 54 | $210 | $210 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 25 MA 086 37300 | NJ |
| Internal Medicine Physician | 207R00000X | 25MA08637300 | NJ |
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.