FALGUN MODHIA, MD
Hematology & Oncology Physician · SPRINGFIELD, MO
Individual Active NPI 1942470414
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 326 | 2,523 | $201,877 | $117,781 | $89,771 |
| 2023 | 347 | 7,917 | $359,569 | $188,561 | $146,587 |
| 2022 | 317 | 2,463 | $223,555 | $129,109 | $97,316 |
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 | 662 | $15 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 467 | $93 | $66 |
| 36415 | Insertion of needle into vein for collection of blood sample | 317 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 224 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 219 | $10 | $10 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 145 | $132 | $104 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 109 | $73 | $58 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 96 | $64 | $46 |
| 83735 | Magnesium level | 84 | $7 | $7 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 52 | $161 | $128 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 48 | $167 | $117 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | $110 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ✓ | 2019011177 | MO |
| Hematology & Oncology Physician | 207RH0003X | 29790 | OK |
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.