JOHN MODICA, MD
Cardiovascular Disease Physician · PUTNAM, CT
Individual Active NPI 1992813224
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 430 | 976 | $167,633 | $67,357 | $51,175 |
| 2023 | 562 | 1,271 | $205,689 | $88,598 | $68,463 |
| 2022 | 563 | 1,313 | $232,136 | $110,994 | $86,169 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 197 | $69 | $50 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 137 | $14 | $10 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 89 | $8 | $6 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 86 | $176 | $140 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 81 | $30 | $21 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 81 | $23 | $16 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 73 | $76 | $56 |
| 93280 | Programming of dual lead pacemaker system | 33 | $82 | $53 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 21 | $76 | $60 |
| 93350 | Ultrasound of heart during rest, exercise and/or drug-induced stress with report | 13 | $182 | $146 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 13 | $121 | $96 |
| 99236 | Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes | 12 | $212 | $169 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 26506CT | CT |
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.