Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › East Norriton › NPI 1053583849
Physician

Modi, Prachi

Modi, Prachi was paid $303.06 by Medicaid between May 2023 and May 2023, across 1 billing code. Its largest line is 99285, emergency room visit (most serious) — 100% of everything it billed.

33Billing provider infoMODI, PRACHI
EAST NORRITON, PA 19403
33aNPI1053583849assigned 04/01/2008
28Total paid$303.06
24GClaims13
24DCodes billed1
24AFirst – last monthMay 2023 – May 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#1,198 of 1,211
Median peer was paid$19K
This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200$4002018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202313$303.06
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 100% 13 12 $303.06

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.