Modiri, Alexandra

Modiri, Alexandra was paid $91K by Medicaid between Apr 2019 and Nov 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoMODIRI, ALEXANDRA
MILWAUKEE, WI 53226

33aNPI1184917999assigned 05/26/2011

33bProvider typeInternal Medicine Physician

28Total paid$91K

24GClaims1,069

24DCodes billed5

24AFirst – last monthApr 2019 – Nov 2021

Compared with peers

Next to other Internal Medicine Physician providers in Wisconsin

Rank by total paid#40 of 160

Median peer was paid$6K

This provider vs. median15×

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

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

Year	Claims	Paid
2019	133	$9K
2020	578	$56K
2021	358	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	72%	878	798	$65K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	14%	29	29	$12K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.8%	49	49	$5K
99244	Office or other outpatient consultation, moderate to high complexity	5.5%	39	39	$5K
99152		2.8%	74	67	$3K

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.