Modi, Jignesh

Modi, Jignesh was paid $178K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 73% of everything it billed.

33Billing provider infoMODI, JIGNESH
DECATUR, IL 62521

33aNPI1184935074assigned 06/25/2010

33bProvider typeInternal Medicine Physician

28Total paid$178K

24GClaims8,746

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#426 of 3,722

Median peer was paid$26K

This provider vs. median6.9×

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
2018	1,305	$15K
2019	1,414	$22K
2020	1,623	$27K
2021	1,421	$39K
2022	1,046	$23K
2023	1,067	$24K
2024incomplete	870	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	73%	6,925	2,219	$130K
99222	Initial hospital care, per day, moderate complexity	16%	1,187	1,115	$29K
99254		4.6%	159	151	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	333	294	$7K
99223	Prolong inpt eval add15 m	1.5%	71	66	$3K
G0426	Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	<1%	16	12	$1K
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	<1%	28	26	$525.21
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	27	12	$229.60

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.