Modi, Phiroza

Modi, Phiroza was paid $16K by Medicaid between Jan 2018 and Dec 2020, across 6 billing codes. Its largest line is 99335, — 69% of everything it billed.

33Billing provider infoMODI, PHIROZA
BEACON, NY 12508

33aNPI1275542243assigned 08/07/2006

33bProvider typeInternal Medicine Physician

28Total paid$16K

24GClaims1,475

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,728 of 6,049

Median peer was paid$11K

This provider vs. median1.4×

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	425	$6K
2019	436	$5K
2020	614	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99335		69%	951	820	$11K
99336		27%	321	315	$4K
99309	Subsequent nursing facility care, per day, low to moderate complexity	3.8%	13	13	$582.58
99442		<1%	77	71	$98.48
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	17	14	$12.56
99443		0%	96	79	$0.00

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.