Modi, Sanjiv

Modi, Sanjiv was paid $15K by Medicaid between Jan 2018 and Mar 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoMODI, SANJIV
MICHIGAN CITY, IN 46360

33aNPI1396730909assigned 09/20/2005

33bProvider typeHematology & Oncology Physician

28Total paid$15K

24GClaims655

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Hematology & Oncology Physician providers in Indiana

Rank by total paid#19 of 26

Median peer was paid$47K

This provider vs. median0.3×

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	354	$8K
2019	95	$3K
2020	80	$3K
2021	126	$2K

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	80%	430	356	$12K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.8%	93	37	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	56	49	$1K
80053	Comprehensive metabolic panel	2.1%	30	26	$310.80
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.8%	46	39	$264.04

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.