Arvind Modawal MD INC

Arvind Modawal MD INC was paid $136K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 54% of everything it billed.

33Billing provider infoARVIND MODAWAL MD INC
WEST CHESTER, OH 45069

33aNPI1538570163assigned 05/16/2014

33bProvider typeGeriatric Medicine (Family Medicine) Physician

28Total paid$136K

24GClaims7,789

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in Ohio

Rank by total paid#7 of 21

Median peer was paid$51K

This provider vs. median2.7×

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	1,644	$17K
2019	1,994	$25K
2020	580	$11K
2021	629	$13K
2022	593	$13K
2023	954	$21K
2024incomplete	1,395	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	54%	2,919	2,244	$73K
99308	Subsequent nursing facility care, per day, straightforward	42%	3,853	2,970	$57K
99307		1.1%	234	184	$2K
99306	Prolong nursin fac eval 15m	1.0%	45	38	$1K
99442		<1%	65	57	$985.51
99348		<1%	34	30	$720.18
99310	Prolong nursin fac eval 15m	<1%	21	15	$670.02
99441		<1%	85	66	$622.10
99305		<1%	15	14	$226.40
G9744	Patient not eligible due to active diagnosis of hypertension	0%	210	152	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	100	68	$0.00
1123F		0%	208	149	$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.

From NPPES

Who's on the registration

Authorized officialMODAWAL, ARVIND (PRESIDENT)