Modi, Vikash

Modi, Vikash was paid $66K by Medicaid between Mar 2022 and Sep 2024, across 3 billing codes. Its largest line is 31231, — 48% of everything it billed.

33Billing provider infoMODI, VIKASH
NEW YORK, NY 10021

33aNPI1609925403assigned 01/09/2007

33bProvider typePediatric Otolaryngology Physician

28Total paid$66K

24GClaims458

24DCodes billed3

24AFirst – last monthMar 2022 – Sep 2024

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in New York

Rank by total paid#7 of 21

Median peer was paid$18K

This provider vs. median3.8×

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
2022	57	$8K
2023	216	$34K
2024incomplete	185	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31231		48%	138	135	$32K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	141	141	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	179	174	$16K

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.