Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Edison › NPI 1649506932
Physician

Modi, Chintan

Modi, Chintan was paid $33K by Medicaid between Jan 2018 and Jan 2022, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 20% of everything it billed.

33Billing provider infoMODI, CHINTAN
EDISON, NJ 08820
33aNPI1649506932assigned 10/21/2009
28Total paid$33K
24GClaims766
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#502 of 1,027
Median peer was paid$30K
This provider vs. median1.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018694$29K
201913$747.57
202114$1K
202245$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 20% 156 142 $6K
99205 Prolong outpt/office vis 18% 100 99 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14% 54 54 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13% 55 55 $4K
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 11% 145 141 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 10% 106 44 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.2% 122 39 $3K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.8% 15 14 $923.55
99223 Prolong inpt eval add15 m 2.6% 13 13 $847.46

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.