Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Maywood › NPI 1649794876
Physician

Modi, Mitul

Modi, Mitul was paid $267K by Medicaid between Aug 2023 and Nov 2024, across 127 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 8.2% of everything it billed.

33Billing provider infoMODI, MITUL
MAYWOOD, IL 60153
33aNPI1649794876assigned 07/31/2017
33bProvider typeDermatopathology (Pathology) Physician
28Total paid$267K
24GClaims42,298
24DCodes billed127
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers

Next to other Dermatopathology (Pathology) Physician providers in Illinois

Rank by total paid#3 of 10
Median peer was paid$95K
This provider vs. median2.8×

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

$0$25K$50K$75K2018201920202021202220232024
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
202320,174$145K
2024incomplete22,124$122K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 8.2% 4,516 3,804 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.9% 5,779 4,418 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5.6% 767 747 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.6% 767 747 $15K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5.2% 182 178 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.7% 315 313 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 4.5% 358 354 $12K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3.9% 247 243 $10K
84443 Thyroid stimulating hormone (TSH) 3.4% 1,216 1,188 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling 3.2% 35 35 $9K
83735 2.1% 1,634 1,043 $6K
80048 Basic metabolic panel (calcium, ionized) 2.0% 1,354 925 $5K
115 more codes
87086 Culture, bacterial; quantitative colony count, urine 1.9% 1,184 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.9% 216 $5K
87510 1.8% 398 $5K
87480 1.8% 398 $5K
82803 1.7% 373 $4K
87660 1.5% 487 $4K
83605 1.4% 706 $4K
87081 1.3% 1,292 $3K
82330 1.3% 442 $3K
80061 Lipid panel 1.2% 957 $3K
87040 1.2% 358 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.2% 150 $3K
84484 1.1% 557 $3K
88342 1.1% 128 $3K
82962 1.0% 1,607 $3K
88304 <1% 139 $2K
87641 <1% 106 $2K
83880 <1% 184 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 156 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 246 $2K
87186 <1% 377 $2K
86780 <1% 256 $2K
86803 <1% 254 $2K
88341 <1% 34 $2K
85730 <1% 425 $2K
84100 <1% 772 $2K
83690 <1% 463 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 513 $1K
81025 <1% 561 $1K
86850 <1% 488 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 91 $1K
85610 <1% 684 $1K
86003 <1% 39 $1K
82607 <1% 247 $1K
84439 <1% 301 $1K
88307 <1% 14 $1K
86140 <1% 517 $1K
81001 <1% 828 $1K
80069 <1% 270 $1K
86901 <1% 545 $1K
84466 <1% 264 $1K
82728 <1% 274 $1K
87536 <1% 27 $1K
80202 <1% 138 $926.28
86900 <1% 539 $842.69
82784 <1% 117 $804.61
87088 <1% 138 $712.58
85384 <1% 213 $709.14
83540 <1% 244 $696.05
83970 <1% 55 $692.42
81003 <1% 632 $665.85
85027 <1% 242 $650.24
82746 <1% 123 $624.76
87070 <1% 193 $620.30
87340 <1% 102 $613.78
82550 <1% 220 $608.67
87505 <1% 13 $608.02
82570 <1% 262 $588.57
85379 <1% 161 $585.04
86038 <1% 84 $574.97
84702 <1% 127 $537.19
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 58 $510.40
84145 <1% 27 $440.91
84703 <1% 121 $409.91
86360 <1% 31 $394.55
85652 <1% 323 $388.01
83516 <1% 65 $383.54
87075 <1% 49 $373.24
87147 <1% 226 $355.98
82805 <1% 13 $330.82
83615 <1% 116 $319.83
80047 <1% 76 $313.02
86480 <1% 16 $298.70
85014 <1% 226 $296.96
86359 <1% 29 $294.32
80074 <1% 15 $278.98
87493 <1% 12 $274.92
80076 <1% 77 $250.63
82140 <1% 53 $245.11
82043 <1% 131 $235.56
82565 <1% 103 $227.28
82785 <1% 45 $209.62
87205 <1% 114 $209.19
86762 <1% 46 $191.33
84478 <1% 98 $190.75
82247 <1% 74 $177.29
87210 <1% 43 $170.38
84146 <1% 28 $161.63
86880 <1% 46 $146.45
84550 <1% 73 $133.81
85045 <1% 115 $132.15
84481 <1% 29 $130.40
84132 <1% 51 $125.03
80177 <1% 29 $124.66
80164 <1% 30 $124.07
85018 <1% 106 $121.22
86200 <1% 24 $116.44
84403 <1% 12 $113.76
82248 <1% 74 $113.65
84156 <1% 97 $108.80
82105 <1% 13 $106.73
86431 <1% 31 $98.56
86920 <1% 16 $89.30
80306 <1% 13 $77.87
83655 <1% 13 $77.09
87184 <1% 16 $72.00
86308 <1% 29 $66.00
84295 <1% 20 $61.32
86376 <1% 14 $61.14
82950 <1% 26 $57.10
81015 <1% 44 $55.69
89050 <1% 16 $28.00
82945 <1% 15 $21.56
85049 <1% 14 $18.16
84157 <1% 16 $18.00

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.