Physician
Mody, Ketan
Mody, Ketan was paid $4K by Medicaid between Mar 2022 and May 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.
33Billing provider infoMODY, KETAN
WESTMONT, IL 60559
WESTMONT, IL 60559
33aNPI1659562585assigned 08/06/2007
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$4K
24GClaims113
24DCodes billed2
24AFirst – last monthMar 2022 – May 2023
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Illinois
Rank by total paid#38 of 51
Median peer was paid$44K
This provider vs. median0.1×
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
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 | 100 | $4K | |
| 2023 | 13 | $536.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 96% | 101 | 99 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 12 | 12 | $172.70 |
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.