Modugno, James
Modugno, James was paid $13K by Medicaid between Jul 2020 and Aug 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoMODUGNO, JAMES
MONROE TOWNSHIP, NJ 08831
MONROE TOWNSHIP, NJ 08831
33aNPI1720423379assigned 05/08/2013
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$13K
24GClaims336
24DCodes billed2
24AFirst – last monthJul 2020 – Aug 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in New Jersey
Rank by total paid#106 of 210
Median peer was paid$13K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 280 | $12K | |
| 2024incomplete | 56 | $1K |
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 | 57% | 230 | 217 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 43% | 106 | 106 | $6K |
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.