Modi, Kanan
Modi, Kanan was paid $181K by Medicaid between Jan 2018 and Nov 2023, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoMODI, KANAN
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
33aNPI1881704898assigned 08/30/2006
33bProvider typeSpecialist
28Total paid$181K
24GClaims19,718
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#431 of 1,230
Median peer was paid$51K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 4,266 | $49K | |
| 2019 | 5,082 | $42K | |
| 2020 | 3,997 | $35K | |
| 2021 | 5,936 | $55K | |
| 2022 | 415 | $280.16 | |
| 2023 | 22 | $311.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 2,617 | 2,273 | $69K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 893 | 859 | $21K |
| G9920 | Screening performed and negative | 8.9% | 787 | 759 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 1,550 | 1,447 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 999 | 492 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 724 | 703 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 458 | 447 | $7K |
| 92587 | 3.4% | 287 | 287 | $6K | |
| 99223 | Prolong inpt eval add15 m | 3.4% | 93 | 93 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 552 | 496 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 177 | 177 | $4K |
| 92552 | 2.0% | 372 | 367 | $4K |
29 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 2,097 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 611 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 135 | $2K |
| 90670 | <1% | 632 | $1K | |
| 99173 | <1% | 522 | $1K | |
| 90700 | <1% | 732 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 34 | $1K |
| 85018 | <1% | 910 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 60 | $933.92 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 53 | $863.24 |
| 90713 | <1% | 479 | $772.94 | |
| 90648 | <1% | 511 | $734.08 | |
| 90716 | <1% | 140 | $677.92 | |
| 90685 | <1% | 248 | $512.27 | |
| 99072 | <1% | 1,321 | $474.52 | |
| 90707 | <1% | 128 | $425.52 | |
| 92551 | <1% | 332 | $336.16 | |
| 81003 | <1% | 143 | $307.52 | |
| 90686 | <1% | 409 | $298.98 | |
| 90680 | <1% | 160 | $259.24 | |
| 90633 | <1% | 129 | $162.12 | |
| 90744 | <1% | 91 | $103.05 | |
| 96127 | <1% | 38 | $40.39 | |
| 90698 | <1% | 21 | $36.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 161 | $30.00 |
| 90651 | <1% | 50 | $9.00 | |
| 90461 | 0% | 34 | $0.00 | |
| 90734 | 0% | 15 | $0.00 | |
| 90620 | 0% | 13 | $0.00 |
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.