Raj Modi M.D. P.C

Raj Modi M.D. P.C was paid $105K by Medicaid between Feb 2018 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.

33Billing provider infoRAJ MODI M.D. P.C
RIDGEWOOD, NY 11385

33aNPI1952606774assigned 01/26/2011

33bProvider typeOphthalmology Physician

28Total paid$105K

24GClaims1,810

24DCodes billed6

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#383 of 1,085

Median peer was paid$34K

This provider vs. median3.1×

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
2018	60	$3K
2019	278	$15K
2020	162	$11K
2021	314	$21K
2022	338	$21K
2023	490	$26K
2024incomplete	168	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	47%	520	514	$50K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	37%	727	718	$39K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	9.4%	147	147	$10K
92015	Determination of refractive state	5.1%	279	279	$5K
V2020	Frames, purchases	1.3%	109	108	$1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	28	14	$246.48

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.

From NPPES

Who's on the registration

Authorized officialMODI, RAJENDRA (PHYSICIAN)