Physician
Chintan Modi MD LLC
Chintan Modi MD LLC was paid $596K by Medicaid between May 2018 and Aug 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 24% of everything it billed.
33Billing provider infoCHINTAN MODI MD LLC
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1962809236assigned 12/02/2014
33bProvider typeGastroenterology Physician
28Total paid$596K
24GClaims11,083
24DCodes billed20
24AFirst – last monthMay 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#14 of 150
Median peer was paid$27K
This provider vs. median22×
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 | 562 | $53K | |
| 2019 | 1,057 | $82K | |
| 2020 | 1,642 | $70K | |
| 2021 | 1,659 | $74K | |
| 2022 | 1,831 | $94K | |
| 2023 | 2,575 | $135K | |
| 2024incomplete | 1,757 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 24% | 1,229 | 1,179 | $141K |
| 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 | 18% | 2,983 | 2,736 | $107K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 1,037 | 984 | $106K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 1,120 | 1,048 | $61K |
| 99245 | 7.0% | 330 | 330 | $42K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.9% | 1,803 | 693 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 869 | 817 | $22K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.3% | 112 | 96 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 431 | 235 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 244 | 237 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 241 | 221 | $10K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 167 | 147 | $7K |
8 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 135 | $3K |
| 88313 | <1% | 59 | $2K | |
| 88312 | <1% | 59 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 99221 | <1% | 32 | $853.68 | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | <1% | 14 | $6.94 |
| 88342 | 0% | 59 | $0.00 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 147 | $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.
From NPPES
Who's on the registration
Authorized officialMODI, CHINTAN (MD)