Modi, Pratik

Modi, Pratik was paid $10K by Medicaid between Mar 2018 and Feb 2020, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 77% of everything it billed.

33Billing provider infoMODI, PRATIK
AUGUSTA, GA 30912

33aNPI1992133433assigned 10/18/2013

33bProvider typeMedical Physician Assistant

28Total paid$10K

24GClaims194

24DCodes billed2

24AFirst – last monthMar 2018 – Feb 2020

Compared with peers

Next to other Medical Physician Assistant providers in Georgia

Rank by total paid#7 of 17

Median peer was paid$4K

This provider vs. median2.6×

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	161	$9K
2019	18	$773.53
2020	15	$982.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	77%	160	160	$8K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	23%	34	34	$2K

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.