Modica, John

Modica, John was paid $812.80 by Medicaid between Oct 2019 and Oct 2020, across 1 billing code. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 100% of everything it billed.

33Billing provider infoMODICA, JOHN
PUTNAM, CT 06260

33aNPI1992813224assigned 08/28/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$812.80

24GClaims37

24DCodes billed1

24AFirst – last monthOct 2019 – Oct 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Connecticut

Rank by total paid#44 of 48

Median peer was paid$37K

This provider vs. median0.0×

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
2019	12	$378.47
2020	25	$434.33

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	100%	37	37	$812.80

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.