Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bijal Modi (NPI 1285684944)

Field	Value
Entity Type	Individual
Organization	Bijal Modi
Address	8196 Walnut Hill Ln Ste 100
City	Dallas
State	TX
ZIP	75231
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicare	$981.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	7,700	$40	$331.1K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	5,400	$40	$205.2K
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	2,210	$30	$75.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	520	$90	$48.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	310	$130	$41.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	320	$110	$33.1K
Q5119	Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg	1,510	$20	$31.7K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	370	$70	$26.4K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	12,550	$1	$25.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	390	$60	$25K

Showing 1–10 of 63

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Bijal Modi — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

63 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	173	230	10,700	$40	$516.5K
J9144	16	30	5,850	$40	$244.6K
J1568	46	80	2,730	$30	$138.7K
J3490	150	350	60	$480	$54.4K
Q5119	18	30	1,530	$20	$43.3K
J2506	23	70	310	$80	$29.5K
J0881	57	170	8,930	$1	$28.1K
96413	158	810	150	$100	$19.7K
J9217	260	270	110	$130	$18.4K
99233	5,536	9,320	100	$90	$17.9K

Showing 1–10 of 63

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bijal Modi, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Uyeki	TX	Medical Oncology Physician	$6.7M	$0
Brennen Cheek	TX	Radiation Oncology Physician	$5.9M	$0
Joel Lurie	TX	Nurse Practitioner	$2.8M	$0
Sreedevi Daggubati	TX	Hematology & Oncology Physician	$2.8M	$0
Robert Berryman	TX	Medical Oncology Physician	$2.7M	$0
David Dspain	TX	Medical Oncology Physician	$2.6M	$0
Darren Kocs	TX	Hematology & Oncology Physician	$2.5M	$0
Dina Tebcherany	TX	Medical Oncology Physician	$2.5M	$0
Srini Reddy	TX	Hematology & Oncology Physician	$2.5M	$0
Thomas Gregory	TX	Medical Oncology Physician	$2.4M	$0

Nearby Providers

Other providers in the same ZIP code as Bijal Modi, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dallas Independent School District	TX	Local Education Agency (LEA)	$0	$22.6M
North Star Home Health Care Inc	TX	Personal Care Attendant	$0	$10.8M
Ophthalmology Surgery Center Of Dallas, LLC	TX	Ambulatory Surgical Clinic/Center	$8.3M	$134.6K
Ashkan Abbey	TX	Ophthalmology Physician	$6.4M	$0
Lori Coors	TX	Ophthalmology Physician	$5.2M	$0
Andrew Mcclellan	TX	Ophthalmology Physician	$4.5M	$0
Timothy Fuller	TX	Ophthalmology Physician	$3.5M	$0
Robert Wang	TX	Ophthalmology Physician	$3.5M	$0
Diana Laura	TX	Ophthalmology Physician	$2.3M	$0
Deborah Chong	TX	Ophthalmology Physician	$2.3M	$0

Bijal Modi — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References