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    OpenPayerNPI Medicare & MedicaidShivangi Modi
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    Shivangi Modi — Billing Profile & Reimbursement Data

    NPI 1356849186 · Monroe Township, NJ · Physical Therapist

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    Shivangi Modi is a physical therapist provider located in Monroe Township, New Jersey. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShivangi Modi
    Address18 Centre Dr
    CityMonroe Township
    StateNJ
    ZIP08831
    TaxonomyPhysical Therapist
    NPI EnumeratedJanuary 26, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$75.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,060$20$20K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…720$20$15K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.480$30$14K
    97750The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…380$20$8.8K
    97164The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…120$60$7.1K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care660$10$5.3K
    97016In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.510$10$4.1K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…80$20$1.2K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.10$20$290

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971101,6944,430780$20$20.9K
    975301,7343,560470$30$19.1K
    97124950360$20$13K
    971403,1763,500420$20$10.3K
    975351,4901,55060$20$4.1K
    971645766040$60$3.1K
    G02831701,180220$10$2.8K
    97750227060$20$2K
    970168150160$10$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick SongNJOrthopaedic Surgery Physician$378.5K$0
    Kimberly GriffithsNJPhysical Therapist$363.7K$0
    Jaclyn ViveritoNJPhysical Therapist$262.6K$0
    Chris TheaverNYPhysical Therapist$200.1K$61.7K
    Jennifer StantonNJPhysical Therapist$258.6K$0
    Danielle DyNJPhysical Therapist$251K$0
    Marc RazzanoNJPhysical Therapist$245.2K$0
    Eric LesniakPAPhysical Therapist$210.7K$0
    Michael MontalbanoNJPhysical Therapist$207.4K$0
    Walter BurbellaNJPhysical Therapist$180.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals New JerseyNJVoluntary or Charitable Agency$0$56.1M
    Afc Forsgate Lessee, LLCNJAssisted Living Facility$0$11.3M
    Township Of MonroeNJLand Ambulance$1.1M$214.3K
    Kaushal NanavatiNJInternal Medicine Physician$725K$0
    Edward SoffenNJRadiation Oncology Physician$714.2K$0
    Deepali PrasadNJNephrology Physician$670.8K$3K
    Joseph PepekNJRadiation Oncology Physician$581.4K$0
    Hiral FontanillaNJRadiation Oncology Physician$443.4K$0
    Concettina PeloroNJMOHS-Micrographic Surgery Physician$376.6K$0
    Meggan HeinzNJOptometrist$372.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Shivangi Modi — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey