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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKunjal Modi
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    Kunjal Modi — Billing Profile & Reimbursement Data

    NPI 1548689904 · Jersey City, NJ · Ophthalmology Physician

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    Kunjal Modi is a ophthalmology physician provider located in Jersey City, New Jersey. This profile covers 13 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
    OrganizationKunjal Modi
    Address203 Palisade Ave
    CityJersey City
    StateNJ
    ZIP07306
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 14, 2014

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

    Payer SourceTotal Paid
    Medicare$221.2K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…170$460$76.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…350$100$35.2K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…380$70$26.8K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…40$590$22K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$750$15K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$120$12.8K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.230$60$12.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$310$7.3K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…130$50$6.1K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…170$30$4.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984120370100$670$141.2K
    65820426030$1,130$50.9K
    669825716030$740$40.7K
    920143471,130160$100$34.9K
    92012179800140$70$18.5K
    6682120629040$270$16.7K
    9213454470090$30$10K
    9200415290040$110$8K
    9208321780060$50$5.9K
    7651998050$40$3.8K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York Eye & Ear InfirmaryNYSpecial Hospital$0$38.9M
    Eye Centers Of America, LLCNJOphthalmology Physician$0$26.4M
    Jonathan FeistmannNYOphthalmology Physician$2.7M$3.1M
    Brian CampolattaroNYPediatric Ophthalmology and Strabismus Specialist Physician Physician$122.7K$4.2M
    Lee AngiolettiNJOphthalmology Physician$4M$0
    Brooke NesmithKSRetina Specialist (Ophthalmology) Physician$3.7M$0
    Llewelyn RaoOHRetina Specialist (Ophthalmology) Physician$3.7M$0
    Juan RomeroNYOphthalmology Physician$3.1M$441.8K
    Vatsal DoshiNJRetina Specialist (Ophthalmology) Physician$2.2M$130
    Eric FitzNYOphthalmology Physician$2.2M$1.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Best Home Care, IncNJHome Health Agency$0$122.8M
    Hudson Hospital Opco LLCNJGeneral Acute Care Hospital$0$52.6M
    Nj Golden Home CareNJHome Health Agency$0$30.5M
    Saleem MahmoodNJInternal Medicine Physician$520.4K$856.8K
    Ariz MehtaNJInterventional Pain Medicine Physician$1.2M$173.2K
    Merwin RichardNJCardiovascular Disease Physician$1M$231.1K
    Mallik PatelNJFamily Medicine Physician$1.2M$0
    Ashraf RaslanNJStudent in an Organized Health Care Education/Training Program$1.1M$0
    Jayeshkumar PatelNJNephrology Physician$358K$420.2K
    Mariem AbedullahNJFamily Nurse Practitioner$672.2K$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
    Kunjal Modi — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey