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NPI 1619081890 · Festus, MO · Pain Medicine (Physical Medicine & Rehabilitation) Physician
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Nehal Modh is a pain medicine (physical medicine & rehabilitation) physician provider located in Festus, Missouri. This profile covers 8 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Nehal Modh |
| Address | 1145b E Gannon Dr |
| City | Festus |
| State | MO |
| ZIP | 63028 |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| NPI Enumerated | August 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $114.6K |
| Medicaid | $6.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 780 | $60 | $48.1K |
| 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… | 380 | $90 | $33.1K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 110 | $180 | $20.1K |
| 64479 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic). | 30 | $210 | $6.8K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 60 | $50 | $2.6K |
| 99204 | The provider sees a new 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 provider… | 20 | $110 | $1.7K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 250 | $10 | $1.3K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 20 | $40 | $700 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 80 | $60 | $4.3K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 30 | $60 | $1.6K |
| Q3014 | Telehealth originating site facility fee | 40 | $20 | $560 |
| 96102 | N/A | 40 | $0 | $0 |
| 96120 | N/A | 40 | $0 | $0 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 107 | 130 | 450 | $60 | $158.5K |
| 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… | 3,135 | 4,310 | 300 | $60 | $110.8K |
| Q3014 | Telehealth originating site facility fee | 82 | 100 | 110 | $10 | $12.1K |
| 96120 | N/A | 4 | 10 | 50 | $30 | $3.8K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 6 | 10 | 50 | $1 | $280 |
| 96102 | N/A | 2 | 10 | 40 | $1 | $150 |
Other providers in the same ZIP code as Nehal Modh, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Compass Health, Inc | MO | Community/Behavioral Health Agency | $0 | $44M |
| Mercy Hospital Jefferson | MO | General Acute Care Hospital | $0 | $27.8M |
| Joachim Plattin Townships Ambulance District | MO | Land Ambulance | $762.9K | $3.5M |
| Ccpartners LLC | MO | Pediatric Adolescent Medicine Physician | $0 | $3.8M |
| My Place Residential Care | MO | Custodial Care Facility | $0 | $3.8M |
| James Gould | MO | Specialist | $1.6M | $0 |
| Omar Almousalli | MO | Cardiovascular Disease Physician | $338.9K | $346.8K |
| Twin Cities Ambulatory Surgery Center LP | MO | Ambulatory Surgical Clinic/Center | $283.8K | $9.7K |
| Laishang Zhang | MO | Psychiatry Physician | $221.3K | $6.5K |
| Tariq Alam | MO | Neurology Physician | $223.8K | $3.2K |
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