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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMayank Modi
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    Mayank Modi — Billing Profile & Reimbursement Data

    NPI 1790775153 · Wyomissing, PA · Cardiovascular Disease Physician

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    Mayank Modi is a cardiovascular disease physician provider located in Wyomissing, Pennsylvania. This profile covers 31 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
    OrganizationMayank Modi
    Address2605 Keiser Blvd
    CityWyomissing
    StatePA
    ZIP19610
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 26, 2005

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

    Payer SourceTotal Paid
    Medicare$158.7K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…600$90$54.2K
    99215The 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…160$130$20.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…440$50$20.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$140$10K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…710$10$7.1K
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…70$70$4.5K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…80$50$4.4K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…160$30$4.1K
    99204The 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…30$110$3.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$3K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    784315310070$1,530$123.6K
    933061631,130220$70$19.1K
    992141,17623,230100$80$14.5K
    992335,3426,63070$90$12K
    992326,96810,87080$60$9.6K
    78434418070$110$9.4K
    7845216273050$130$8.7K
    992157787,17040$120$8.6K
    992231,6837,02040$130$7.8K
    9921320,54422,37070$60$7.7K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    Michael MorrisMDDiagnostic Radiology Physician$12M$0
    Penn State Health Medical Group, LLCPAPediatrics Physician$0$7.7M
    Amit KhanejaNYClinical Neurophysiology Physician$1.3M$301K
    Pejman RohaniMDVascular Surgery Physician$1M$0
    John DellabadiaNCNeurology Physician$232.2K$808.8K
    Joshua ShipleyPAHematology & Oncology Physician$739.9K$0
    Jihua ChengPAHematology & Oncology Physician$685.8K$0
    Kumudini RaoPAHematology & Oncology Physician$444K$0
    Kok Chye TanCANeuroradiology Physician$401.1K$13.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$18.5M
    Holcomb Associates, Inc.PACommunity/Behavioral Health Agency$0$11.1M
    Paragon Behavioral Health Services, LLCPACommunity/Behavioral Health Agency$0$10.8M
    Patient First Pennsylvania Medical Group PLLCPAFamily Medicine Physician$0$5.6M
    Barry MalloyPARetina Specialist (Ophthalmology) Physician$3.3M$1.8K
    Anastasia TrabandPARetina Specialist (Ophthalmology) Physician$3.1M$14K
    The Reading Hospital Surgicenter At Spring Ridge LLCPAAmbulatory Surgical Clinic/Center$330.9K$2.3M
    Saurin MehtaPASpecialist$2.6M$0
    Pennsylvania Eye & Ear SurgeryPAAmbulatory Surgical Clinic/Center$2.1M$252.9K
    Jeremy AikeyPAOphthalmology Physician$2.3M$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. Pennsylvania Distribution
    Mayank Modi — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania