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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNitesh Mody
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    Nitesh Mody — Billing Profile & Reimbursement Data

    NPI 1952609828 · Napa, CA · Critical Care Medicine (Anesthesiology) Physician

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    Nitesh Mody is a critical care medicine (anesthesiology) physician provider located in Napa, California. This profile covers 23 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNitesh Mody
    Address623 Montecito Blvd
    CityNapa
    StateCA
    ZIP94559
    TaxonomyCritical Care Medicine (Anesthesiology) Physician
    NPI EnumeratedMarch 2, 2011

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

    Payer SourceTotal Paid
    Medicare$87.1K
    Medicaid$42.9K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.110$150$16.8K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.70$160$11.4K
    00560The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…30$220$7.5K
    64447The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…130$50$7K
    00562The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…20$390$6.6K
    G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth40$160$5.6K
    G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth30$170$4.5K
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…50$90$4.4K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…90$40$3.1K
    00914The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.30$110$3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9923311,31611,530120$100$26.2K
    00562146010$760$12.2K
    G050951050$150$11.2K
    005601821020$410$8.5K
    G0508103020$170$6.3K
    01402471020$250$5.6K
    019269117020$260$5.4K
    01214234010$260$5K
    007907447010$270$4.3K
    0084013823010$240$3.6K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…460$90$43.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…5371,080460$110$263.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guthrie Medical Group, P.C.PAGeneral Practice Physician$0$82.1M
    Inpatient Specialists Of California, PCCAInternal Medicine Physician$0$32.9M
    Richard ParkCAInternal Medicine Physician$31.7M$0
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Tony MakhloufCARheumatology Physician$2.6M$0
    Vincent BennettCAEmergency Medicine Physician$1.2M$0
    Kuldip GillCAGeriatric Medicine (Internal Medicine) Physician$807.6K$0
    Saadah AlrajabCAPulmonary Disease Physician$611.8K$0
    Shwetanshu ShuklaFLHospitalist Physician$547.4K$0
    Archis DesaiCAInternal Medicine Physician$530.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$31.5M
    Lauren GebauerCAMOHS-Micrographic Surgery Physician$876.8K$0
    Erica AronsonCADermatology Physician$518.7K$0
    Tamara BradyCAMedical Physician Assistant$94.1K$0
    Neal AdamsCAPsychiatry Physician$8.6K$0
    Nolan WilliamsCAPsychiatry Physician$5.9K$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. California Distribution
    Nitesh Mody — 5 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Nitesh Mody — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California