Dr. Ashesh Modi, MD
4745 Ogletown Stanton Rd, Map #1, Newark, DE 19713 • +1-744-555-6589
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Newark Percentiles
NPI #1174674816 • CBSA Regional • Gastroenterology
Within the Newark, DE (CBSA local) Gastroenterology cohort, Dr. Ashesh Modi, MD with sub-specialty concentration in 35 Active CMS HCPCS Codes ranks at the 76.92th municipal percentile and 90.91th DE percentile (+1.79σ Z-score) based on 10,570 billed procedures for 583 patients.
Granular CPT/HCPCS billing distribution at 4745 Ogletown Stanton Rd, Map #1 shows Dr. Ashesh Modi's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 314x/yr, 76.92th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 212x/yr, $111–$152).
Self-pay new patient consultations with Dr. Modi (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 22-minute average reception wait, and a 4.84/5 modern protocol openness score across 10 patient logs.
From 4745 Ogletown Stanton Rd, Map #1 in Newark (+1-744-555-6589), Dr. Modi, MD (9-year clinical track record) delivers 35 Active CMS HCPCS Codes care.
Compared against Newark, DE Gastroenterology peers
10,570 annual services across 583 beneficiaries
Standard deviations from DE Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 314 | 76.92th | $46 – $63 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 212 | 80.92th | $111 – $152 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 178 | 80.92th | $92 – $126 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 85 | 72.92th | $123 – $169 |
| 99204 | New Patient Digestive & Hepatology Consultation | 59 | 81.92th | $65 – $89 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (35 HCPCS billing breadth) | 9,722 | 76.92th | $45 – $65 |
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Dr. Ashesh Modi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1174674816 (MD) | CMS NPPES Registry (19713) |
| Dr. Modi Newark CMS Volume Rank | 76.92th Pct (10,570 CMS svcs; Z +1.790σ) | CMS Medicare Part B (DE Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newark, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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