Dr. Fagunkumar Modi, MD
5616 W Norvell Bryant Hwy, Crystal River, FL 34429 • +1-452-555-7973
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Crystal River Percentiles
NPI #1619117421 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across FL Internal Medicine providers positions Dr. Fagunkumar Modi, MD in Crystal River at -0.02σ (71.43th city percentile / 80.33th state percentile, 948 Medicare beneficiaries), with clinical focus spanning 55 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Fagunkumar Modi (34429) place 99214 at the top of the practice ledger (1755 yearly units, 71.43th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1619117421 (5616 W Norvell Bryant Hwy, Crystal River) indicates $216.00 typical out-of-pocket visit spend against a $216.00 locality benchmark, paired with 10-minute average reception wait and 4.71/5 biomarker openness.
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Fagunkumar Modi integrates 55 Active CMS HCPCS Codes diagnostics for Crystal River metro patients.
Compared against Crystal River, FL Internal Medicine peers
3,899 annual services across 948 beneficiaries
Standard deviations from FL Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,755 | 71.43th | $179 – $245 |
| 99213 | Established Preventive & Chronic Care Visit | 1,014 | 69.43th | $137 – $187 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 507 | 66.43th | $65 – $89 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 390 | 67.43th | $210 – $287 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 234 | 68.43th | $248 – $340 |
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Dr. Fagunkumar Modi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1619117421 (MD) | CMS NPPES Registry (34429) |
| Dr. Modi Crystal River CMS Volume Rank | 71.43th Pct (3,899 CMS svcs; Z -0.016σ) | CMS Medicare Part B (FL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Crystal River, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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