Dr. Tejas Modi, MD
900 Hospital DR, Madisonville, KY 42431 • +1-851-555-3491
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Madisonville Percentiles
NPI #1912245267 • CBSA Regional • Hematology-Oncology
CMS Medicare Part B utilization records credit Dr. Tejas Modi (MD, NPI 1912245267) at 900 Hospital DR in Madisonville with 1,928 annual clinical services (431 beneficiaries), corresponding to a -0.24σ regional deviation and mid-cohort balanced caseload (50th Madisonville percentile) with sub-specialty concentration in 17 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Tejas Modi (42431) place 99214 at the top of the practice ledger (868 yearly units, 50th metro rank), rounded out by 99213 and 93000.
Direct cash-pay transparency modeling sets Dr. Modi's baseline new-consult rate near $209.00 in Madisonville, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 21-minute average reception wait).
Spanning 20 years of clinical practice following 2006 graduation from medical training, Dr. Tejas Modi integrates 17 Active CMS HCPCS Codes diagnostics for Madisonville metro patients.
Compared against Madisonville, KY Hematology-Oncology peers
1,928 annual services across 431 beneficiaries
Standard deviations from KY Hematology-Oncology 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 | 868 | 50th | $140 – $192 |
| 99213 | Established Preventive & Chronic Care Visit | 501 | 49th | $107 – $147 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 251 | 47th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 193 | 50th | $164 – $225 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 116 | 46th | $195 – $267 |
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Dr. Tejas Modi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1912245267 (MD) | CMS NPPES Registry (42431) |
| Dr. Modi Madisonville CMS Volume Rank | 50.00th Pct (1,928 CMS svcs; Z -0.245σ) | CMS Medicare Part B (KY Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madisonville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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