Dr. Falgun Modhia, MD
2055 S Fremont Ave Ste 1000, Springfield, MO 65804
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1942470414 • CBSA Regional • Hematology-Oncology
Within the Springfield, MO (CBSA local) Hematology-Oncology cohort, Dr. Falgun Modhia, MD with sub-specialty concentration in 25 Active CMS HCPCS Codes ranks at the 33.33th municipal percentile and 62.63th MO percentile (-0.42σ Z-score) based on 2,523 billed procedures for 326 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Modhia (averaging 7.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (1135 encounters), paired with 99213 (656x).
Compared against Springfield, MO Hematology-Oncology peers
2,523 annual services across 326 beneficiaries
Standard deviations from MO Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures (CMS Medicare Part B)
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct |
|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,135 | 33.33th |
| 99213 | Established Preventive & Chronic Care Visit | 656 | 29.33th |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 328 | 36.33th |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 252 | 31.33th |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 151 | 28.33th |
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Dr. Falgun Modhia, MD CMS Utilization Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modhia National Provider Identifier | NPI #1942470414 (MD) | CMS NPPES Registry (65804) |
| Dr. Modhia Springfield CMS Volume Rank | 33.33th Pct (2,523 CMS svcs; Z -0.421σ) | CMS Medicare Part B (MO Hematology-Oncology) |
| Annual Medicare Patients Treated | 326 unique Medicare beneficiaries/yr | CMS Medicare Physician & Other Practitioners (MO) |
| Statewide Specialty Volume Percentile | 62.63th Percentile in MO | CMS MO Hematology-Oncology Peer Distribution |
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