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Gastroenterology • Edison, NJ 08820 • NPI #1649506932

Dr. Chintan Modi, MD

98 James Street, # 200, Edison, NJ 08820 • +1-776-555-3282

Medical Education: Accredited U.S. Medical School (Class of 2013)

41 Active CMS HCPCS Codes
4.63/5
Waiting-Room Score
18 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Edison Percentiles

NPI #1649506932 • CBSA Regional • Gastroenterology

Dr. Chintan Modi DotMD Verification Badge

Operating out of Edison, NJ (98 James Street, # 200), Gastroenterology clinician Dr. Chintan Modi, MD (accredited MD/DO training, 2013) maintains a upper-quartile active clinical volume (85.71th Edison percentile) (87.64th NJ percentile; Z-score +0.21σ across 3,446 documented services) with sub-specialty concentration in 41 Active CMS HCPCS Codes.

Among 5 tracked CMS fee-schedule codes for Dr. Modi (averaging 4.8 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (1275 encounters), paired with 45380 (862x).

Cash-pay intake data for NPI 1649506932 (98 James Street, # 200, Edison) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.44/5 biomarker openness.

Patients evaluating Dr. Chintan Modi in ZIP 08820 note 13 years of post-doctoral tenure (null, 2013) alongside 4.8 annual CMS procedures per patient.

Edison Percentile 85.71th

Compared against Edison, NJ Gastroenterology peers

NJ State Percentile 87.64th

3,446 annual services across 720 beneficiaries

Regional Volume Z-Score +0.213σ

Standard deviations from NJ 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 1,275 85.71th $180 – $247
45380 Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy 862 82.71th $434 – $594
43239 Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy 724 81.71th $360 – $493
45385 Colonoscopy w/ Snare Polypectomy Lesion Removal 345 84.71th $483 – $662
99204 New Patient Digestive & Hepatology Consultation 241 86.71th $254 – $348
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Dr. Chintan Modi, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Modi National Provider Identifier NPI #1649506932 (MD) CMS NPPES Registry (08820)
Dr. Modi Edison CMS Volume Rank 85.71th Pct (3,446 CMS svcs; Z +0.213σ) CMS Medicare Part B (NJ Gastroenterology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Edison, NJ)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 20 min lobby wait 18 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.80/5 Listening • 4.44/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
20 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.80/5
Patient communication rating
Modern Protocol Openness
4.44/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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