Dr. Joseph Modica, MD
601 Elmwood Ave, Rochester, NY 14642 • +1-537-555-5302
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1023545654 • CBSA Regional • Neurology
Within the Rochester, NY (CBSA local) Neurology cohort, Dr. Joseph Modica, MD with sub-specialty concentration in 71 Active CMS HCPCS Codes ranks at the 86.67th municipal percentile and 96.77th NY percentile (+1.44σ Z-score) based on 39,169 billed procedures for 324 patients.
Granular CPT/HCPCS billing distribution at 601 Elmwood Ave shows Dr. Joseph Modica's primary concentration in Established Neurologic, Migraine & Movement Evaluation (code 99214: 391x/yr, 86.67th local percentile) alongside 7–8 Nerve Conduction Electrodiagnostic Neuropathy Study (95910: 186x/yr, $82–$112).
Direct cash-pay transparency modeling sets Dr. Modica's baseline new-consult rate near $232.00 in Rochester, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Patients evaluating Dr. Joseph Modica in ZIP 14642 note 33 years of post-doctoral tenure (null, 1993) alongside 120.9 annual CMS procedures per patient.
Compared against Rochester, NY Neurology peers
39,169 annual services across 324 beneficiaries
Standard deviations from NY Neurology 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 Neurologic, Migraine & Movement Evaluation | 391 | 86.67th | $50 – $68 |
| 95910 | 7–8 Nerve Conduction Electrodiagnostic Neuropathy Study | 186 | 91.67th | $82 – $112 |
| 95819 | Awake & Drowsy Electroencephalogram (EEG) Recording | 149 | 88.67th | $73 – $101 |
| 64615 | Chemodenervation of Cranial/Cervical Muscles for Chronic Migraine | 112 | 91.67th | $78 – $106 |
| 99204 | Comprehensive New Patient Neurologic Examination | 93 | 83.67th | $69 – $95 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (71 HCPCS billing breadth) | 38,237 | 86.67th | $45 – $65 |
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Dr. Joseph Modica, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modica National Provider Identifier | NPI #1023545654 (MD) | CMS NPPES Registry (14642) |
| Dr. Modica Rochester CMS Volume Rank | 86.67th Pct (39,169 CMS svcs; Z +1.439σ) | CMS Medicare Part B (NY Neurology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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