Dr. Mihir Modi, DO
755 S Pleasant Ave, Dallastown, PA 17313 • +1-418-555-4770
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Dallastown Percentiles
NPI #1861424772 • CBSA Regional • Family Practice
Operating out of Dallastown, PA (755 S Pleasant Ave), Family Practice clinician Dr. Mihir Modi, DO (accredited MD/DO training, 2004) maintains a focused low-volume boutique caseload (25th Dallastown percentile) (33.57th PA percentile; Z-score -0.37σ across 1,020 documented services) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Procedural volume for Dr. Modi is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 386 annual services, $140–$192 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 285/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 110/yr).
Uninsured and high-deductible cash patients visiting Dr. Mihir Modi in Dallastown (17313) face an estimated $209.00 initial evaluation fee at 755 S Pleasant Ave (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.83/5 from 12 verified reports).
Clinical background for Dr. Modi (DO, NPI #1861424772) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 755 S Pleasant Ave.
Compared against Dallastown, PA Family Practice peers
1,020 annual services across 250 beneficiaries
Standard deviations from PA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 386 | 25th | $140 – $192 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 285 | 21th | $107 – $147 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 110 | 25th | $160 – $220 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 83 | 22th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 55 | 24th | $192 – $263 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 101 | 25th | $126 – $183 |
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Dr. Mihir Modi, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1861424772 (DO) | CMS NPPES Registry (17313) |
| Dr. Modi Dallastown CMS Volume Rank | 25.00th Pct (1,020 CMS svcs; Z -0.374σ) | CMS Medicare Part B (PA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Dallastown, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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