Dr. Apurva Modi, MD
1250 8th Ave, Suite # 515, Fort Worth, TX 76104 • +1-630-555-9069
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Fort Worth Percentiles
NPI #1558300137 • CBSA Regional • Gastroenterology
Anchored in Fort Worth, TX 76104, Dr. Apurva Modi, MD (NPI 1558300137) logged 866 annual procedures (focused low-volume boutique caseload (12.5th Fort Worth percentile), 25.95th TX percentile, -0.30σ) with sub-specialty concentration in 25 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Modi (averaging 3.0 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (320 encounters), paired with 45380 (217x).
Direct cash-pay transparency modeling sets Dr. Modi's baseline new-consult rate near $209.00 in Fort Worth, TX (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Patients evaluating Dr. Apurva Modi in ZIP 76104 note 13 years of post-doctoral tenure (null, 2013) alongside 3.0 annual CMS procedures per patient.
Compared against Fort Worth, TX Gastroenterology peers
866 annual services across 289 beneficiaries
Standard deviations from TX 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 | 320 | 12.5th | $149 – $204 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 217 | 12th | $358 – $491 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 182 | 14.5th | $298 – $408 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 87 | 17.5th | $399 – $547 |
| 99204 | New Patient Digestive & Hepatology Consultation | 61 | 17.5th | $210 – $287 |
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Dr. Apurva Modi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1558300137 (MD) | CMS NPPES Registry (76104) |
| Dr. Modi Fort Worth CMS Volume Rank | 12.50th Pct (866 CMS svcs; Z -0.300σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fort Worth, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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