Dr. Dipaben Modi, MD
7200 Mcnair, Suite 8a, Houston, TX 77030 • +1-670-555-8556
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1114971850 • CBSA 26420 • Pulmonary Disease
Within the Houston, TX (CBSA 26420) Pulmonary Disease cohort, Dr. Dipaben Modi, MD with sub-specialty concentration in 21 Active CMS HCPCS Codes ranks at the 8.97th municipal percentile and 9.66th TX percentile (-0.41σ Z-score) based on 799 billed procedures for 272 patients.
Granular CPT/HCPCS billing distribution at 7200 Mcnair, Suite 8a shows Dr. Dipaben Modi's primary concentration in Established Pulmonary, Asthma & COPD Management (code 99214: 323x/yr, 12th local percentile) alongside Pre- & Post-Bronchodilator Spirometry Airflow Evaluation (94060: 181x/yr, $90–$123).
Direct cash-pay transparency modeling sets Dr. Modi's baseline new-consult rate near $212.00 in Houston, TX (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
NPI registry verification (#1114971850) confirms Dr. Dipaben Modi's MD standing serving CBSA 26420 with a 4.61/5 patient scorecard.
Compared against Houston, TX Pulmonary Disease peers
799 annual services across 272 beneficiaries
Standard deviations from TX Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 323 | 12th | $137 – $188 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 181 | 12th | $90 – $123 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 134 | 12th | $81 – $111 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 87 | 12th | $251 – $344 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 63 | 12th | $193 – $265 |
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Dr. Dipaben Modi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1114971850 (MD) | CMS NPPES Registry (77030) |
| Dr. Modi Houston CMS Volume Rank | 8.97th Pct (799 CMS svcs; Z -0.407σ) | CMS Medicare Part B (TX Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $212.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Houston, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $212.00 avg paid • 14 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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