Dr. Seema Modi, MD
5941 Dallas Pkwy Ste 100, Plano, TX 75093 • +1-339-555-2819
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Plano Percentiles
NPI #1043204423 • CBSA Regional • Family Practice
Within the Plano, TX (CBSA local) Family Practice cohort, Dr. Seema Modi, MD with sub-specialty concentration in 55 Active CMS HCPCS Codes ranks at the 10.53th municipal percentile and 13.14th TX percentile (-0.36σ Z-score) based on 794 billed procedures for 188 patients.
Dr. Modi's longitudinal care intensity (4.2 billed units per patient across 188 individuals) centers on 99214 (321 annual units) and 99213 ($68–$93 cash range).
Direct cash-pay transparency modeling sets Dr. Modi's baseline new-consult rate near $209.00 in Plano, TX (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
NPI registry verification (#1043204423) confirms Dr. Seema Modi's MD standing serving CBSA 75093 with a 4.87/5 patient scorecard.
Compared against Plano, TX Family Practice peers
794 annual services across 188 beneficiaries
Standard deviations from TX 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 | 321 | 12th | $89 – $122 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 237 | 14.53th | $68 – $93 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 92 | 12th | $102 – $140 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 69 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 46 | 12.53th | $122 – $168 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (55 HCPCS billing breadth) | 29 | 10.53th | $80 – $116 |
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Dr. Seema Modi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modi National Provider Identifier | NPI #1043204423 (MD) | CMS NPPES Registry (75093) |
| Dr. Modi Plano CMS Volume Rank | 10.53th Pct (794 CMS svcs; Z -0.364σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Plano, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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