Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $457.51 | 6 | 57.8% |
| Food and Beverage | $154.29 | 13 | 19.5% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $130.00 | 2 | 16.4% |
| Unspecified | $50.00 | 1 | 6.3% |
Payments by Type
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Astellas Pharma US Inc | $446.99 | 5 | $0 (2024) |
| GENZYME CORPORATION | $90.00 | 1 | $0 (2019) |
| GlaxoSmithKline, LLC. | $86.52 | 4 | $0 (2024) |
| Allergan Inc. | $48.38 | 4 | $0 (2019) |
| SANOFI-AVENTIS U.S. LLC | $40.00 | 1 | $0 (2021) |
| Lilly USA, LLC | $32.52 | 2 | $0 (2024) |
| PFIZER INC. | $23.99 | 2 | $0 (2024) |
| Sunovion Pharmaceuticals Inc. | $23.40 | 3 | $0 (2021) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $309.34 | 7 | Astellas Pharma US Inc ($249.99) |
| 2023 | $98.00 | 1 | Astellas Pharma US Inc ($98.00) |
| 2021 | $63.40 | 4 | SANOFI-AVENTIS U.S. LLC ($40.00) |
| 2019 | $125.30 | 4 | GENZYME CORPORATION ($90.00) |
| 2018 | $36.24 | 3 | Allergan Inc. ($23.88) |
| 2017 | $159.52 | 3 | Astellas Pharma US Inc ($99.00) |
All Payment Transactions
22 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/10/2024 | Lilly USA, LLC | MOUNJARO (Drug) | Food and Beverage | In-kind items and services | $15.91 | General |
| Category: Diabetes | ||||||
| 08/30/2024 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug) | Food and Beverage | In-kind items and services | $13.64 | General |
| Category: RESPIRATORY | ||||||
| 05/23/2024 | Astellas Pharma US Inc | — | Education | In-kind items and services | $75.00 | General |
| 04/10/2024 | Lilly USA, LLC | MOUNJARO (Drug) | Food and Beverage | In-kind items and services | $16.61 | General |
| Category: Diabetes | ||||||
| 04/04/2024 | Astellas Pharma US Inc | — | Education | In-kind items and services | $95.00 | General |
| 04/04/2024 | Astellas Pharma US Inc | — | Education | In-kind items and services | $79.99 | General |
| 01/24/2024 | PFIZER INC. | PREVNAR 20 (Biological), COMIRNATY, ABRYSVO | Food and Beverage | In-kind items and services | $13.19 | General |
| Category: VACCINES | ||||||
| 08/03/2023 | Astellas Pharma US Inc | — | Education | In-kind items and services | $98.00 | General |
| 12/09/2021 | SANOFI-AVENTIS U.S. LLC | TOUJEO (Biological) | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | Cash or cash equivalent | $40.00 | General |
| Category: Endocrine & Metabolic Diseases | ||||||
| 11/30/2021 | Sunovion Pharmaceuticals Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $9.60 | General |
| Category: UROLOGY | ||||||
| 11/16/2021 | Sunovion Pharmaceuticals Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $6.90 | General |
| Category: UROLOGY | ||||||
| 11/16/2021 | Sunovion Pharmaceuticals Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $6.90 | General |
| Category: UROLOGY | ||||||
| 09/04/2019 | PFIZER INC. | CHANTIX (Drug), ELIQUIS | Food and Beverage | In-kind items and services | $10.80 | General |
| Category: NEUROSCIENCE;TOBACCO DEPENDENCE | ||||||
| 04/25/2019 | GENZYME CORPORATION | SOLIQUA 100/33 (Drug) | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | Cash or cash equivalent | $90.00 | General |
| Category: DIABETES | ||||||
| 03/12/2019 | Allergan Inc. | LINZESS (Drug) | Food and Beverage | In-kind items and services | $12.13 | General |
| Category: GASTROENTEROLOGY | ||||||
| 02/12/2019 | Allergan Inc. | LINZESS (Drug) | Food and Beverage | In-kind items and services | $12.37 | General |
| Category: GASTROENTEROLOGY | ||||||
| 06/13/2018 | Allergan Inc. | LASTACAFT (Drug) | Food and Beverage | In-kind items and services | $13.08 | General |
| Category: OPHTHALMOLOGY | ||||||
| 05/01/2018 | Allergan Inc. | BYSTOLIC (Drug) | Food and Beverage | In-kind items and services | $10.80 | General |
| Category: CARDIOVASCULAR | ||||||
| 02/12/2018 | GlaxoSmithKline, LLC. | ANORO (Drug) | Food and Beverage | In-kind items and services | $12.36 | General |
| Category: RESPIRATORY | ||||||
| 11/28/2017 | GlaxoSmithKline, LLC. | — | Education | In-kind items and services | $10.52 | General |
| 11/10/2017 | Astellas Pharma US Inc | — | Education | In-kind items and services | $99.00 | General |
| 02/08/2017 | GlaxoSmithKline, LLC. | — | — | Cash or cash equivalent | $50.00 | Research |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 34 | 4,056 | 7,056 | $733,640 | $367,929 |
| 2022 | 34 | 4,353 | 8,734 | $901,515 | $446,424 |
| 2021 | 35 | 4,558 | 9,698 | $842,778 | $468,997 |
| 2020 | 38 | 4,871 | 9,668 | $793,759 | $432,861 |
All Medicare Procedures & Services
141 procedure records from CMS Medicare Utilization — Page 1 of 6
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 527 | 1,437 | $208,675 | $92,713 | 44.4% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2023 | 470 | 470 | $90,740 | $63,309 | 69.8% |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 113 | 707 | $70,700 | $35,743 | 50.6% |
| 99496 | Transitional care management services for problem of high complexity | Office | 2023 | 100 | 132 | $55,020 | $30,415 | 55.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 182 | 243 | $48,025 | $24,251 | 50.5% |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 108 | 559 | $48,060 | $21,696 | 45.1% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 59 | 59 | $19,990 | $9,864 | 49.3% |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | Office | 2023 | 515 | 515 | $20,600 | $9,597 | 46.6% |
| G0444 | Annual depression screening, 5 to 15 minutes | Office | 2023 | 498 | 498 | $19,920 | $9,243 | 46.4% |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | Office | 2023 | 22 | 229 | $15,145 | $7,368 | 48.6% |
| G0008 | Administration of influenza virus vaccine | Office | 2023 | 221 | 222 | $11,100 | $7,120 | 64.1% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 141 | 192 | $17,280 | $6,893 | 39.9% |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | Office | 2023 | 25 | 145 | $11,600 | $5,738 | 49.5% |
| 99497 | Advance care planning, first 30 minutes | Office | 2023 | 85 | 86 | $12,900 | $5,657 | 43.8% |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | Office | 2023 | 155 | 196 | $8,820 | $5,048 | 57.2% |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | Office | 2023 | 218 | 219 | $7,665 | $4,481 | 58.5% |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | Office | 2023 | 22 | 106 | $9,725 | $4,417 | 45.4% |
| 17000 | Destruction of precancer skin growth, 1 growth | Office | 2023 | 65 | 75 | $8,250 | $3,582 | 43.4% |
| 99495 | Transitional care management services for problem of at least moderate complexity | Office | 2023 | 17 | 19 | $6,175 | $3,185 | 51.6% |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | Office | 2023 | 17 | 17 | $4,590 | $2,922 | 63.7% |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | Office | 2023 | 33 | 37 | $4,995 | $2,580 | 51.6% |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Office | 2023 | 52 | 59 | $5,310 | $2,501 | 47.1% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2023 | 61 | 155 | $4,805 | $1,676 | 34.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 13 | 13 | $3,380 | $1,374 | 40.7% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 23 | 27 | $4,050 | $1,270 | 31.4% |
About Dr. Tushar Modi, M.D
Dr. Tushar Modi, M.D is a Internal Medicine healthcare provider based in Modesto, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/04/2006. The National Provider Identifier (NPI) number assigned to this provider is 1679551352.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Tushar Modi, M.D has received a total of $791.80 in payments from pharmaceutical and medical device companies, with $309.34 received in 2024. These payments were reported across 22 transactions from 8 companies. The most common payment nature is "Education" ($457.51).
As a Medicare-enrolled provider, Modi has provided services to 17,838 Medicare beneficiaries, totaling 35,156 services with total Medicare billing of $1.7M. Data is available for 4 years (2020–2023), covering 141 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Other Specialties Geriatric Medicine
- Location Modesto, CA
- Active Since 01/04/2006
- Last Updated 01/01/2026
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1679551352
Products in Payments
- SOLIQUA 100/33 (Drug) $90.00
- TOUJEO (Biological) $40.00
- MOUNJARO (Drug) $32.52
- LINZESS (Drug) $24.50
- GEMTESA (Drug) $23.40
- TRELEGY ELLIPTA (Drug) $13.64
- PREVNAR 20 (Biological) $13.19
- LASTACAFT (Drug) $13.08
- ANORO (Drug) $12.36
- BYSTOLIC (Drug) $10.80
- CHANTIX (Drug) $10.80
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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