Dr. Tushar Modi, M.D

NPI: 1679551352
Total Payments
$791.80
2024 Payments
$309.34
Companies
8
Transactions
22
Medicare Patients
17,838
Medicare Billing
$1.7M

Payment Breakdown by Category

Education$457.51 (57.8%)
Food & Beverage$154.29 (19.5%)
Other$130.00 (16.4%)
Research$50.00 (6.3%)

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

General
$741.80
21 transactions
Research
$50.00
1 transactions

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
Total Patients
17,838
Total Services
35,156
Medicare Billing
$1.7M
Procedure Codes
141

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

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.

Internal Medicine Doctors in Modesto