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 2 of 6

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
17003 Destruction of precancer skin growth, 2-14 growths Office 2023 52 250 $3,750 $1,221 32.6%
G0179 Physician or allowed practitioner re-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 a Office 2023 18 27 $1,890 $938.52 49.7%
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report Office 2023 67 77 $3,850 $891.70 23.2%
69209 Removal of impacted ear wax by washing Office 2023 46 53 $1,855 $627.95 33.9%
69210 Removal of impacted ear wax Office 2023 18 19 $1,900 $612.73 32.2%
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment Office 2023 18 24 $960.00 $377.43 39.3%
99406 Smoking and tobacco use intensive counseling, 4-10 minutes Office 2023 12 19 $570.00 $274.06 48.1%
J1030 Injection, methylprednisolone acetate, 40 mg Office 2023 26 33 $660.00 $189.44 28.7%
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg Office 2023 57 137 $685.00 $153.75 22.4%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 577 1,884 $282,600 $123,038 43.5%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2022 520 520 $101,420 $70,780 69.8%
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month Office 2022 148 1,112 $110,110 $56,896 51.7%
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 2022 148 1,068 $96,030 $41,840 43.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 164 222 $44,400 $22,402 50.5%
99496 Transitional care management services for problem of high complexity Office 2022 81 97 $39,710 $22,157 55.8%
G0442 Annual alcohol misuse screening, 15 minutes Office 2022 567 569 $22,760 $10,785 47.4%
G0444 Annual depression screening, 15 minutes Office 2022 554 556 $22,240 $10,351 46.5%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2022 185 266 $23,940 $9,666 40.4%
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month Office 2022 83 138 $18,505 $9,191 49.7%
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes Office 2022 19 255 $16,835 $8,556 50.8%
G0008 Administration of influenza virus vaccine Office 2022 243 248 $12,400 $7,695 62.1%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2022 48 48 $16,800 $7,650 45.5%
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes Office 2022 21 150 $12,000 $6,224 51.9%
G0447 Face-to-face behavioral counseling for obesity, 15 minutes Office 2022 171 199 $8,955 $5,280 59.0%
90688 Influenza vaccine, quadrivalent, 0.5 ml dosage Office 2022 235 237 $8,295 $4,754 57.3%

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