Active NPI 1679551352 Individual Practitioner Male Practitioner

Dr. Tushar R. Modi , MD

Internal Medicine • Modesto, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Tushar Modi, MD is a certified Internal Medicine practicing in Modesto, CA. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Modi delivers high-quality medical care to the local community at 413 E ORANGEBURG AVE.

Dr. Modi accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, injection, methylprednisolone acetate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

413 E Orangeburg Ave
Suite A

Modesto, CA 953505315

Telephone 2095299600

Fax 2095442620

Associated Practice Facility / Clinic

🏢 Tushar R. Modi, M.d. Inc. Facility NPI 1003230343

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +21.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

131 Specialists

Practicing in Modesto, CA (18502 Statewide)

Telehealth Adoption Rate

24.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

36.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (45 Years) 45 Yrs

Modesto Specialty Average (23.6 Years) 23.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,192	451	$125.46	$92.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	900	378	$30.00	$16.31
J1010 Injection, methylprednisolone acetate, 1 mg	620	11	$1.00	$0.13
G0442 Annual alcohol misuse screening, 5 to 15 minutes	481	478	$40.00	$19.62
G0444 Annual depression screening, 5 to 15 minutes	467	464	$40.00	$19.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	436	436	$174.75	$131.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	396	75	$100.00	$63.32
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	359	67	$77.09	$48.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	208	$175.00	$130.29
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	194	194	$50.00	$21.90
G0008 Administration of influenza virus vaccine	194	194	$50.00	$32.91
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	161	134	$45.00	$25.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	146	40	$31.00	$14.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	79	$90.00	$57.79
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	107	35	$5.00	$1.28
17003 Destruction of precancer skin growth, 2-14 growths	103	38	$15.00	$7.04
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	93	13	$68.76	$39.80
99496 Transitional care management services for problem of high complexity	91	72	$350.00	$285.54
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	84	19	$80.00	$50.13
93000 Routine ekg using at least 12 leads including interpretation and report	69	65	$50.00	$14.57
17000 Destruction of skin growth	65	57	$110.00	$69.78
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	56	13	$75.00	$50.49
99497 Advance care planning, first 30 minutes	53	53	$150.00	$82.23
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	43	32	$135.00	$85.27
69209 Removal of impacted ear wax by washing	39	32	$35.00	$16.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$320.00	$220.92
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	24	20	$90.00	$54.89
20610 Aspiration and/or injection of fluid from large joint	20	15	$150.00	$64.05
69210 Removal of impacted ear wax	19	18	$100.00	$47.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$260.00	$168.77
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	16	16	$40.00	$19.77
G0179 Physician 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 to affirm the initial imp	16	12	$70.00	$43.38
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	15	12	$40.00	$21.14
99495 Transitional care management services for problem of at least moderate complexity	14	14	$325.00	$211.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$270.00	$167.49
J1030 Injection, methylprednisolone acetate, 40 mg	12	11	$20.00	$6.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,437	527	$145.22	$85.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	707	113	$100.00	$64.53
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	559	108	$85.97	$49.17
G0442 Annual alcohol misuse screening, 5 to 15 minutes	515	515	$40.00	$18.63
G0444 Annual depression screening, 5 to 15 minutes	498	498	$40.00	$18.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	470	470	$193.06	$134.70
17003 Destruction of precancer skin growth, 2-14 growths	250	52	$15.00	$7.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	182	$197.63	$130.32
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	229	22	$66.14	$40.92
G0008 Administration of influenza virus vaccine	222	221	$50.00	$32.07
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	219	218	$35.00	$20.46
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	196	155	$45.00	$25.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	141	$90.00	$46.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	155	61	$31.00	$14.86
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	145	25	$80.00	$50.81
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	137	57	$5.00	$1.56
99496 Transitional care management services for problem of high complexity	132	100	$416.82	$287.97
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	106	22	$91.75	$53.98
99497 Advance care planning, first 30 minutes	86	85	$150.00	$84.99
93000 Routine ekg using at least 12 leads including interpretation and report	77	67	$50.00	$15.06
17000 Destruction of skin growth	75	65	$110.00	$70.85
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	59	52	$90.00	$54.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$338.81	$225.67
69209 Removal of impacted ear wax by washing	53	46	$35.00	$16.97
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	37	33	$135.00	$87.19
J1030 Injection, methylprednisolone acetate, 40 mg	33	26	$20.00	$7.68
20610 Aspiration and/or injection of fluid from large joint	27	23	$150.00	$63.74
G0179 Physician 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 to affirm the initial imp	27	18	$70.00	$43.44
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	24	18	$40.00	$20.51
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	12	$30.00	$14.42
99495 Transitional care management services for problem of at least moderate complexity	19	17	$325.00	$209.48
69210 Removal of impacted ear wax	19	18	$100.00	$44.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$270.00	$171.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$260.00	$171.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,884	577	$150.00	$87.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,112	148	$99.02	$65.55
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	1,068	148	$89.92	$49.77
G0442 Annual alcohol misuse screening, 5 to 15 minutes	569	567	$40.00	$18.95
G0444 Annual depression screening, 5 to 15 minutes	556	554	$40.00	$18.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	520	520	$195.04	$136.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	266	185	$90.00	$46.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	258	59	$31.00	$15.05
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	255	19	$66.02	$41.96
G0008 Administration of influenza virus vaccine	248	243	$50.00	$31.03
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	237	235	$35.00	$20.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	164	$200.00	$130.72
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	199	171	$45.00	$26.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	190	49	$5.00	$1.71
17003 Destruction of precancer skin growth, 2-14 growths	165	54	$15.64	$7.29
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	150	21	$80.00	$51.89
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	138	83	$134.09	$88.01
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	97	19	$100.00	$59.05
99496 Transitional care management services for problem of high complexity	97	81	$409.38	$285.30
17000 Destruction of skin growth	89	77	$103.39	$69.96
93000 Routine ekg using at least 12 leads including interpretation and report	81	72	$40.15	$14.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$350.00	$228.64
69209 Removal of impacted ear wax by washing	44	38	$35.00	$16.20
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	31	29	$85.81	$55.26
G0179 Physician 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 to affirm the initial imp	28	19	$70.00	$42.95
J1030 Injection, methylprednisolone acetate, 40 mg	27	25	$17.78	$6.39
99497 Advance care planning, first 30 minutes	26	26	$150.00	$87.60
20610 Aspiration and/or injection of fluid from large joint	23	20	$150.00	$67.61
96116 Exam of neurobehavioral status, first hour	22	22	$160.00	$97.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$253.33	$171.97
99495 Transitional care management services for problem of at least moderate complexity	19	18	$289.47	$215.40
69210 Removal of impacted ear wax	18	16	$100.00	$47.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	14	$30.00	$15.38
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$23.00	$20.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,777	580	$149.17	$94.58
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,686	204	$55.77	$42.39
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	1,277	197	$59.66	$38.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes	508	508	$36.86	$19.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	458	458	$170.00	$137.66
G0444 Annual depression screening, 5 to 15 minutes	449	449	$34.38	$19.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	232	$198.87	$133.00
G0008 Administration of influenza virus vaccine	315	312	$50.00	$17.82
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	294	28	$67.21	$42.39
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	275	189	$45.00	$27.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	271	188	$78.14	$57.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	260	63	$31.12	$14.85
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	223	41	$80.00	$52.79
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	211	55	$5.00	$1.99
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	203	203	$35.00	$19.81
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	151	28	$88.87	$67.10
17003 Destruction of precancer skin growth, 2-14 growths	136	49	$15.84	$6.96
99496 Transitional care management services for problem of high complexity	124	96	$312.39	$289.00
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	115	115	$23.00	$20.34
17000 Destruction of skin growth	78	69	$92.00	$69.03
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	62	50	$110.00	$84.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$284.15	$229.24
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	58	55	$67.88	$55.15
93000 Routine ekg using at least 12 leads including interpretation and report	50	49	$31.00	$15.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	49	49	$250.00	$174.33
J1030 Injection, methylprednisolone acetate, 40 mg	46	37	$7.87	$5.65
G0179 Physician 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 to affirm the initial imp	43	28	$61.98	$42.97
99497 Advance care planning, first 30 minutes	42	41	$123.29	$87.79
20610 Aspiration and/or injection of fluid from large joint	36	31	$104.72	$69.28
69209 Removal of impacted ear wax by washing	29	25	$28.79	$15.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	23	16	$22.57	$16.08
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	18	15	$32.67	$20.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$192.20	$174.71
99495 Transitional care management services for problem of at least moderate complexity	13	12	$226.00	$212.55
69210 Removal of impacted ear wax	12	12	$91.25	$47.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,180	638	$82.97	$77.62
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,726	244	$52.00	$43.09
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	719	204	$60.01	$38.96
G0442 Annual alcohol misuse screening, 5 to 15 minutes	549	549	$30.10	$19.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	545	545	$187.32	$121.13
G0444 Annual depression screening, 5 to 15 minutes	459	459	$26.74	$19.17
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	448	251	$45.00	$27.00
G0008 Administration of influenza virus vaccine	336	333	$50.00	$17.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	211	$131.00	$112.00
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	222	221	$35.00	$19.08
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	202	43	$571.97	$53.30
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	193	37	$75.44	$43.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	191	65	$30.99	$14.90
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	176	119	$133.64	$85.49
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	171	41	$84.21	$66.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	156	58	$5.00	$1.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	101	$57.00	$47.12
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	115	115	$23.00	$19.58
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	100	53	$28.00	$19.86
17003 Destruction of precancer skin growth, 2-14 growths	91	29	$8.63	$6.45
99496 Transitional care management services for problem of high complexity	81	59	$297.00	$255.16
G0179 Physician 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 to affirm the initial imp	74	41	$55.00	$42.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	62	38	$21.00	$15.73
17000 Destruction of skin growth	58	52	$92.00	$69.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$239.00	$214.89
99497 Advance care planning, first 30 minutes	45	44	$99.00	$88.60
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	43	40	$61.00	$55.64
93000 Routine ekg using at least 12 leads including interpretation and report	40	38	$31.00	$17.76
J1030 Injection, methylprednisolone acetate, 40 mg	32	26	$5.73	$5.70
69210 Removal of impacted ear wax	26	25	$65.00	$49.63
99495 Transitional care management services for problem of at least moderate complexity	25	25	$211.00	$190.23
20610 Aspiration and/or injection of fluid from large joint	22	21	$80.00	$64.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$250.00	$152.33
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	20	20	$78.00	$64.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$182.00	$175.07
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	14	11	$45.00	$37.33
69209 Removal of impacted ear wax by washing	12	12	$25.00	$14.55
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	11	$70.00	$62.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,106	639	$82.96	$77.50
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,089	302	$52.00	$43.28
G0442 Annual alcohol misuse screening, 5 to 15 minutes	610	610	$21.00	$19.17
G0444 Annual depression screening, 5 to 15 minutes	600	600	$21.00	$19.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	520	520	$250.00	$121.94
G0008 Administration of influenza virus vaccine	410	409	$47.29	$17.33
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	397	256	$45.00	$26.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	378	87	$31.20	$17.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	345	82	$5.00	$1.79
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	284	283	$30.04	$17.42
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	254	126	$150.00	$85.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	158	$136.70	$109.77
17003 Destruction of precancer skin growth, 2-14 growths	215	50	$8.10	$5.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	101	$56.60	$47.07
99497 Advance care planning, first 30 minutes	101	101	$99.00	$87.12
17000 Destruction of skin growth	101	84	$92.00	$68.50
93000 Routine ekg using at least 12 leads including interpretation and report	95	88	$31.00	$17.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$239.00	$211.25
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	83	83	$22.00	$17.88
G0179 Physician 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 to affirm the initial imp	73	48	$55.00	$43.40
99496 Transitional care management services for problem of high complexity	70	62	$269.47	$242.34
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	65	64	$78.00	$65.23
J1030 Injection, methylprednisolone acetate, 40 mg	63	49	$5.64	$5.55
69209 Removal of impacted ear wax by washing	62	60	$25.00	$14.90
99495 Transitional care management services for problem of at least moderate complexity	56	51	$211.00	$172.04
69210 Removal of impacted ear wax	49	44	$65.00	$47.30
20610 Aspiration and/or injection of fluid from large joint	49	42	$80.00	$62.41
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	44	33	$21.00	$15.39
90756 Vaccine for influenza for injection into muscle	44	44	$49.39	$26.05
G0009 Administration of pneumococcal vaccine	44	44	$45.00	$17.33
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	28	28	$61.00	$55.74
90670 Pneumococcal vaccine for injection into muscle	24	24	$250.00	$211.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$179.55	$106.84
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	17	13	$97.00	$96.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,275	379	$52.00	$43.44
99213 Established patient office or other outpatient visit, typically 15 minutes	2,106	670	$82.97	$75.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	699	699	$21.00	$19.18
G0444 Annual depression screening, 5 to 15 minutes	590	590	$21.00	$18.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	478	478	$197.31	$120.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	450	103	$33.00	$21.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	416	96	$5.00	$1.96
G0008 Administration of influenza virus vaccine	396	393	$29.00	$21.47
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	391	390	$22.02	$17.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	224	$183.55	$109.34
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	250	191	$43.38	$26.26
17003 Destruction of precancer skin growth, 2-14 growths	235	57	$8.10	$5.46
99497 Advance care planning, first 30 minutes	176	176	$99.00	$86.32
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	129	129	$78.00	$65.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	111	111	$239.00	$209.78
17000 Destruction of skin growth	105	81	$92.00	$68.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	77	$57.00	$45.61
85610 Blood test, clotting time	101	14	$8.51	$4.75
G0179 Physician 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 to affirm the initial imp	100	64	$55.00	$43.50
93000 Routine ekg using at least 12 leads including interpretation and report	82	77	$31.00	$17.59
J1030 Injection, methylprednisolone acetate, 40 mg	65	41	$5.73	$5.65
99496 Transitional care management services for problem of high complexity	63	59	$253.38	$240.58
69210 Removal of impacted ear wax	61	55	$65.00	$48.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	48	$219.47	$149.42
69209 Removal of impacted ear wax by washing	57	54	$25.00	$15.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	18	$31.00	$22.75
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	49	32	$21.00	$14.72
20610 Aspiration and/or injection of fluid from large joint	49	37	$80.00	$61.95
99495 Transitional care management services for problem of at least moderate complexity	45	33	$211.00	$170.13
G0009 Administration of pneumococcal vaccine	45	45	$45.00	$21.47
90670 Pneumococcal vaccine for injection into muscle	34	34	$230.50	$195.62
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	24	21	$97.00	$95.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$187.00	$170.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$109.00	$105.59
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	11	11	$61.00	$56.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,157	612	$82.16	$75.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	583	262	$52.00	$43.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	353	$127.00	$110.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	505	112	$33.00	$27.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	482	482	$135.00	$119.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	479	103	$5.00	$2.94
99497 Advance care planning, first 30 minutes	479	474	$99.00	$83.47
G0444 Annual depression screening, 5 to 15 minutes	437	437	$21.00	$18.81
G0008 Administration of influenza virus vaccine	427	427	$29.00	$26.83
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	386	384	$78.00	$65.17
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	198	198	$25.00	$17.34
G0009 Administration of pneumococcal vaccine	195	195	$45.00	$26.83
90670 Pneumococcal vaccine for injection into muscle	186	186	$211.00	$182.93
17003 Destruction of precancer skin growth, 2-14 growths	171	43	$8.39	$5.86
85610 Blood test, clotting time	167	21	$8.51	$5.22
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	145	108	$31.00	$26.34
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	145	145	$22.00	$17.34
99496 Transitional care management services for problem of high complexity	133	104	$251.00	$239.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	113	23	$31.00	$21.27
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	102	79	$97.00	$95.48
93000 Routine ekg using at least 12 leads including interpretation and report	99	90	$31.00	$17.65
17000 Destruction of skin growth	97	75	$92.00	$69.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	94	94	$239.00	$211.69
69210 Removal of impacted ear wax	92	75	$65.00	$49.39
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	84	72	$61.00	$55.88
Q2039 Influenza virus vaccine, not otherwise specified	84	84	$23.00	$22.33
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	81	48	$21.00	$14.77
J1030 Injection, methylprednisolone acetate, 40 mg	62	49	$5.59	$5.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	48	$173.00	$146.74
20610 Aspiration and/or injection of fluid from large joint	54	43	$80.00	$60.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	38	$57.00	$45.38
G0179 Physician 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 to affirm the initial imp	34	21	$55.00	$43.27
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$70.00	$64.69
94664 Evaluation of use of breathing device	17	17	$23.00	$18.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$187.00	$171.19
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	12	12	$175.00	$168.90
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$21.00	$18.85

Medical Specialties & State Licenses

CMS Verified: 2026-01-01

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A44738

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License CA A44738

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Martha Benavides , FNP

Nurse Practitioner - Family

NPI 1215105580

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address January 01, 2026

Registered at 413 E ORANGEBURG AVE STE A, MODESTO, CA 953505369 (Tel: 2095299600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2026

Internal Medicine (License #A44738 in CA)

✅

NPI Profile Active February 19, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2010

Registered at 413 E ORANGEBURG AVE, SUITE A, MODESTO, CA 953505315 (Tel: 2095299600)

📍

Updated Business Mailing Address February 19, 2010

Registered at 413 E ORANGEBURG AVE, SUITE A, MODESTO, CA 953505315 (Tel: 2095299600)

👤

Provider Name / Credentials Updated February 19, 2010

Recorded as TUSHAR MODI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2010

Internal Medicine (License #A447380 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2010

Internal Medicine (License #A44738 in CA)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1679551352

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2006

Last Update: January 01, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

413 E Orangeburg Ave Ste A

Modesto, CA 953505369

Phone: 2095299600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.