Active NPI 1790772838 Individual Practitioner Male Practitioner

Dr. Prithvi Nambalat Shankar , MD

Internal Medicine • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prithvi Shankar, MD is a certified Internal Medicine practicing in Modesto, CA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Shankar delivers high-quality medical care to the local community at 400 E ORANGEBURG AVE.

Dr. Shankar accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual alcohol misuse screening, 5 to, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 E Orangeburg Ave
Ste 3

Modesto, CA 953505342

Telephone 2095781600

Fax 2095781088

Associated Practice Facility / Clinic

🏢 Modesto Surgery Center Facility NPI 1346287232

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +3.4 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

In-Person Office Visits Only

Medicare Pricing Discount

28.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shankar (27 Years) 27 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	447	148	$122.13	$91.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	142	$170.00	$130.21
G0442 Annual alcohol misuse screening, 5 to 15 minutes	139	139	$25.00	$19.64
G0444 Annual depression screening, 5 to 15 minutes	138	138	$25.00	$19.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$250.00	$131.88
G0008 Administration of influenza virus vaccine	80	78	$44.94	$32.91
90658 Influenza vaccine, trivalent, 0.5 ml dosage	76	75	$45.00	$21.42
99496 Transitional care management services for problem of high complexity	43	32	$365.44	$286.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	17	$33.00	$14.74
81003 Automated urinalysis test	26	11	$10.00	$2.20
G0009 Administration of pneumococcal vaccine	16	15	$45.00	$32.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	15	$350.00	$291.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$169.00	$113.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	449	145	$116.25	$93.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	119	$170.01	$132.51
G0442 Annual alcohol misuse screening, 5 to 15 minutes	129	129	$25.00	$19.61
G0444 Annual depression screening, 5 to 15 minutes	128	128	$25.00	$19.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$250.00	$134.70
90756 Vaccine for influenza for injection into muscle	72	71	$45.00	$31.70
G0008 Administration of influenza virus vaccine	72	71	$43.89	$32.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	11	$10.00	$1.09
99496 Transitional care management services for problem of high complexity	38	32	$367.24	$288.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	23	$33.65	$14.86
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	26	$309.26	$282.35
G0009 Administration of pneumococcal vaccine	27	26	$45.00	$32.07
J1040 Injection, methylprednisolone acetate, 80 mg	18	15	$20.56	$11.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$169.00	$115.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	447	148	$115.00	$93.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	289	133	$170.00	$131.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	103	103	$25.00	$19.42
G0444 Annual depression screening, 5 to 15 minutes	101	101	$25.00	$19.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	101	14	$9.90	$1.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$250.00	$133.72
90756 Vaccine for influenza for injection into muscle	79	74	$45.00	$29.78
G0008 Administration of influenza virus vaccine	79	74	$48.86	$30.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	19	$33.00	$14.90
G0009 Administration of pneumococcal vaccine	25	24	$47.20	$30.68
81003 Automated urinalysis test	19	13	$10.00	$2.23
90670 Pneumococcal vaccine for injection into muscle	16	16	$231.25	$223.97
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$27.00	$14.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$167.36	$115.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	567	189	$115.03	$95.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	131	$170.05	$134.89
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	134	30	$60.00	$42.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$250.00	$137.66
G0444 Annual depression screening, 5 to 15 minutes	122	122	$25.00	$19.67
G0442 Annual alcohol misuse screening, 5 to 15 minutes	120	120	$25.00	$19.67
G0008 Administration of influenza virus vaccine	89	86	$40.00	$17.82
90756 Vaccine for influenza for injection into muscle	86	86	$45.00	$28.37
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	42	23	$50.00	$38.76
81003 Automated urinalysis test	23	18	$10.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	16	$33.00	$14.85
83036 Hemoglobin A1C level	21	18	$20.24	$9.71
82947 Blood glucose (sugar) level	14	13	$10.00	$3.93
G0009 Administration of pneumococcal vaccine	13	13	$44.62	$17.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$169.00	$116.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$70.00	$58.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	686	202	$114.99	$78.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	194	$170.00	$113.17
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	337	38	$57.00	$43.11
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	114	112	$45.00	$19.10
G0008 Administration of influenza virus vaccine	114	112	$40.00	$17.66
G0442 Annual alcohol misuse screening, 5 to 15 minutes	75	75	$25.00	$19.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$250.00	$120.74
82947 Blood glucose (sugar) level	68	40	$9.93	$3.90
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	61	28	$43.28	$35.89
83036 Hemoglobin A1C level	59	38	$19.75	$9.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	36	$33.00	$14.89
G0444 Annual depression screening, 5 to 15 minutes	56	56	$25.00	$19.20
81003 Automated urinalysis test	35	23	$10.00	$2.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$31.19	$16.25
J1040 Injection, methylprednisolone acetate, 80 mg	25	21	$19.80	$11.25
20610 Aspiration and/or injection of fluid from large joint	22	18	$95.00	$64.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$169.00	$112.13
G0009 Administration of pneumococcal vaccine	12	12	$40.42	$17.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	667	228	$114.97	$77.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	652	225	$169.91	$113.35
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	255	42	$57.00	$43.24
82947 Blood glucose (sugar) level	170	71	$9.98	$4.28
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	168	164	$45.00	$17.48
G0008 Administration of influenza virus vaccine	168	164	$40.00	$17.33
83036 Hemoglobin A1C level	147	82	$19.93	$10.56
G0442 Annual alcohol misuse screening, 5 to 15 minutes	146	146	$25.00	$19.14
G0444 Annual depression screening, 5 to 15 minutes	145	145	$25.00	$19.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$248.96	$121.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	131	19	$10.00	$1.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	119	62	$33.00	$17.63
J1040 Injection, methylprednisolone acetate, 80 mg	54	48	$18.70	$11.82
81003 Automated urinalysis test	51	36	$10.00	$2.44
G0009 Administration of pneumococcal vaccine	34	34	$40.29	$17.33
20610 Aspiration and/or injection of fluid from large joint	22	18	$95.00	$62.26
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	20	17	$84.10	$55.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$169.00	$112.44
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	18	18	$100.00	$65.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$100.00	$98.00
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$27.00	$17.83
69210 Removal of impacted ear wax	17	13	$77.00	$49.26
90670 Pneumococcal vaccine for injection into muscle	16	16	$200.00	$196.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	766	243	$169.97	$111.17
99213 Established patient office or other outpatient visit, typically 15 minutes	682	243	$115.59	$75.38
82947 Blood glucose (sugar) level	185	80	$7.55	$4.75
G0008 Administration of influenza virus vaccine	170	165	$39.44	$21.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$247.62	$120.76
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	162	162	$45.00	$17.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	158	22	$10.00	$1.83
G0444 Annual depression screening, 5 to 15 minutes	157	157	$24.52	$18.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	157	157	$24.20	$18.57
83036 Hemoglobin A1C level	140	95	$20.00	$11.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	125	76	$38.90	$21.58
J1885 Injection, ketorolac tromethamine, per 15 mg	82	15	$10.98	$0.55
J0696 Injection, ceftriaxone sodium, per 250 mg	73	15	$5.37	$0.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	73	35	$26.25	$16.22
G0009 Administration of pneumococcal vaccine	63	63	$41.32	$21.47
J1040 Injection, methylprednisolone acetate, 80 mg	57	46	$18.75	$12.44
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	52	52	$100.00	$65.37
81003 Automated urinalysis test	52	38	$9.81	$2.71
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	47	33	$50.00	$43.38
90670 Pneumococcal vaccine for injection into muscle	35	35	$215.71	$195.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$100.00	$98.00
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	27	22	$85.41	$55.67
20610 Aspiration and/or injection of fluid from large joint	21	20	$95.00	$61.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$169.50	$111.09
69210 Removal of impacted ear wax	19	16	$77.63	$50.20
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$27.00	$17.59
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	14	12	$44.00	$28.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	827	264	$169.88	$110.41
99213 Established patient office or other outpatient visit, typically 15 minutes	770	241	$115.84	$75.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	274	34	$10.07	$1.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	227	34	$162.00	$106.20
82947 Blood glucose (sugar) level	177	78	$8.00	$5.26
G0008 Administration of influenza virus vaccine	168	160	$34.98	$26.83
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	152	152	$30.00	$17.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	149	60	$41.88	$26.38
83036 Hemoglobin A1C level	143	86	$20.00	$13.05
G0009 Administration of pneumococcal vaccine	97	94	$33.02	$26.83
90670 Pneumococcal vaccine for injection into muscle	88	86	$250.00	$185.69
81003 Automated urinalysis test	68	39	$9.85	$2.98
J1885 Injection, ketorolac tromethamine, per 15 mg	49	11	$10.00	$0.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$183.00	$119.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$170.00	$111.27
G0442 Annual alcohol misuse screening, 5 to 15 minutes	25	25	$25.00	$18.85
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$27.00	$17.63
G0444 Annual depression screening, 5 to 15 minutes	24	24	$25.00	$18.85
J1040 Injection, methylprednisolone acetate, 80 mg	23	20	$13.70	$10.25
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	14	$28.73	$12.48
20610 Aspiration and/or injection of fluid from large joint	20	18	$95.00	$59.69
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	18	18	$25.00	$16.03
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	16	12	$44.00	$28.35
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	15	14	$86.00	$55.79
69210 Removal of impacted ear wax	12	12	$78.58	$50.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$315.00	$206.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A92177

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P00266668 (CA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Charley Beck , FNP

Nurse Practitioner - Family

NPI 1871255315

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2014

Registered at 400 E ORANGEBURG AVE, STE 3, MODESTO, CA 953505342 (Tel: 2095781600)

📍

Updated Business Mailing Address January 21, 2014

Registered at PO BOX 579225, MODESTO, CA 953579225 (Tel: 2095781600)

👤

Provider Name / Credentials Updated January 21, 2014

Recorded as PRITHVI SHANKAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2014

Internal Medicine (License #A92177 in CA)

🟢

Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790772838

Entity Type:

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

Enumeration Date: October 04, 2005

Last Update: January 21, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 579225

Modesto, CA 953579225

Phone: 2095781600

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.