Active NPI 1992133433 Individual Practitioner Male Practitioner

Pratik Modi , PA-C

Physician Assistant • Augusta, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Pratik Modi, PA-C is a certified Physician Assistant practicing in Augusta, GA. With approximately 13 years of clinical experience since completing medical education in 2013, Pratik Modi delivers high-quality medical care to the local community at 1120 15TH ST.

Pratik Modi is affiliated with Wellstar Medical Group Llc and 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, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309121405

Telephone 7067218623

Fax 7067211459

Associated Practice Facility / Clinic

🏢 American Transitional Hospitals, Inc. Facility NPI 1649276338

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Augusta, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

234 Specialists

Practicing in Augusta, GA (4726 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (13 Years) 13 Yrs

Augusta Specialty Average (10.3 Years) 10.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	59	$226.86	$78.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$354.64	$116.12
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$124.71	$52.91

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	134	97	$130.00	$112.16
99213 Established patient office or other outpatient visit, typically 15 minutes	90	74	$85.00	$78.90
36415 Insertion of needle into vein for collection of blood sample	56	52	$10.00	$3.00
81002 Urinalysis, manual test	51	49	$10.00	$3.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	47	$15.00	$7.77
83036 Hemoglobin A1C level	48	47	$30.00	$9.71
80061 Blood test, lipids (cholesterol and triglycerides)	43	43	$30.00	$13.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$175.00	$115.14

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	106	79	$130.00	$93.85
99213 Established patient office or other outpatient visit, typically 15 minutes	87	62	$85.00	$64.48
G0008 Administration of influenza virus vaccine	80	80	$30.00	$16.94
36415 Insertion of needle into vein for collection of blood sample	60	55	$10.00	$3.00
90662 Influenza vaccine split virus, preservative free	52	52	$80.00	$60.98
81002 Urinalysis, manual test	52	50	$10.00	$3.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	51	50	$15.00	$7.77
83036 Hemoglobin A1C level	46	45	$30.00	$9.71
80061 Blood test, lipids (cholesterol and triglycerides)	39	38	$30.00	$13.39
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$25.00	$19.17
99336 Established patient assisted living visit, typically 40 minutes	26	18	$180.00	$116.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$175.00	$99.72
99335 Established patient assisted living visit, typically 25 minutes	13	11	$130.00	$82.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	53	52	$1274.94	$100.69
99283 Emergency department visit with low level of medical decision making	48	47	$650.56	$52.42
99285 Emergency department visit for life threatening or functioning severity	15	15	$1991.33	$148.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	55	55	$835.76	$99.68
99283 Emergency department visit with low level of medical decision making	53	52	$474.91	$53.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$332.72	$141.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$217.70	$92.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	90	87	$474.00	$52.46
99284 Emergency department visit with moderate level of medical decision making	74	73	$834.95	$99.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$332.72	$139.15

Medical Specialties & State Licenses

CMS Verified: 2023-11-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 006993

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License GA 006993

Definition to come...

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Secondary Practice Locations

235 Peachtree St Ne Ste 2100

Atlanta, GA 303031405

Phone: 7703296318

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jack Ellis , DO

Internal Medicine

NPI 1003115254

Doctor of Osteopathic Medicine (D.O.)

Dr. Noelle Rolle , MD

Internal Medicine - Rheumatology

NPI 1003249194

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

Dr. Janelle Mcgill , MD

Pediatrics

NPI 1003299793

Doctor of Medicine (M.D.)

Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Winkler , MD

Radiology - Diagnostic Radiology

NPI 1003846692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 15, 2023

Registered at 1120 15TH ST, AUGUSTA, GA 309121405 (Tel: 7067218623)

📍

Updated Business Mailing Address November 15, 2023

Registered at 1120 15TH ST # OR6000, AUGUSTA, GA 309120004 (Tel: 7067213813)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Physician Assistant (License #006993 in GA)

✅

NPI Profile Active October 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2013

Registered at 235 PEACHTREE ST NE STE 2100, ATLANTA, GA 303031405 (Tel: 7703296318)

📍

Updated Business Mailing Address October 18, 2013

Registered at 235 PEACHTREE ST NE STE 2100, ATLANTA, GA 303031405 (Tel: 7703296318)

👤

Provider Name / Credentials Updated October 18, 2013

Recorded as PRATIK MODI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2013

Physician Assistant (License #006993 in GA)

🟢

Initial NPI Registration & Enumeration October 18, 2013

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: 1992133433

Entity Type:

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

Enumeration Date: October 18, 2013

Last Update: November 15, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1120 15th St # Or6000

Augusta, GA 309120004

Phone: 7067213813

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.