Active NPI 1508868704 Individual Practitioner Male Practitioner

Dr. Anil R Modi , MD

Internal Medicine • Lagrange, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Anil Modi, MD is a certified Internal Medicine practicing in Lagrange, GA. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Modi delivers high-quality medical care to the local community at 300 MEDICAL DR.

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, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Medical Dr
Suite 701

Lagrange, GA 302404130

Telephone 7068828971

Fax 7068828991

Associated Practice Facility / Clinic

🏢 Neurology Center Of West Georgia Pc Facility NPI 1922103621

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lagrange, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Lagrange, GA (4065 Statewide)

Telehealth Adoption Rate

56.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (37 Years) 37 Yrs

Lagrange Specialty Average (30.3 Years) 30.3 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	918	287	$250.00	$122.17
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	746	113	$114.09	$41.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	672	146	$120.00	$59.75
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	659	267	$25.00	$16.09
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	401	123	$108.93	$45.69
99213 Established patient office or other outpatient visit, typically 15 minutes	268	148	$175.00	$86.25
99497 Advance care planning, first 30 minutes	216	214	$150.00	$79.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$305.00	$125.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	18	$35.00	$13.53
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	91	88	$119.34	$18.06
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	45	20	$130.00	$101.03
81002 Urinalysis, manual test	23	18	$10.00	$3.19
93000 Routine ekg using at least 12 leads including interpretation and report	20	17	$60.00	$13.38
G0444 Annual depression screening, 5 to 15 minutes	17	17	$25.00	$16.83
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	15	15	$120.00	$60.05
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	13	11	$64.62	$45.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$370.00	$160.55

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	978	120	$117.96	$58.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	928	310	$249.97	$120.90
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	673	106	$89.82	$44.91
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	663	99	$104.33	$43.53
99213 Established patient office or other outpatient visit, typically 15 minutes	418	209	$175.00	$80.15
99497 Advance care planning, first 30 minutes	244	242	$150.00	$79.32
36415 Insertion of needle into vein for collection of blood sample	111	87	$10.00	$8.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	104	25	$35.00	$13.30
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	76	21	$130.00	$99.63
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	58	15	$240.60	$147.64
81002 Urinalysis, manual test	40	32	$10.00	$3.34
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	29	29	$157.24	$16.84
96127 Assessment of emotional or behavioral problems	28	21	$25.00	$4.24
93000 Routine ekg using at least 12 leads including interpretation and report	16	14	$60.00	$13.64

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	762	104	$113.25	$60.53
99213 Established patient office or other outpatient visit, typically 15 minutes	692	284	$175.10	$81.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	663	283	$250.00	$120.70
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	614	94	$109.51	$46.61
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	561	93	$158.00	$49.02
99497 Advance care planning, first 30 minutes	282	261	$150.00	$80.74
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	170	19	$240.00	$127.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$165.00	$123.68
36415 Insertion of needle into vein for collection of blood sample	149	112	$10.00	$2.89
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	126	30	$130.00	$100.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	24	$35.00	$13.33
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	46	25	$65.00	$50.15
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	39	39	$152.31	$16.65
81002 Urinalysis, manual test	36	30	$10.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	35	31	$60.00	$13.26
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	33	13	$55.00	$38.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$370.00	$159.75
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	23	23	$250.00	$246.98
99318 Nursing facility annual assessment, typically 30 minutes	13	13	$240.00	$90.73

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	821	355	$231.36	$123.92
99213 Established patient office or other outpatient visit, typically 15 minutes	811	326	$154.55	$84.76
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	721	126	$70.49	$39.27
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	716	126	$80.00	$56.16
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	715	126	$80.00	$47.96
99497 Advance care planning, first 30 minutes	442	324	$150.00	$82.43
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	215	26	$204.63	$130.14
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	190	89	$100.00	$39.27
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	180	172	$60.00	$16.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	178	178	$152.19	$126.33
36415 Insertion of needle into vein for collection of blood sample	161	117	$10.00	$2.89
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	116	26	$130.00	$102.18
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	57	57	$83.16	$58.69
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	52	25	$65.00	$50.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	41	$3.98	$2.29
81002 Urinalysis, manual test	41	27	$10.00	$3.48
96116 Exam of neurobehavioral status, first hour	38	37	$100.00	$91.87
G0444 Annual depression screening, 5 to 15 minutes	37	37	$25.00	$17.59
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	36	15	$55.00	$38.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	12	$35.00	$13.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	32	17	$160.00	$66.51
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$60.00	$14.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$332.11	$162.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	18	$10.17	$4.39
99316 Nursing facility discharge management, more than 30 minutes	17	15	$231.76	$101.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	789	346	$140.08	$72.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	768	370	$205.34	$104.77
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	308	44	$175.00	$132.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	247	247	$125.00	$112.30
36415 Insertion of needle into vein for collection of blood sample	61	50	$10.00	$2.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	37	17	$175.00	$133.13
99318 Nursing facility annual assessment, typically 30 minutes	25	25	$195.00	$95.28
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$60.00	$16.28
81002 Urinalysis, manual test	18	14	$10.00	$3.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$310.00	$160.35
99316 Nursing facility discharge management, more than 30 minutes	15	14	$200.00	$104.35

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	986	406	$205.37	$104.21
99213 Established patient office or other outpatient visit, typically 15 minutes	914	387	$140.00	$71.05
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	555	61	$175.00	$132.19
36415 Insertion of needle into vein for collection of blood sample	471	337	$10.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	156	156	$125.00	$111.06
81002 Urinalysis, manual test	58	46	$10.00	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	41	41	$175.00	$164.73
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$60.00	$15.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	15	$20.00	$15.77
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	35	14	$55.00	$39.09
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	24	17	$10.00	$1.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$310.00	$158.82
99318 Nursing facility annual assessment, typically 30 minutes	19	19	$195.00	$93.52
99316 Nursing facility discharge management, more than 30 minutes	13	13	$200.00	$103.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,574	510	$140.00	$65.81
36415 Insertion of needle into vein for collection of blood sample	652	422	$9.99	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	302	$205.00	$97.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	424	67	$155.00	$84.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	339	339	$175.00	$154.44
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	272	63	$175.00	$124.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	84	$275.00	$131.90
81002 Urinalysis, manual test	62	55	$10.00	$3.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	17	$200.00	$95.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	21	$10.00	$1.97
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	19	$55.00	$37.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	23	$20.54	$18.10
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$60.00	$15.12
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	22	$65.00	$48.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$385.00	$185.94
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$189.44	$88.14
99239 Hospital discharge day management, more than 30 minutes	17	15	$205.00	$98.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$205.00	$97.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$310.00	$149.52
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$300.00	$152.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,862	536	$129.85	$65.09
36415 Insertion of needle into vein for collection of blood sample	765	449	$10.00	$2.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	746	93	$154.64	$82.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	362	100	$189.17	$94.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	177	$156.58	$96.44
99239 Hospital discharge day management, more than 30 minutes	140	110	$189.29	$96.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	107	$349.00	$183.91
99306 Initial nursing facility visit, typically 45 minutes per day	97	83	$267.99	$150.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	95	56	$30.00	$7.72
82962 Blood glucose (sugar) test performed by hand-held instrument	88	61	$12.00	$3.15
99316 Nursing facility discharge management, more than 30 minutes	71	68	$183.24	$95.71
81002 Urinalysis, manual test	65	49	$10.00	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	54	$275.00	$129.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	17	$116.60	$65.50
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$60.00	$14.93
99220 Hospital observation care, typically 70 minutes	36	33	$305.56	$168.52
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	35	22	$20.00	$12.94
99217 Hospital observation care on day of discharge	32	29	$191.41	$65.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	13	$20.00	$19.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$200.67	$96.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	19	$10.34	$2.93
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$169.55	$87.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$230.00	$147.69

Medical Specialties & State Licenses

CMS Verified: 2024-05-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 048066

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

Medicaid State Provider ID

00843873G (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Duncan Moffitt , PA

Physician Assistant

NPI 1922403401

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2008

Registered at 300 MEDICAL DR, SUITE 701, LAGRANGE, GA 302404130 (Tel: 7068828971)

📍

Updated Business Mailing Address March 04, 2008

Registered at 300 MEDICAL DR, SUITE 701, LAGRANGE, GA 302404130 (Tel: 7068828971)

👤

Provider Name / Credentials Updated March 04, 2008

Recorded as ANIL MODI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2008

Internal Medicine (License #048066 in GA)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1508868704

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: May 28, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Medical Dr, Suite 701

Lagrange, GA 302404130

Phone: 7068828971

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.