Physician

Anita Rae Modi

According to 2025 Medicare claims, Anita Modi (NPI: 1205216819) practices infectious disease in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Modi is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Modi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 145 traditional Medicare patients, billed 496 HCPCS/CPT codes, and received $45,841 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 388 prescription claims across 73 beneficiaries totaling $495,027 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). 2021 DME data shows 40 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,130 to $495,027. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	49	194	$18,036
2021	142	430	$44,848
2022	151	387	$40,394
2023	150	692	$67,686
2024	145	496	$45,841

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	25	69	$4,130
2016	38	110	$10,797
2017	61	168	$8,944
2018	54	207	$15,351
2019	N/R	N/R	N/R
2020	19	30	$47,592
2021	45	199	$273,290
2022	45	228	$344,120
2023	68	324	$494,479
2024	73	388	$495,027

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	40	$9,441
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$129
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$118
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	17	$109
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	387	$89
99443	Telephone medical discussion with physician, 21-30 minutes	11	11	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	67	2,130	$276,750
Dovato	Dolutegravir Sodium/Lamivudine	33	960	$99,204
Tivicay	Dolutegravir Sodium	12	360	$22,878
Descovy	Emtricitabine/Tenofov Alafenam	12	360	$22,320
Vancomycin Hcl	Vancomycin Hcl	27	447	$2,699

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

Explore More Providers

FAQ

What Medicare data is available for Anita Rae Modi?

Tedicare shows public-source Medicare data for Anita Rae Modi (NPI 1205216819), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Anita Rae Modi have ACO affiliation data?

Anita Rae Modi is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Anita Rae Modi?

Anita Rae Modi is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Anita Rae Modi have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.