Physician

Varun Modi, MD

According to 2025 Medicare claims, Varun Modi, MD (NPI: 1295126670) practices hematology/oncology in the Kiryas Joel-Poughkeepsie-Newburgh, NY market, with the plurality of this provider's patient population coming from Orange, NY. This provider's primary affiliated billing organization is NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC (NPI: 1396794574; TIN: 112419534) and primary practice location at 10940-2552. Modi is affiliated with the ilumed, LLC (ACO ID: D0005) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Modi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 534 traditional Medicare patients, billed 118,602 HCPCS/CPT codes, and received $1,513,926 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 801 prescription claims across 161 beneficiaries totaling $3,233,807 in drug costs, led by Xtandi (Enzalutamide). Open Payments data shows 25 records totaling $524. 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 has moved sharply higher in recent years, from $20,905 to $1,513,926. Similarly, Part D prescription costs have risen steadily, from $351 to $3,233,807. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$757K$1.5M2018 Medicare payment: $20,905 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $49,793 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $63,216 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $89,929 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $117,176 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $417,744 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,513,926 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018139301$20,905
2019270771$49,793
2020242811$63,216
2021226824$89,929
20222911,137$117,176
202337627,018$417,744
2024534118,602$1,513,926

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.6M$3.2M2016 Drug cost: $351 (USD; Tot_Drug_Cst)2017 Drug cost: $228,386 (USD; Tot_Drug_Cst)2018 Drug cost: $119,953 (USD; Tot_Drug_Cst)2019 Drug cost: $441,374 (USD; Tot_Drug_Cst)2020 Drug cost: $745,779 (USD; Tot_Drug_Cst)2021 Drug cost: $970,843 (USD; Tot_Drug_Cst)2022 Drug cost: $1,739,034 (USD; Tot_Drug_Cst)2023 Drug cost: $2,657,153 (USD; Tot_Drug_Cst)2024 Drug cost: $3,233,807 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161221$351
20172663$228,386
201856164$119,953
201988372$441,374
202069316$745,779
202185441$970,843
2022141710$1,739,034
2023162862$2,657,153
2024161801$3,233,807

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more214468$104
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more239435$75
80053Blood test, comprehensive group of blood chemicals3301,097$10
36415Insertion of needle into vein for collection of blood sample3771,612$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3791,506$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide411,230$570,688
JakafiRuxolitinib Phosphate21630$264,334
Neulasta OnproPegfilgrastim35784$259,149
NeulastaPegfilgrastim25616$236,049
ImfinziDurvalumab17467$211,672

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.25$524PFIZER INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Varun Modi, MD?

Tedicare shows public-source Medicare data for Varun Modi, MD (NPI 1295126670), 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 Varun Modi, MD have ACO affiliation data?

Varun Modi, MD is shown with ACO affiliation data for ilumed, LLC (REACH, ACO ID D0005) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Varun Modi, MD?

Varun Modi, MD is linked to NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC (billing NPI 1396794574) in the available physician profile data.

Does Varun Modi, MD have Open Payments data?

Varun Modi, MD has 25 connected Open Payments records in the available 2024 summary 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.