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PROVIDER PROFILE · NPI 1083961072

Payal ModhiaM.D.

Internal MedicineAlbuquerque, NMI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 320001
Hospital
CCN 320009
Hospital
CCN 320021
Hospital
REFERRAL NETWORK

Where Payal Modhia's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PRESBYTERIAN HEALTHCARE SERVICES34105
Bernalillo County Health Care Corporation
Ambulance Service Provider · Albuquerque, NM
1426
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PRESBYTERIAN HEALTHCARE SERVICES4263
Urvij Modhia
Orthopedic Surgery · Albuquerque, NM
2077
UNM SANDOVAL REGIONAL MEDICAL CENTER, INC2049
Bernalillo County Health Care Corporation
Ambulance Service Provider · Albuquerque, NM
1112
Tapan Godiwala
Cardiology · Raleigh, NC
1116
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
365
Unique beneficiaries
—
Total services
598
Distinct HCPCS
7
Medicare payment
$40K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 451 Internal Medicine providers in NM — above median (cohort median 364).
PRESCRIBING · PART D · 2024
Total Rx claims
339
Beneficiaries
—
Total drug cost
$24K
Distinct drugs
18
Brand share
19.2%
Top prescribed drugs
Atorvastatin Calcium43 claims
Amlodipine Besylate29 claims
Apixaban26 claims
Levetiracetam25 claims
Levothyroxine Sodium21 claims
QUALITY · MIPS · 2024
Final MIPS score
88.7
Quality
82.3
Cost
76.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.58%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$25
Payment records
1
By payment type
Food and Beverage$25