Dr. Fagunkumar Modi, MD
What this data tells you about Dr. Modi
Dr. Fagunkumar Modi is a pulmonary disease in Crystal River, FL, with 17 years in practice. Based on federal Medicare data, Dr. Modi performed 3,386 Medicare services across 2,125 unique beneficiaries.
Between the years covered by Open Payments, Dr. Modi received a total of $10,345 from 30 pharmaceutical and/or device companies across 215 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Modi is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Hospital follow-up visit, high complexity | 1,133 | $96 | $130 |
| Office visit, established patient (30-39 min) | 607 | $94 | $163 |
| Initial hospital admission, high complexity | 300 | $138 | $251 |
| Office visit, established patient, complex (40-54 min) | 167 | $134 | $218 |
| Critical care, first 30-74 min | 167 | $173 | $280 |
| Test to determine lung volumes using gas dilution or washout | 117 | $32 | $85 |
| Test to examine how well the lungs exchange gases | 117 | $42 | $111 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 114 | $29 | $79 |
| Remote patient monitoring management, 20 min/month | 73 | $36 | $98 |
| Test for exercise-induced lung stress | 72 | $27 | $68 |
| New patient office visit, complex (60-74 min) | 71 | $161 | $279 |
| Smoking and tobacco use intensive counseling, 4-10 minutes | 65 | $15 | $20 |
| Evaluation of use of breathing device | 51 | $12 | $25 |
| Advance care planning consultation, first 30 min | 42 | $61 | $98 |
| Ultrasonic guidance for blood vessel access | 37 | $12 | $40 |
| Office visit, established patient (20-29 min) | 37 | $67 | $114 |
| Aspiration of fluid from chest cavity using imaging guidance | 33 | $87 | $263 |
| Sleep study in sleep lab with continuous airway pressure (6 years or older) | 25 | $478 | $1,672 |
| Hospital discharge management, 30+ min | 25 | $93 | $133 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 24 | $69 | $176 |
| Hospital follow-up visit, moderate complexity | 21 | $64 | $90 |
| Critical care, each additional 30 minutes | 21 | $88 | $141 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 17 | $51 | $274 |
| Insertion of artery tube for blood sampling or infusion through skin | 13 | $36 | $92 |
| Sleep study in sleep lab (6 years or older) | 13 | $471 | $1,540 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 12 | $117 | $300 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 12 | $20 | $25 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (69%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in pulmonary disease and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
6.6 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Modi is a clinical cardiology specialist, with above-average Medicare volume (top 14% in FL), and high industry engagement (speaking/promotional, top 20%), with 17 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Modi experienced with hospital follow-up visit, high complexity?
Does Dr. Modi receive payments from pharmaceutical companies?
How do Dr. Modi's costs compare to other pulmonary diseases in Crystal River?
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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