Medicare Enrolled
Dr. Fagunkumar Modi, MD
Pulmonary Disease · Crystal River, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Modi from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Modi?
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What this data tells you about Dr. Modi
Dr. Fagunkumar Modi is a pulmonary disease specialist in Crystal River, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Modi performed 3,565 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Modi received a total of $10,345 from 30 pharmaceutical and/or device companies across 215 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years of NPI registration
▲ Top 13% volume in FL
$10,345 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 120896 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗3,565
Medicare services
Top 13% in FL for pulmonary disease
Not available
Unique patients (not deduplicated)
$91
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
1,133 | $96 | $130 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
607 | $94 | $163 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
300 | $138 | $251 |
| Lung volume test using gas dilution or washout A test that measures the amount of air in your lungs by using a gas dilution or washout method. |
177 | $24 | $85 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
177 | $30 | $111 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
173 | $22 | $79 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
167 | $134 | $218 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
167 | $173 | $280 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
73 | $36 | $98 |
| Exercise-induced lung stress test A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising. |
72 | $27 | $68 |
| New patient office visit, complex (60-74 min) | 71 | $161 | $279 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
65 | $15 | $20 |
| Breathing device use evaluation An assessment of how a patient uses a breathing device. The provider reviews the patient's technique and device handling. |
51 | $12 | $25 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
42 | $61 | $98 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
37 | $12 | $40 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
37 | $67 | $114 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
33 | $87 | $263 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
25 | $478 | $1,672 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
25 | $93 | $133 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
24 | $69 | $176 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
21 | $64 | $90 |
| Additional 30 minutes of critical care This code represents an additional 30 minutes of critical care services provided beyond the initial critical care time period. |
21 | $88 | $141 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
17 | $51 | $274 |
| Arterial line insertion A tube is inserted into an artery through the skin to allow for blood sampling or infusion. |
13 | $36 | $92 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
13 | $471 | $1,540 |
| Emergent tracheostomy An emergency procedure to create an opening in the windpipe to insert a breathing tube, guided by an endoscope. |
12 | $117 | $300 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 12 | $20 | $25 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.7% high complexity
4.0% medium
95.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,345
Total received (2018-2024)
Avg $1,478/year across 7 years
Top 20% in FL for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
215
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$359
2023
$7,639
2022
$642
2021
$538
2020
$278
2019
$354
2018
$534
Payments by company (2024)
Takeda Pharmaceuticals U.S.A., Inc.
$57
GlaxoSmithKline, LLC.
$55
Boehringer Ingelheim Pharmaceuticals, Inc.
$49
FUJIFILM Healthcare Americas Corporation
$47
Pulmonx Corporation
$42
GENZYME CORPORATION
$30
Insmed, Inc.
$25
Grifols USA, LLC
$24
Inspire Medical Systems, Inc.
$16
Janssen Pharmaceuticals, Inc
$15
Top 3 companies account for 44.8% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$7,004
GlaxoSmithKline, LLC.
$1,287
Boehringer Ingelheim Pharmaceuticals, Inc.
$354
AstraZeneca Pharmaceuticals LP
$239
CSL Behring
$173
Takeda Pharmaceuticals U.S.A., Inc.
$167
Genentech USA, Inc.
$163
Grifols USA, LLC
$156
Pulmonx Corporation
$144
Insmed, Inc.
$62
Mylan Specialty L.P.
$52
ZOLL Circulation Inc
$52
Sunovion Pharmaceuticals Inc.
$50
FUJIFILM Healthcare Americas Corporation
$47
GENZYME CORPORATION
$41
Inspire Medical Systems, Inc.
$40
Paratek Pharmaceuticals, Inc.
$39
Inogen, Inc.
$36
Mallinckrodt Hospital Products Inc.
$34
Electromed, Inc.
$34
CHF Solutions, Inc
$33
Vapotherm Inc
$20
Circassia Pharmaceuticals Inc
$18
Bayer HealthCare Pharmaceuticals Inc.
$17
Merck Sharp & Dohme LLC
$17
Janssen Pharmaceuticals, Inc
$15
Tactile Systems Technology Inc
$13
Mallinckrodt LLC
$12
Nuwellis, Inc.
$12
Teva Pharmaceuticals USA, Inc.
$11
Top 3 companies account for 83.6% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ANORO · ANORO ELLIPTA · AREXVY · Adempas · AirDuo Digihaler · Aquadex · Aquadex Smartflow Console · Arikayce · BEVESPI AEROSPHERE · BREO · BREZTRI · CHARTIS CATHETER · CUVITRU · DUAKLIR PRESSAIR · DUPIXENT · Da Vinci Surgical System · Esbriet · FASENRA · FUJIFILM · Flexitouch Plus · GLASSIA · INSPIRE · ION · InogenOne · NUCALA · NUZYRA · OFEV · Perforomist · Prolastin-C Liquid · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · TRELEGY ELLIPTA · Temperature Management System · UTIBRON · Utibron · XARELTO · Xolair · Yupelri · ZEPHYR DELIVERY CATHETER · Zemaira
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Pulmonary diseases in nearby ZIP areas
10
County median income
$55,355
Nearest hospital to ZIP centroid (approximate)
TAMPA GENERAL HOSPITAL CRYSTAL RIVER
6.6 mi
6.6 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Modi is a clinical cardiology specialist, with above-average Medicare volume (top 13% in FL), with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Modi experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Modi performed 1,133 hospital follow-up visit, high complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Modi receive payments from pharmaceutical companies?
Yes. Dr. Modi received a total of $10,345 from 30 companies across 215 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Modi's costs compare to other pulmonary diseases in Crystal River?
Dr. Modi's average Medicare payment per service is $91. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Modi) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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