Not Medicare Enrolled
Dr. Vikash Modi, M.D.
Preventive Medicine/Occupational Environmental Medicine Physician · Atlanta, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 3 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. Vikash Modi is a preventive medicine/occupational environmental medicine physician in Atlanta, GA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Modi performed 600 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 $7,804 from 50 pharmaceutical and/or device companies across 395 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.
✓ 16 years of NPI registration
▲ 600 Medicare services
$7,804 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗600
Medicare services
Bottom 20% in GA for preventive medicine/occupational environmental medicine physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$56
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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
191 | $8 | $23 |
| 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. |
138 | $81 | $370 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
67 | $129 | $397 |
| 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. |
52 | $61 | $253 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
32 | $10 | $40 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
26 | $11 | $73 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
21 | $31 | $57 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
19 | $72 | $219 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
15 | $165 | $568 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
13 | $281 | $1,095 |
| Online digital evaluation for established patient, 5-10 minutes This service involves an online digital evaluation and management visit for an established patient. It covers a total time of 5 to 10 minutes over a period of up to 7 days. |
13 | $11 | $52 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
13 | $31 | $57 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$7,804
Total received (2018-2024)
Avg $1,115/year across 7 years
Top 7% in GA for preventive medicine/occupational environmental medicine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
395
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
$746
2023
$2,633
2022
$1,994
2021
$1,124
2020
$573
2019
$579
2018
$154
Payments by company (2024)
ABBVIE INC.
$207
PFIZER INC.
$100
Gilead Sciences, Inc.
$62
Exact Sciences Corporation
$54
Takeda Pharmaceuticals U.S.A., Inc.
$45
Novo Nordisk Inc
$42
Lilly USA, LLC
$34
Noven Therapeutics, LLC
$24
Tris Pharma Inc
$24
Bayer Healthcare Pharmaceuticals Inc.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Abbott Laboratories
$19
GlaxoSmithKline, LLC.
$17
Dynavax Technologies Corporation
$17
Novartis Pharmaceuticals Corporation
$15
Astellas Pharma US Inc
$15
Merck Sharp & Dohme LLC
$15
Currax Pharmaceuticals LLC
$14
Top 3 companies account for 49.4% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$942
Novo Nordisk Inc
$902
Gilead Sciences, Inc.
$688
PFIZER INC.
$455
Lilly USA, LLC
$413
SANOFI-AVENTIS U.S. LLC
$377
Takeda Pharmaceuticals U.S.A., Inc.
$315
Biohaven Pharmaceuticals, Inc.
$296
AbbVie Inc.
$268
Horizon Therapeutics plc
$238
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$234
Biohaven Pharmaceutical Holding Company Ltd.
$220
Amgen Inc.
$216
GlaxoSmithKline, LLC.
$184
Boehringer Ingelheim Pharmaceuticals, Inc.
$169
Exact Sciences Corporation
$142
Abbott Laboratories
$134
Otsuka America Pharmaceutical, Inc.
$124
Akcea Therapeutics, Inc.
$121
Novartis Pharmaceuticals Corporation
$106
AstraZeneca Pharmaceuticals LP
$105
IDORSIA PHARMACEUTICALS US INC
$100
Dynavax Technologies Corporation
$85
Dexcom, Inc.
$73
Noven Therapeutics, LLC
$70
ViiV Healthcare Company
$68
Tris Pharma Inc
$66
Astellas Pharma US Inc
$63
IMPEL PHARMACEUTICALS INC.
$51
Allergan Inc.
$47
Merck Sharp & Dohme LLC
$45
Amneal Pharmaceuticals LLC
$44
Merck Sharp & Dohme Corporation
$40
Shire North American Group Inc
$38
UPSHER-SMITH LABORATORIES LLC
$35
Allergan, Inc.
$35
SANOFI PASTEUR INC.
$31
Currax Pharmaceuticals LLC
$28
Neos Therapeutics, LP
$27
Teva Pharmaceuticals USA, Inc.
$27
Janssen Pharmaceuticals, Inc
$24
Amarin Pharma Inc.
$24
Bayer Healthcare Pharmaceuticals Inc.
$21
Genentech USA, Inc.
$18
Lantheus Medical Imaging, Inc.
$16
Sanofi Pasteur Inc.
$16
Medtronic, Inc.
$16
Phadia US Inc.
$16
DERMIRA, INC.
$15
Daiichi Sankyo Inc.
$15
Top 3 companies account for 32.4% of all-time payments
Associated products mentioned in payments ›
AJOVY · APRETUDE · AREXVY · Adzenys XR-ODT · AirDuo Digihaler · BASAGLAR · BREZTRI · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · COSENTYX · Cologuard Collection Kit · DEFINITY · Descovy · Dexcom G6 Transmitter · Dyanavel XR · EMGALITY · EVENITY · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · Heplisav-B · INJECTAFER · ImmunoCAP · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · LYVISPAH · MOTEGRITY · MOUNJARO · Myrbetriq · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QBREXZA · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPRAVATO · SYNJARDY · Saxenda · TEGSEDI · TEPEZZA · TOSYMRA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · Trudhesa · UBRELVY · VENASEAL · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Wegovy · XIFAXAN · Xelstrym · Xofluza · ZEMBRACE SYMTOUCH · ZEPBOUND
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
Preventive medicine/occupational environmental medicine physicians in nearby ZIP areas
37
County median income
$91,490
Nearest hospital to ZIP centroid (approximate)
PIEDMONT HOSPITAL, INC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 3 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 moderate Medicare volume, with 16 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 blood draw (venipuncture)?
Based on Medicare claims data, Dr. Modi performed 191 blood draw (venipuncture) 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 $7,804 from 50 companies across 395 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 preventive medicine/occupational environmental medicine physicians in Atlanta?
Dr. Modi's average Medicare payment per service is $56. 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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