Medicare Enrolled

Dr. Nidhi Modi, MD

Neurology · Lawrenceville, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
3120 PRINCETON PIKE FL 2, Lawrenceville, NJ 08648
6098961701
Registered in NPPES since 2011
NPI: 1386931129 verify on NPPES ↗
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 →
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What this data tells you about Dr. Modi

Dr. Nidhi Modi is a neurology specialist in Lawrenceville, NJ, with 15 years of NPI registration. Based on federal Medicare data, Dr. Modi performed 1,465 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 $1,469 from 27 pharmaceutical and/or device companies across 119 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.

✓ 15 years of NPI registration ▲ Top 25% volume in NJ $1,469 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,465
Medicare services
Top 25% in NJ for neurology
Not available
Unique patients (not deduplicated)
$118
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
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.
645 $100 $151
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
87 $137 $201
Electromyography of arm or leg muscles
A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them.
83 $84 $120
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.
80 $69 $100
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.
73 $148 $200
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 66 $227 $325
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.
53 $151 $295
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.
52 $103 $160
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
45 $56 $219
Awake and drowsy EEG
A test that records electrical activity in the brain while the patient is awake and drowsy.
41 $206 $291
Nerve conduction study, 9-10 studies
A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function.
35 $185 $280
Complete ultrasound of brain blood flow
An ultrasound test that evaluates blood flow within the brain's blood vessels. It uses sound waves to create images of the vessels and assess circulation.
32 $225 $354
Injection of anesthetic or steroid into upper neck and back of head nerve
An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head.
31 $95 $247
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
31 $133 $256
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.
29 $70 $125
Neuropsychological test evaluation, first hour
A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process.
21 $110 $150
Psychological test administration, first 30 minutes
A technician administers psychological or neuropsychological testing for the first 30 minutes.
21 $31 $50
Psychological test administration, each additional 30 minutes
A technician administers psychological or neuropsychological testing. This code covers each additional 30-minute increment of administration time.
21 $32 $50
EEG, extended monitoring
A test that records electrical activity in the brain while the patient is both awake and asleep.
19 $400 $540
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.
3.1% high complexity
10.5% medium
86.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,469
Total received (2018-2024)
Avg $210/year across 7 years
Bottom 46% in NJ for neurology
27
Companies
119
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
$340
2023
$263
2022
$222
2021
$204
2020
$56
2019
$56
2018
$329

Payments by company (2024)

ABBVIE INC.
$180
Medtronic, Inc.
$89
UCB, Inc.
$20
Alexion Pharmaceuticals, Inc.
$19
ARGENX US, INC.
$19
EMD Serono, Inc.
$14
Top 3 companies account for 85.0% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$529
AbbVie Inc.
$163
Novartis Pharmaceuticals Corporation
$93
Medtronic, Inc.
$89
ARGENX US, INC.
$58
Biogen, Inc.
$53
Supernus Pharmaceuticals, Inc.
$49
Genentech USA, Inc.
$38
PFIZER INC.
$31
Allergan, Inc.
$28
Amgen Inc.
$28
Allergan Inc.
$28
Avanir Pharmaceuticals, Inc.
$27
AbbVie, Inc.
$27
Teva Pharmaceuticals USA, Inc.
$26
EMD Serono, Inc.
$25
Abbott Laboratories
$23
UCB, Inc.
$20
Alexion Pharmaceuticals, Inc.
$19
Horizon Therapeutics plc
$16
Strongbridge US INC.
$15
Adamas Pharmaceuticals, Inc.
$15
Lilly USA, LLC
$14
GENZYME CORPORATION
$14
Scilex Pharmaceuticals Inc.
$14
Acorda Therapeutics, Inc
$12
Biohaven Pharmaceutical Holding Company Ltd.
$12
Top 3 companies account for 53.5% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · AUBAGIO · AUSTEDO · Aimovig · BOTOX · BOTOX THERAPEUTIC · Briviact · Duopa · EMGALITY · GOCOVRI · INBRIJA · KESIMPTA · KEVEYIS · LYRICA · NURTEC ODT · Neuromodulation Dspsbls and Accs · OCREVUS · ONZETRA Xsail · PERCEPT PC BRAINSENSE · QULIPTA · TROKENDI XR · TYSABRI · UBRELVY · ULTOMIRIS · UPLIZNA · VYVGART · VYVGART HYTRULO · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 →
Looking for a neurology specialist in Lawrenceville?
Compare neurologists in the Lawrenceville area by procedure volume, costs, and industry payment transparency.
Browse neurologists nearby

Geographic Context

Neurologists in nearby ZIP areas
140
County median income
$96,333
Nearest hospital to ZIP centroid (approximate)
CAPITAL HEALTH REGIONAL MEDICAL CENTER
3.2 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 25% in NJ), with 15 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 office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Modi performed 645 office visit, established patient (30-39 min) 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 $1,469 from 27 companies across 119 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 neurologists in Lawrenceville?
Dr. Modi's average Medicare payment per service is $118. 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 →
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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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →