Medicare Enrolled
Dr. Varun Modi, MD
Hematology & Oncology · Middletown, NY
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Varun Modi is a hematology & oncology specialist in Middletown, NY, with 11 years of NPI registration. Based on federal Medicare data, Dr. Modi performed 11,157 Medicare services across 1,901 unique beneficiaries.
Between the years covered by Open Payments, Dr. Modi received a total of $1,912 from 28 pharmaceutical and/or device companies across 98 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in hematology & oncology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.
✓ 11 years in practice
▲ Top 22% volume in NY
$1,912 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,157
Medicare services
Top 22% in NY for hematology & oncology
1,901
Unique beneficiaries
$12
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,014 Medicare services per year of practice
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 |
|---|---|---|---|
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
7,000 | $0 | $1 |
| 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. |
554 | $105 | $322 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
480 | $8 | $20 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
464 | $0 | $10 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
426 | $8 | $150 |
| Flow cytometry, additional marker An additional marker is tested during a flow cytometry procedure to analyze DNA or cells. This step adds specific data points to the initial analysis. |
253 | $21 | $108 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
252 | $10 | $60 |
| 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. |
125 | $68 | $224 |
| Immunoglobulin light chain measurement A blood test that measures the levels of immunoglobulin light chains, which are proteins produced by plasma cells. |
102 | $17 | $70 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
90 | $6 | $30 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
82 | $26 | $120 |
| Immunoglobulin level test A blood test that measures the level of gammaglobulins, which are immune system proteins. |
78 | $9 | $45 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
70 | $13 | $150 |
| Iron level test | 69 | $6 | $70 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
68 | $7 | $75 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
68 | $5 | $50 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
61 | $12 | $188 |
| Serum protein measurement A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status. |
58 | $11 | $60 |
| Serum immunofixation test A laboratory test that analyzes a blood serum sample to identify specific abnormal proteins. The procedure uses an immunologic technique to detect and characterize these proteins. |
58 | $22 | $110 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
57 | $9 | $125 |
| 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. |
54 | $56 | $500 |
| 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. |
52 | $69 | $177 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
50 | $4 | $50 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
50 | $117 | $550 |
| 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. |
50 | $128 | $517 |
| 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. |
47 | $103 | $370 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
46 | $16 | $150 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
44 | $14 | $95 |
| 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. |
43 | $155 | $770 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
42 | $15 | $75 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
41 | $14 | $70 |
| Manual red blood cell count A laboratory test that manually counts the number of red blood cells in a blood sample. |
29 | $4 | $15 |
| Carcinoembryonic antigen (CEA) level test A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer. |
26 | $19 | $60 |
| 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. |
26 | $152 | $414 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
25 | $113 | $294 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
22 | $54 | $150 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
19 | $90 | $352 |
| Beta-2 microglobulin level test A blood test that measures the level of beta-2 microglobulin, a protein produced by cells in the body. |
18 | $16 | $50 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
18 | $4 | $20 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
18 | $11 | $80 |
| Acute hepatitis panel A blood test that screens for markers of acute viral hepatitis infection. |
11 | $47 | $175 |
| Flow cytometry DNA or cell analysis, first marker A laboratory test that uses a laser to analyze cells or DNA by detecting a specific marker on the cell surface or within the cell. |
11 | $67 | $300 |
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. A higher procedure volume generally indicates more experience with that procedure.
1.7% high complexity
67.8% medium
30.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,912
Total received (2018-2024)
Avg $273/year across 7 years
Top 48% in NY for hematology & oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
98
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,615 (84.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$297 (15.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$524
2023
$368
2022
$102
2021
$43
2020
$115
2019
$336
2018
$423
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$155
Tempus AI, Inc
$145
ARRAY BIOPHARMA INC
$106
Ipsen Biopharmaceuticals, Inc
$53
AstraZeneca Pharmaceuticals LP
$24
Astellas Pharma US Inc
$22
Daiichi Sankyo Inc.
$20
Top 3 companies account for 77.4% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$257
Amgen Inc.
$237
Novartis Pharmaceuticals Corporation
$159
Janssen Biotech, Inc.
$157
Tempus AI, Inc
$145
AstraZeneca Pharmaceuticals LP
$106
ARRAY BIOPHARMA INC
$106
E.R. Squibb & Sons, L.L.C.
$90
Merck Sharp & Dohme Corporation
$89
Ipsen Biopharmaceuticals, Inc
$71
Celgene Corporation
$65
Pharmacyclics LLC, An AbbVie Company
$54
Kite Pharma, Inc.
$43
Genentech USA, Inc.
$42
BTG International, Inc.
$37
Astellas Pharma US Inc
$37
Alexion Pharmaceuticals, Inc.
$26
Gilead Sciences, Inc.
$25
Eisai Inc.
$22
Blue Earth Diagnostics Limited
$21
Daiichi Sankyo Inc.
$20
Takeda Pharmaceuticals U.S.A., Inc.
$18
Puma Biotechnology, Inc.
$16
Incyte Corporation
$15
AbbVie, Inc.
$14
MEDIVATION FIELD SOLUTIONS LLC
$14
Janssen Pharmaceuticals, Inc
$13
Boehringer Ingelheim Pharmaceuticals, Inc.
$12
Top 3 companies account for 34.2% of all-time payments
Associated products mentioned in payments ›
Abraxane · Aranesp · Axumin · BOSULIF · BRAFTOVI · DARZALEX · ELREXFIO · ENHERTU · Enhertu · Erleada · GILOTRIF · IBRANCE · IMBRUVICA · IMFINZI · INLYTA · Imbruvica · JAKAFI · KEYTRUDA · KISQALI · Kyprolis · LYNPARZA · Lenvima · MEKINIST · NINLARO · Nerlynx · Neulasta · Nplate · OPDIVO · OXBRYTA · PADCEV · PIQRAY · PROMACTA · Perjeta · Pomalyst · SOLIRIS · SOMATULINE DEPOT · TAGRISSO · TASIGNA · TECENTRIQ · VENCLEXTA · VORAXAZE · VOTRIENT · Venclexta · Vyloy · XALKORI · XARELTO · XT CDX · XTANDI
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (84%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Hematology & oncology specialists within 10 mi
16
Per 100K population
4.0
County median income
$96,497
Nearest hospital
GARNET HEALTH MEDICAL CENTER
0.0 mi
0.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Modi is a mixed practice specialist, with above-average Medicare volume (top 22% in NY), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Modi experienced with iron sucrose injection (venofer)?
Based on Medicare claims data, Dr. Modi performed 7,000 iron sucrose injection (venofer) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Modi receive payments from pharmaceutical companies?
Yes. Dr. Modi received a total of $1,912 from 28 companies across 98 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 hematology & oncology specialists in Middletown?
Dr. Modi's average Medicare payment per service is $12. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
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. 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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