Medicare Enrolled

Dr. Sunil Modi, M.D.

Family Medicine · Allen, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
940 RIDGEVIEW DR STE 150, Allen, TX 75013
9726724121
In practice since 2007 (18 years)
NPI: 1811195365 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 →
Are you Dr. Modi? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Modi

Dr. Sunil Modi is a family medicine in Allen, TX, with 18 years in practice. Based on federal Medicare data, Dr. Modi performed 832 Medicare services across 665 unique beneficiaries.

Between the years covered by Open Payments, Dr. Modi received a total of $3,181 from 36 pharmaceutical and/or device companies across 171 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice▲ Top 33% volume in TX$ $3,181 industry payments

Medicare Practice Summary

Medicare Utilization ↗
832
Medicare services
Top 33% in TX for family medicine
665
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~46 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)230$79$420
Office visit, established patient (20-29 min)114$58$286
Advance care planning consultation, first 30 min87$53$250
Annual wellness visit, follow-up73$124$337
Test for balance and posture66$28$293
Flu vaccine administration41$30$116
Flu vaccine, quadrivalent38$75$90
Annual depression screening38$18$52
Telephone medical discussion with physician, 11-20 minutes32$52$140
Pneumococcal vaccine, 23-valent22$131$450
Pneumonia vaccine administration22$30$100
Drug injection, under skin or into muscle19$11$50
New patient office visit (45-59 min)15$85$648
Evaluation of neuropsychological test, first hour12$90$287
New patient office visit (30-44 min)12$38$424
Electrocardiogram (EKG), 12-lead11$10$85
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,181
Total received (2018-2024)
Avg $454/year across 7 years
Top 19% in TX for family medicine
36
Companies
171
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
$3,181 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$772
2023
$650
2022
$559
2021
$521
2020
$295
2019
$225
2018
$157

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$557
Abbott Laboratories
$381
AstraZeneca Pharmaceuticals LP
$357
Novo Nordisk Inc
$341
Merck Sharp & Dohme Corporation
$175
ABBVIE INC.
$162
Boehringer Ingelheim Pharmaceuticals, Inc.
$133
PFIZER INC.
$119
RedHill Biopharma Inc.
$117
Janssen Pharmaceuticals, Inc
$109
GlaxoSmithKline, LLC.
$72
Medtronic, Inc.
$54
Phathom Pharmaceuticals, Inc.
$52
Dexcom, Inc.
$51
IDORSIA PHARMACEUTICALS US INC
$42
Bayer Healthcare Pharmaceuticals Inc.
$40
Amgen Inc.
$35
Novartis Pharmaceuticals Corporation
$34
Genentech USA, Inc.
$34
Ultragenyx Pharmaceutical Inc.
$33
Medtronic USA, Inc.
$28
AbbVie Inc.
$24
Eisai Inc.
$23
Takeda Pharmaceuticals U.S.A., Inc.
$21
NESTLE HEALTHCARE NUTRITION INC.
$20
Cardiovascular Systems Inc.
$19
Merck Sharp & Dohme LLC
$18
EKOS Corporation
$17
Esperion Therapeutics, Inc.
$17
Nestle HealthCare Nutrition Inc.
$17
Bioventus LLC
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Horizon Therapeutics plc
$13
Evofem Biosciences, Inc.
$12
Orthogenrx Inc.
$12
Dynavax Technologies Corporation
$11
Top 3 companies account for 40.7% of total payments
Associated products mentioned in payments ›
AIRSUPRA · BELSOMRA · BREZTRI · CRYSVITA · Confirm Rx · Dayvigo · Dexcom G6 Transmitter · EKOSONIC · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GELSYN 3 · GenVisc 850 · Heplisav-B · INTELLIS · INTELLIS ADAPTIVESTIM · JANUVIA · JARDIANCE · Kerendia · LINZESS · MOUNJARO · NEXLETOL · NEXPLANON · Otezla · Ozempic · PAXLOVID · PENNSAID · PREVNAR 20 · PROCLAIM · Phexxi · QULIPTA · QUVIVIQ · RYBELSUS · Rybelsus · SPRAVATO · STEGLATRO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Talicia · UBRELVY · VIBERZI · VOQUEZNA · VYVANSE · Wegovy · XIFAXAN · Xofluza · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $382 per 100 Medicare services performed
Looking for a family medicine in Allen?
Compare family medicines in the Allen area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
1,233
Per 100K population
110.4
County median income
$117,588
Nearest hospital
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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 moderate Medicare volume, and high industry engagement (low-engagement, top 19%), with 18 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 office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Modi performed 230 office visit, established patient (30-39 min) 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 $3,181 from 36 companies across 171 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 family medicines in Allen?
Dr. Modi's average Medicare payment per service is $64. 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 →
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. 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

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. Payments from industry are legal and do not indicate wrongdoing. 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 →