Medicare Enrolled

Dr. Bijal Modi, M.D.

Hematology & Oncology · Dallas, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
8196 WALNUT HILL LN STE 100, Dallas, TX 75231
2147394175
In practice since 2006 (19 years)
NPI: 1285684944 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. Bijal Modi is a hematology & oncology specialist in Dallas, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Modi performed 74,337 Medicare services across 4,060 unique beneficiaries.

Between the years covered by Open Payments, Dr. Modi received a total of $782 from 25 pharmaceutical and/or device companies across 38 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 12% volume in TX $782 industry payments

Medicare Practice Summary

Medicare Utilization ↗
74,337
Medicare services
Top 12% in TX for hematology & oncology
4,060
Unique beneficiaries
$13
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~3,912 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
Darbepoetin injection (Aranesp) for anemia 12,550 $2 $20
Anti-nausea injection (fosaprepitant) 11,850 $0 $5
Paclitaxel chemotherapy injection 9,454 $0 $8
Iron sucrose injection (Venofer) 9,200 $0 $2
Pembrolizumab injection (Keytruda) 7,700 $43 $137
Daratumumab injection (Darzalex) 5,400 $38 $127
Immune globulin infusion (Octagam) 2,210 $34 $235
Dexamethasone injection (steroid) 1,532 $0 $1
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 1,510 $21 $181
Blood draw (venipuncture) 1,480 $8 $20
Complete blood count (CBC) with differential 1,402 $8 $36
Comprehensive metabolic blood panel 1,337 $10 $64
Anti-nausea injection (Aloxi/palonosetron) 1,060 $1 $114
Injection, granisetron hydrochloride, 100 mcg 940 $0 $24
Office visit, established patient (30-39 min) 517 $93 $368
Office visit, established patient (20-29 min) 390 $64 $250
Injection, carboplatin, 50 mg 380 $2 $300
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 372 $71 $1,348
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 337 $23 $157
Administration of chemotherapy into vein, 1 hour or less 315 $105 $707
Office visit, established patient, complex (40-54 min) 308 $134 $496
Immunoglobulin level test 300 $9 $56
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 241 $3 $373
Measurement of immunoglobulin light chains 224 $17 $60
Injection, zoledronic acid, 1 mg 212 $7 $431
Injection, potassium chloride, per 2 meq 205 $0 $1
Ferritin level test (iron stores) 163 $13 $60
Iron level test 157 $6 $27
Iron binding capacity test 157 $9 $35
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 146 $50 $313
Drug injection, under skin or into muscle 138 $11 $96
Injection of additional new drug or substance into vein 137 $12 $108
Lactate dehydrogenase (enzyme) level 136 $6 $31
Infusion, normal saline solution , 1000 cc 119 $2 $19
PSA test (prostate cancer screening) 118 $18 $94
Injection, diphenhydramine hcl, up to 50 mg 113 $1 $7
Administration of chemotherapy into vein, each additional hour 104 $23 $161
Injection, magnesium sulfate, per 500 mg 102 $1 $6
Administration of additional new drug or substance into vein, 1 hour or less 99 $51 $344
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9 89 $20 $128
Hospital follow-up visit, moderate complexity 82 $62 $247
Carcinoembryonic antigen (cea) protein level 81 $18 $99
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 76 $16 $100
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 74 $58 $211
Hospital follow-up visit, high complexity 71 $94 $357
Microscopic examination for white blood cells with manual cell count 62 $4 $22
Complete blood count (CBC), automated 62 $6 $34
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 60 $20 $128
Unclassified drugs 60 $1 $8
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 58 $25 $145
Infusion, normal saline solution, sterile (500 ml = 1 unit) 53 $1 $19
Red blood count automated, with additional calculations 51 $5 $26
New patient office visit, complex (60-74 min) 46 $157 $709
Infusion into a vein for hydration, 31-60 minutes 42 $26 $256
Leuprolide acetate (for depot suspension), 7.5 mg 41 $122 $3,675
New patient office visit (45-59 min) 37 $112 $565
Infusion into a vein for hydration, each additional hour 36 $10 $75
Application of on-body injector for under skin injection 29 $15 $96
Urinalysis with microscopic exam 26 $3 $28
Administration of additional new drug or substance into vein using push technique 25 $44 $289
Irrigation of implanted venous access drug delivery device 23 $20 $114
Drawing of blood for a medical problem 19 $74 $264
Initial hospital admission, high complexity 19 $136 $694
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.
4.1% high complexity
85.7% medium
10.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$782
Total received (2018-2024)
Avg $112/year across 7 years
Bottom 26% in TX for hematology & oncology
25
Companies
38
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
$770 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$12 (1.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$409
2023
$182
2022
$54
2021
$39
2020
$13
2019
$39
2018
$46

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$71
AstraZeneca Pharmaceuticals LP
$70
ABBVIE INC.
$65
Tempus AI, Inc
$58
GENZYME CORPORATION
$47
E.R. Squibb & Sons, L.L.C.
$45
Janssen Biotech, Inc.
$38
Bayer Healthcare Pharmaceuticals Inc.
$34
Incyte Corporation
$31
Novartis Pharmaceuticals Corporation
$29
Daiichi Sankyo Inc.
$28
Kite Pharma, Inc.
$27
Stemline Therapeutics Inc.
$25
PFIZER INC.
$25
BeiGene USA, Inc.
$22
ADC Therapeutics America, Inc.
$22
Lilly USA, LLC
$22
Astellas Pharma US Inc
$21
Seagen Inc.
$20
SOBI, INC
$15
Celgene Corporation
$15
Blueprint Medicines Corporation
$14
AbbVie, Inc.
$13
Pharmacyclics LLC, An AbbVie Company
$13
Gilead Sciences, Inc.
$12
Top 3 companies account for 26.4% of total payments
Associated products mentioned in payments ›
AFINITOR · AYVAKIT · BRUKINSA · CABLIVI · DARZALEX · ELIQUIS · ELREXFIO · Enhertu · IMFINZI · Imbruvica · JAKAFI · JEMPERLI · LYNPARZA · MONJUVI · Nubeqa · OJJAARA · OPDIVO · Orserdu · PIQRAY · Pomalyst · RYBREVANT · SARCLISA · TAGRISSO · TUKYSA · VENCLEXTA · VERZENIO · VONJO · Venclexta · Vyloy
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $1 per 100 Medicare services performed
Looking for a hematology & oncology specialist in Dallas?
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Geographic Context

Hematology & oncology specialists within 10 mi
131
Per 100K population
5.0
County median income
$74,149
Nearest hospital
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Modi is a mixed practice specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement, with 19 years of NPI registration.

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 darbepoetin injection (aranesp) for anemia?
Based on Medicare claims data, Dr. Modi performed 12,550 darbepoetin injection (aranesp) for anemia 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 $782 from 25 companies across 38 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 Dallas?
Dr. Modi's average Medicare payment per service is $13. 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 →