Medicare Enrolled

Dr. Apurva Modi, M.D.

Hepatology Physician · Fort Worth, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1250 8TH AVE, Fort Worth, TX 76104
8179229968
Registered in NPPES since 2006
NPI: 1558300137 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. Apurva Modi is a hepatology physician in Fort Worth, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Modi performed 617 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 $1,116,060 from 22 pharmaceutical and/or device companies across 1198 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.

✓ 20 years of NPI registration ▲ Top 32% volume in TX $1,116,060 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
617
Medicare services
Top 32% in TX for hepatology physician
Not available
Unique patients (not deduplicated)
$85
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.
162 $89 $238
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.
107 $61 $186
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.
94 $92 $268
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
56 $8 $17
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.
54 $119 $335
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.
40 $112 $310
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.
30 $98 $352
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
22 $88 $505
New patient office visit, complex (60-74 min) 20 $150 $409
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.
18 $135 $517
Ultrasound scan of organ tissue for measuring elasticity
This procedure uses ultrasound technology to assess the stiffness or elasticity of organ tissues. It helps evaluate tissue characteristics without invasive methods.
14 $76 $373
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 ↗
$1,116,060
Total received (2018-2024)
Avg $159,437/year across 7 years
Top 4% in TX for hepatology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
1,198
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
$220,624
2023
$156,269
2022
$129,313
2021
$91,671
2020
$103,409
2019
$210,215
2018
$204,560

Payments by company (2024)

Gilead Sciences, Inc.
$81,913
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$76,670
Madrigal Pharmaceuticals
$41,885
ABBVIE INC.
$12,790
Intercept Pharmaceuticals, Inc.
$7,239
Laborie Medical Technologies Corp.
$55
Ipsen Biopharmaceuticals, Inc
$21
Echosens North America, Inc.
$18
Eisai Inc.
$18
Mirum Pharmaceuticals, Inc.
$14
Top 3 companies account for 90.9% of 2024 payments
All-time payments by company (2018-2024) ›
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$294,758
Gilead Sciences, Inc.
$287,403
AbbVie, Inc.
$174,033
ABBVIE INC.
$131,939
Intercept Pharmaceuticals, Inc.
$77,713
AbbVie Inc.
$50,886
Madrigal Pharmaceuticals
$41,885
INTERCEPT PHARMACEUTICALS, INC.
$29,669
Shionogi Inc
$15,796
Dova Pharmaceuticals
$4,724
Merck Sharp & Dohme Corporation
$4,356
Novo Nordisk Inc
$2,616
Laborie Medical Technologies Corp.
$55
Alexion Pharmaceuticals, Inc.
$46
Eisai Inc.
$42
E.R. Squibb & Sons, L.L.C.
$28
Aries Pharmaceuticals, Inc.
$22
Ipsen Biopharmaceuticals, Inc
$21
Echosens North America, Inc.
$18
Siemens Medical Solutions USA, Inc.
$18
Perspectum Diagnostics Ltd
$17
Mirum Pharmaceuticals, Inc.
$14
Top 3 companies account for 67.8% of all-time payments
Associated products mentioned in payments ›
DIFICID · DOPTELET · Doptelet · ELEVIEW · Epclusa · FibroScan · IMMULITE Immunoassay Reagents/Test Kit/Clinical Utilization · IQIRVO · Kanuma · Lenvima · Livdelzi · LiverMultiScan · Livmarli · MAVYRET · Mavyret · Mulpleta · OCALIVA · OPDIVO · REZDIFFRA · RenovaRP · Vemlidy · Viekira · XIFAXAN · ZEPATIER
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 hepatology physician in Fort Worth?
Compare hepatology physicians in the Fort Worth area by procedure volume, costs, and industry payment transparency.
Browse hepatology physicians nearby

Geographic Context

Hepatology physicians in nearby ZIP areas
2
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
JPS HEALTH NETWORK
0.0 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 moderate Medicare volume, with 20 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 162 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 $1,116,060 from 22 companies across 1,198 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 hepatology physicians in Fort Worth?
Dr. Modi's average Medicare payment per service is $85. 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.

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. 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 →