Dr. Payal Urvij Modhia, MD
- Medicare services, 2024
- 598
- Medicare patients, 2024
- 197
- Part D claims, 2024
- 625
- MIPS score, 2024
- 89
- Hospital affiliations
- 3
- Practice address
- 1100 Central Avenue SE, Albuquerque, NM 87106
- Practice phone
- Call (505) 724-8386
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Modhia's professional email, personal email and mobile number
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Dr. Payal Urvij Modhia is an internist in Albuquerque, New Mexico
Dr. Modhia practices at Presbyterian Hospital in Albuquerque, New Mexico, part of Presbyterian Healthcare Services.
Dr. Modhia's NPI, 1083961072, was assigned on August 8, 2012. Dr. Modhia holds Illinois license 125061482.
- NPI
- 1083961072NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2365754249
- NPI enumeration date
- August 8, 2012
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (505) 724-8386
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 50
- Medical school graduation
- 2002
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Payal Urvij Modhia practices at Presbyterian Hospital in Albuquerque, New Mexico
Dr. Modhia's primary practice is Presbyterian Hospital, at 1100 Central Avenue SE, Albuquerque, NM 87106 in Bernalillo County. The practice phone is (505) 724-8386.
- Presbyterian Hospital1100 Central Avenue SE, Albuquerque, NM 87106 · Bernalillo CountyPhone(505) 724-8386
Source: Dmand AI Affiliation Data
Dr. Payal Urvij Modhia is affiliated with 3 sites of care and 2 medical groups
Dr. Modhia's primary practice is Presbyterian Hospital in Albuquerque, New Mexico, part of Presbyterian Healthcare Services. Dr. Modhia is also affiliated with University of New Mexico Hospital. The medical group on file is Presbyterian Medical Group. Dmand AI also links Dr. Modhia to 1 more hospital and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Payal Urvij Modhia's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modhia practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Presbyterian Hospital | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Payal Urvij Modhia is one of 734 internists in New Mexico
Internal medicine is Dr. Modhia's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dmand AI has Dr. Modhia's licenses on file in 2 states: Illinois and New Mexico.
Specialties and state licenses
- Internal medicine, IllinoisPrimary
- Hospitalist, New Mexico
Internists near Dr. Modhia
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Payal Urvij Modhia billed Medicare for 598 services in 2024
CMS data shows 598 Medicare services from Dr. Modhia across 7 procedure codes in 2024, for 197 Medicare patients. Medicare paid $40,400 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Modhia's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5552024: 5988%
Dr. Modhia compared with the New Mexico median for internists, 2024
- Dr. Modhia
- New Mexico median
- Medicare services
- 598vs 2812.1 times
- Medicare patients
- 197vs 14437% above
- Part D claims
- 339vs 1622.1 times
Medians across 716 internists in New Mexico with Dmand AI profiles that report each measure.
Dr. Modhia's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Payal Urvij Modhia treated 197 Medicare patients in 2024, average age 75
CMS counts 197 Medicare patients who saw Dr. Modhia in 2024. The largest group is 75 to 84, with 75 patients. 75% of them have high blood pressure, and 71% have high cholesterol. 32% are also on Medicaid. Their average risk score is 2.46, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Modhia's median patient age at 63, with 49% women.
Dr. Modhia's Medicare patients by age, 2024
Dr. Modhia's Medicare patients by sex, 2024
- Women11659%
- Men8141%
Chronic conditions among Dr. Modhia's Medicare patients, 2024
- High blood pressure75%
- High cholesterol71%
- Arthritis60%
- Mood disorders49%
- Depression47%
- Diabetes47%
- Chronic kidney disease44%
- Anxiety43%
Share of Medicare patients with each condition. A patient can have several.
Dr. Modhia's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 63
Patient panel by sex, all payers
- Women49%
- Men51%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Payal Urvij Modhia wrote 625 Medicare Part D claims in 2024
In 2024, Dr. Modhia wrote 625 Medicare Part D claims for 166 patients. 83% of them were for generic drugs. CMS names the drug for 339 of them, across 18 drugs with 11 or more claims each, at $23,774 in total drug cost. In 2023, CMS named 192 claims across 11 drugs.
Dr. Modhia's Part D claims by kind of drug, 2024
- Generic519 claims83%
- Brand-name95 claims15%
- Other11 claims2%
Dr. Modhia's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Modhia's Part D claims, 2024
- Opioids4%22 of 625 claims
- Antibiotics10%65 of 625 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1922024: 33977%
Drugs named by CMS: 18 in 2024, 11 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Payal Urvij Modhia scored 89 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Modhia for performance year 2024, reported as part of a group. Dr. Modhia accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Modhia's MIPS scores, performance year 2024
- 89of 100Final score
- 82.3of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 77of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Payal Urvij Modhia received $73 in industry payments from 2016 to 2024
CMS Open Payments shows 4 general payments to Dr. Modhia from 2 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Stryker Corporation paid the most, $48.
General payments to Dr. Modhia by program year, 2016 to 2024
Companies that paid Dr. Modhia the most, 2016 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Payal Urvij Modhia's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Payal Urvij Modhia
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Payal Urvij Modhia's NPI number?
Dr. Payal Urvij Modhia's NPI number is 1083961072. It was assigned on August 8, 2012, and it is active in the NPI Registry.
What kind of doctor is Dr. Payal Urvij Modhia?
Dr. Payal Urvij Modhia is an internist in Albuquerque, New Mexico. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Payal Urvij Modhia practice?
Dr. Modhia practices at 1100 Central Avenue SE, Albuquerque, NM 87106. Dr. Modhia's primary practice is Presbyterian Hospital in Albuquerque, New Mexico, part of Presbyterian Healthcare Services. Dmand AI also links Dr. Modhia to 1 hospital and 1 medical group.
What is Dr. Payal Urvij Modhia's office phone number?
The practice phone on file for Dr. Modhia is (505) 724-8386.
What is Dr. Payal Urvij Modhia's medical license number?
Dr. Modhia holds Illinois license 125061482, one of the licenses on file in 2 states.
Which states has Dr. Payal Urvij Modhia been licensed in?
Dmand AI has state licenses on file for Dr. Modhia in Illinois and New Mexico.
Which hospitals is Dr. Payal Urvij Modhia affiliated with?
Dr. Modhia practices at Presbyterian Hospital in Albuquerque, New Mexico. Dr. Modhia is also affiliated with University of New Mexico Hospital. Dmand AI links Dr. Modhia to 1 more hospital.
What medical group is Dr. Payal Urvij Modhia part of?
Dr. Modhia is linked to Presbyterian Medical Group. Dmand AI links Dr. Modhia to 1 more medical group.
Does Dr. Payal Urvij Modhia accept Medicare?
Yes. CMS data shows Dr. Modhia billed Medicare for 598 services in 2024, and Dr. Modhia accepts Medicare assignment.
What is Dr. Payal Urvij Modhia's MIPS score?
Dr. Modhia's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.
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How many Medicare patients does Dr. Payal Urvij Modhia see?
CMS counts 197 Medicare patients who saw Dr. Modhia in 2024, with an average age of 75.
What services does Dr. Payal Urvij Modhia bill to Medicare?
In 2024, Dr. Modhia's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99239) and hospital inpatient care (99231).
What drugs does Dr. Payal Urvij Modhia prescribe most?
In 2024 Medicare Part D data, Dr. Modhia's most prescribed drugs by claims were Atorvastatin Calcium, Amlodipine Besylate and Eliquis.
Has Dr. Payal Urvij Modhia received payments from drug or device companies?
CMS Open Payments shows $73 in general payments to Dr. Modhia from 2 companies from 2016 to 2024. The largest total came from Stryker Corporation.
How long has Dr. Payal Urvij Modhia been practicing?
Dr. Modhia graduated from medical school in 2002, 24 years ago.
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