NEHAL P MODH, MD

NPI 1619081890, individual, Festus, MO, Physical Medicine & Rehabilitation, Pain Medicine

Evidence tier

informational

score 30 of 100, rank 11621, $103K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
doj admin enforcement record (civil settlement): united states reaches $1.2 million civil settlement with festus pain management doctor over allegations of false claims to federal health care programs	No NPI on the list; matched by name at high confidence	Jun 11, 2024	still open	6	Jul 2024	Dec 2024	$103K	$231K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	NEHAL P MODH, MD
Type	Individual
Status	Active
NPI issued	August 18, 2006, last updated October 8, 2024
Practice location	1145B E GANNON DR, Festus, MO 63028-2611, 636-933-7673
Mailing address	PO BOX 1125, Maryland Heights, MO 63043-0125
Specialties	Physical Medicine & Rehabilitation, Pain Medicine (2081P2900X, primary, license 2004028055 MO)

In this area

2 providers in Festus, MO carry an indicator in the public record, with $1.2M at stake between them. The most common is more hours than a day holds, on 1 of them, followed by paid after a public list action on 1.

tier	provider	at stake	why
5	LAISHANG ZHANG Festus, MO, ranked 10087	$1.1M	Medicaid dollars per patient on code 99285 ($461 per patient-month) sit in the top 5% of every provider billing that code.
5	PROGRESSIVE PAIN MANAGEMENT PC Festus, MO, ranked 11625	$100K

Recent enforcement in MO

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026

Kansas Chiropractor Pleads Guilty to Health Care Fraud

Laser submitted claims to Blue Cross and Blue Shield of Kansas City seeking payment for chiropractic services purportedly rendered on dates when patients had not visited Laser Chiropractic and received no treatment, including billing using the information of an individual who never received treatment.

DOJIndictedJul 30, 2026

Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid Fraud

King submitted $1.47 million in false claims to Missouri Medicaid through Agape Love Adult Day Care LLC for services never provided, claiming 10 hours of care per day when only half that was provided and billing for patients who were absent or hospitalized.

DOJSentencedJul 21, 2026

Home Health Care Operator Sentenced for Defrauding Missouri Medicaid

Childress submitted fraudulent enrollment documents concealing her ownership of a home health care company and then billed Missouri Medicaid for home health services that were never provided.

DOJComplaint filedJun 23, 2026

Federal Health Care Fraud Takedown Targets 455 Defendants and $6.5 Billion in False Claims

Four defendants were charged by complaint in the Western District of Missouri with forgery and using fraudulent nursing credentials or with false statements to receive health care payments and stealing by deceit for Medicaid claims for personal care services that were not provided.

DOJIndictedJun 3, 2026

U.S. Attorney’s Office Seeks Potential Victims in Case Against Columbia, Missouri Doctor

A federal grand jury charged Morris with issuing controlled substance prescriptions outside the usual course of professional practice and with defrauding Medicare and Missouri Medicaid by billing for services falsely representing him as the rendering provider when services were rendered by assistant physicians and by submitting claims for prescriptions not eligible for reimbursement.

Referral packet

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