JAMES CAIN, MD
Nephrology Physician · SUMTER, SC
Individual Active NPI 1174615868
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 253 | 8,695 | $806,083 | $325,295 | $258,924 |
| 2023 | 266 | 6,864 | $584,666 | $279,958 | $225,110 |
| 2022 | 338 | 12,576 | $1,295,572 | $715,009 | $570,616 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 279 | $8 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 218 | $120 | $87 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 206 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 177 | $10 | $10 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 162 | $111 | $89 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 141 | $329 | $262 |
| 90935 | Hemodialysis procedure with physician evaluation | 137 | $67 | $53 |
| 81003 | Automated urinalysis test | 132 | $2 | $2 |
| 84550 | Uric acid level, blood | 89 | $4 | $4 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 71 | $162 | $129 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 66 | $74 | $59 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 61 | $21 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 08460 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in South Carolina
- NPI 1376636969
- NPI 1851348064
- NPI 1740708221
- NPI 1841429248
- NPI 1912258567
- NPI 1194817932
- NPI 1619069481
- NPI 1306280698
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.