EDWARD CAIN, MD
Sports Medicine (Orthopaedic Surgery) Physician · BIRMINGHAM, AL
Individual Active NPI 1578538112
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 234 | 1,283 | $858,363 | $176,698 | $139,046 |
| 2023 | 268 | 2,421 | $930,778 | $204,351 | $159,577 |
| 2022 | 286 | 1,580 | $1,003,487 | $216,859 | $169,955 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 336 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 131 | $114 | $88 |
| 73562 | X-ray of knee, 3 views | 112 | $35 | $27 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 58 | $81 | $58 |
| 27447 | Replacement of knee joint, both sides of knee | 56 | $1,126 | $890 |
| 73564 | X-ray of knee, 4 or more views | 56 | $41 | $32 |
| 20610 | Aspiration and/or injection of fluid from large joint | 47 | $57 | $43 |
| 73030 | X-ray of shoulder, minimum of 2 views | 40 | $28 | $22 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 35 | $149 | $119 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $143 | $109 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 30 | $938 | $751 |
| 23430 | Anchoring of biceps tendon | 30 | $390 | $311 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | MD22442 | AL |
| Orthopaedic Surgery Physician | 207X00000X | MD22442 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Alabama
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See all Sports Medicine (Orthopaedic Surgery) Physician providers in Alabama →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.