THOMAS CAIN, MD
Geriatric Medicine (Internal Medicine) Physician · LAKEWOOD, CO
Individual Active NPI 1679596605
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 320 | 1,633 | $258,098 | $149,723 | $119,834 |
| 2023 | 295 | 1,392 | $260,347 | $145,855 | $117,320 |
| 2022 | 339 | 969 | $192,087 | $93,747 | $71,283 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 361 | $132 | $94 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 343 | $17 | $13 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 164 | $136 | $136 |
| 99497 | Advance care planning, first 30 minutes | 160 | $85 | $85 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 122 | $185 | $139 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 120 | $51 | $40 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 67 | $65 | $49 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 64 | $93 | $62 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 33 | $227 | $160 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 29 | $36 | $29 |
| 20610 | Aspiration and/or injection of fluid from large joint | 28 | $54 | $44 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 27 | $8 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ✓ | 34575 | CO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Geriatric Medicine (Internal Medicine) Physician providers in Colorado →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.