JAMES CAIN, M.D.
Nephrology Physician · ROANOKE, VA
Individual Active NPI 1770581761
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 353 | 4,168 | $581,530 | $234,191 | $181,735 |
| 2023 | 523 | 9,688 | $630,431 | $262,120 | $207,448 |
| 2022 | 626 | 6,066 | $858,760 | $365,296 | $287,424 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 390 | $337 | $264 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 196 | $124 | $80 |
| 36415 | Insertion of needle into vein for collection of blood sample | 155 | $9 | $9 |
| 80069 | Kidney function blood test panel | 149 | $9 | $9 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 102 | $4 | $4 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 90 | $280 | $219 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 89 | $8 | $8 |
| 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 | 68 | $16 | $12 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | $75 | $60 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 48 | $193 | $153 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | $87 | $65 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 41 | $5 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 0101041253 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Virginia
- NPI 1518151620
- NPI 1225036502
- NPI 1114983681
- NPI 1871988386
- NPI 1104824390
- NPI 1447258728
- NPI 1902804180
- NPI 1770688145
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.