MARSHALL CAIN, MD
Neurological Surgery Physician · MONROE, LA
Individual Active NPI 1831373117
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 461 | 1,015 | $578,191 | $194,414 | $148,157 |
| 2023 | 398 | 1,080 | $772,871 | $184,517 | $140,655 |
| 2022 | 375 | 986 | $829,795 | $192,658 | $149,802 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 348 | $81 | $55 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 156 | $98 | $67 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 89 | $114 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 85 | $149 | $116 |
| 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 | 30 | $15 | $12 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 29 | $983 | $774 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 25 | $190 | $150 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | $118 | $93 |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 18 | $824 | $649 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 15 | $233 | $184 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | $156 | $120 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 11 | $50 | $39 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ✓ | 205866 | LA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.