Medicare Facts for Dr. James L. Cain, MD


National Provider Identifier [NPI]: 1235133257
Last Name Of The Provider CAIN
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 575 W RIVER WOODS PKWY
Street Address 2 Of The Provider SUITE 100
City Of The Provider GLENDALE
Zip Code Of The Provider 532121003
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 967
Number Of Medicare Beneficiaries 284
Total Submitted Charge Amount 792994
Total Medicare Allowed Amount 102027.18
Total Medicare Payment Amount 77413.68
Total Medicare Standardized Payment Amount 77545.05
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 121
Number Of Beneficiaries Age 75 to 84 98
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 171
Number Of Male Beneficiaries 113
Number Of Non Hispanic White Beneficiaries 216
Number Of Black or African American Beneficiaries 53
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 239
Number Of Beneficiaries With Medicare Medicaid Entitlement 45
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 10
Percent Of With Cancer 7
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 24
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0291

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