Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $219 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
426
Rank: 324th
out of 3,385 providers in this state & specialty
Services
Performed
2,037
Rank: 597th
out of 3,385 providers in this state & specialty
Avg Services
Per Patient
4.8 This Provider
Avg 6.2
Total Paid
by Medicare
$73.9K
Rank: 741st
out of 3,385 providers in this state & specialty
Avg Paid
Per Patient
$173 This Provider
Avg $219

Note: About 12% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 57 different services in 2015
(38 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
637
times performed,
31% of his services

1st 1st

most performed service for this provider most performed service in this state & specialty

347
patients got this service, 81% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.2)
$93,639.00an average of $147.00 per time performed $40,602.38
an average of $63.74 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
117
times performed,
6% of his services

2nd 2nd

most performed service for this provider most performed service in this state & specialty

90
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2)
$11,583.00an average of $99.00 per time performed $5,249.79
an average of $44.87 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
113
times performed,
6% of his services

3rd 13th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,469.00an average of $13.00 per time performed $137.86
an average of $1.22 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
97
times performed,
5% of his services

4th 82nd

most performed service for this provider most performed service in this state & specialty

80
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.5)
$2,231.00an average of $23.00 per time performed $1,075.73
an average of $11.09 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
81
times performed,
4% of his services

5th 32nd

most performed service for this provider most performed service in this state & specialty

57
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.4)
$1,539.00an average of $19.00 per time performed $243.81
an average of $3.01 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
80
times performed,
4% of his services

6th 10th

most performed service for this provider most performed service in this state & specialty

64
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$2,400.00an average of $30.00 per time performed $984.00
an average of $12.30 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
76
times performed,
4% of his services

7th 5th

most performed service for this provider most performed service in this state & specialty

75
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,508.00an average of $33.00 per time performed $1,774.60
an average of $23.35 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90686
Performed in an office
69
times performed,
3% of his services

8th 54th

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,863.00an average of $27.00 per time performed $1,228.20
an average of $17.80 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
55
times performed,
3% of his services

9th 17th

most performed service for this provider most performed service in this state & specialty

41
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$770.00an average of $14.00 per time performed $173.25
an average of $3.15 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
50
times performed,
2% of his services

10th 61st

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 3% of his patients
4.2
average number of visits a patient made for this service
(Peers: 3.4)
$400.00an average of $8.00 per time performed $93.50
an average of $1.87 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
45
times performed,
2% of his services

11th 12th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 3% of his patients
3.2
average number of visits a patient made for this service
(Peers: 6.8)
$1,125.00an average of $25.00 per time performed $225.45
an average of $5.01 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
42
times performed,
2% of his services

12th 21st

most performed service for this provider most performed service in this state & specialty

37
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$8,316.00an average of $198.00 per time performed $3,635.10
an average of $86.55 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
25
times performed,
1% of his services

13th 9th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,725.00an average of $189.00 per time performed $4,242.25
an average of $169.69 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
25
times performed,
1% of his services

14th 8th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$825.00an average of $33.00 per time performed $583.75
an average of $23.35 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
23
times performed,
1% of his services

15th 18th

most performed service for this provider most performed service in this state & specialty

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,830.00an average of $210.00 per time performed $2,541.04
an average of $110.48 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
16
times performed,
0.79% of his services

16th 94th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,424.00an average of $89.00 per time performed $437.60
an average of $27.35 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
16
times performed,
0.79% of his services

17th 23rd

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$848.00an average of $53.00 per time performed $205.12
an average of $12.82 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
16
times performed,
0.79% of his services

18th 68th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$2,656.00an average of $166.00 per time performed $556.96
an average of $34.81 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
12
times performed,
0.59% of his services

19th 133rd

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,740.00an average of $395.00 per time performed $2,099.64
an average of $174.97 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Brian R Cain
Average for Family Medicine Providers in Ohio

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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