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PROVIDER PROFILE · NPI 1144242298

Michael CainesM.D.

PRACTICEORTHOPAEDIC SURGERY CENTERS PC IISee all providers at this practice →
Orthopedic SurgerySuffolk, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
79.7
Quality
63.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.20%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 490017
Hospital
CCN 490041
Hospital
CCN 490092
Hospital
CCN 490148
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
16
By payment type
Travel and Lodging$979
Food and Beverage$597
PRESCRIBING · PART D · 2024
Total Rx claims
411
Beneficiaries
—
Total drug cost
$15K
Distinct drugs
16
Brand share
21.4%
Top prescribed drugs
Meloxicam55 claims
Famotidine40 claims
Ondansetron Hcl37 claims
Oxycodone Hcl35 claims
Hydrocodone/Acetaminophen35 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
564
Unique beneficiaries
—
Total services
883
Distinct HCPCS
9
Medicare payment
$46K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 549 Orthopedic Surgery providers in VA — below median (cohort median 1,809).
REFERRAL NETWORK

Where Michael Caines's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 14 inbound referrers · 35 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SENTARA HOSPITALS85390
SENTARA HOSPITALS36143
BON SECOURS DEPAUL MEDICAL CENTER LLC3195
Aaron Marlow
Orthopedic Surgery · Suffolk, VA
27130
ORIE, NANCY2692
Marc Camacho
Vascular Surgery · Concord, NH
19121
Susan Mckenzie
Diagnostic Radiology · Virginia Beach, VA
1745
Chad Mckenzie
Vascular Surgery · Suffolk, VA
1666
DAVIS, HAYWOOD1545
JOHNSON, WAYNE1439
Steven Blasdell
Orthopedic Surgery · Portsmouth, VA
1432
Ernesto Luciano-Perez
Orthopedic Surgery · Suffolk, VA
1347
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARYVIEW HOSPITAL LLC196976
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
111368
SENTARA HOSPITALS82406
SENTARA HOSPITALS41142
Aaron Marlow
Orthopedic Surgery · Suffolk, VA
35157
ORIE, NANCY2682
SENTARA HOSPITALS2590
BON SECOURS DEPAUL MEDICAL CENTER LLC2372
City Of Portsmouth
Ambulance Service Provider · Portsmouth, VA
1938
Hans Sachse
Diagnostic Radiology · Virginia Beach, VA
1949
Susan Mckenzie
Diagnostic Radiology · Virginia Beach, VA
1850
Marc Camacho
Vascular Surgery · Concord, NH
1883
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.