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PROVIDER PROFILE · NPI 1174615868

James CainMD

PRACTICESUMTER MEDICAL SPECIALISTS PASee all providers at this practice →
NephrologySumter, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
23.2
Quality
0.0
Cost
77.4
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.21%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 422510
Dialysis facility
CCN 422655
Dialysis facility
CCN 420004
Hospital
CCN 420018
Hospital
CCN 420070
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
2,357
Beneficiaries
—
Total drug cost
$555K
Distinct drugs
49
Brand share
25.5%
Top prescribed drugs
Carvedilol189 claims
Dapagliflozin Propanediol169 claims
Losartan Potassium158 claims
Allopurinol151 claims
Amlodipine Besylate120 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,217
Unique beneficiaries
—
Total services
2,399
Distinct HCPCS
32
Medicare payment
$115K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 138 Nephrology providers in SC — top quintile (cohort median 2,014).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
53
By payment type
Food and Beverage$1K
REFERRAL NETWORK

Where James Cain'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). 50 inbound referrers · 99 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PRISMA HEALTH TUOMEY2482,824
Pusadee Suchinda
Nephrology · Sumter, SC
1482,122
Gilbert Parker
Diagnostic Radiology · Greenville, SC
1461,345
Sumter County Ems
Ambulance Service Provider · Sumter, SC
112763
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS, LLC77726
Spectra East, Inc.
Clinical Laboratory · Rockleigh, NJ
74732
Bhatraphol Tingpej
Internal Medicine · Sumter, SC
632,062
Joseph Williams
Internal Medicine · Columbia, SC
43228
Floyd Angus
Gastroenterology · Sumter, SC
43354
Joseph Villanueva
Internal Medicine · Sumter, SC
43557
Eric Wernsman
Emergency Medicine · West Columbia, SC
39257
CLARENDON MEMORIAL HOSPITAL38295
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PRISMA HEALTH TUOMEY2912,823
Richard Patrick
Diagnostic Radiology · Greenville, SC
1661,372
Tepsiri Chongkrairatanakul
Nephrology · San Diego, CA
1633,208
Michael Mease
Diagnostic Radiology · Greenville, SC
1601,424
Pusadee Suchinda
Nephrology · Sumter, SC
1602,342
Gilbert Parker
Diagnostic Radiology · Greenville, SC
1591,401
Timothy Pannell
Diagnostic Radiology · Greenville, SC
132966
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
131822
SALCEDO-CONTRERAS, JOSE1302,569
Prabhakorn Kitbhoka
Internal Medicine · Mishawaka, IN
1232,853
Sumter County Ems
Ambulance Service Provider · Sumter, SC
100581
MIDLANDS MEDTECH LLC893,399
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.