PROVIDER PROFILE · NPI 1558321190

Mack MccainM.D.

PRACTICEHEARTLAND INTERNAL MEDICINE LTDSee all providers at this practice →

GastroenterologyHerrin, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

579

Unique beneficiaries

—

Total services

625

Distinct HCPCS

Medicare payment

$56K

Peer benchmark

Total Medicare services vs. 606 Gastroenterology providers in IL — below median (cohort median 726).

PRESCRIBING · PART D · 2024

Total Rx claims

161

Beneficiaries

—

Total drug cost

$155K

Distinct drugs

Brand share

15.5%

Top prescribed drugs

Dicyclomine Hcl27 claims

Omeprazole20 claims

Lubiprostone20 claims

Pantoprazole Sodium19 claims

Amitriptyline Hcl17 claims

QUALITY · MIPS · 2024

Final MIPS score

82.0

Quality

55.9

Cost

72.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.29%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$421

Payment records

By payment type

Food and Beverage$421

REFERRAL NETWORK

Where Mack Mccain'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). 68 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOUTHERN ILLINOIS HOSPITAL SERVICES	206	880
SOUTHERN ILLINOIS HOSPITAL SERVICES	149	541
NPI 1447234307	90	228
Justin Hodge Diagnostic Radiology · Cape Girardeau, MO	83	223
Michael Thomas Diagnostic Radiology · Cape Girardeau, MO	70	191
Physicians Surgery Center, Llc Ambulatory Surgical Center · Carbondale, IL	66	153
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP	55	138
Frederick Harris Diagnostic Radiology · Cape Girardeau, MO	55	129
Raed Al-Dallow Interventional Cardiology · Carbondale, IL	48	136
Raja Maddipoti Cardiology · Naples, FL	41	120
NPI 1326129883	38	114
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP	37	94

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history