PROVIDER PROFILE · NPI 1578538112

Edward CainMD

PRACTICESTV SPORTS MEDICINE & ORTHOPEDICS LLCSee all providers at this practice →

Orthopedic SurgeryBirmingham, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

648

Unique beneficiaries

—

Total services

1,003

Distinct HCPCS

Medicare payment

$118K

Peer benchmark

Total Medicare services vs. 334 Orthopedic Surgery providers in AL — below median (cohort median 2,095).

PRESCRIBING · PART D · 2024

Total Rx claims

1,053

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

31.5%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen259 claims

Ondansetron Hcl228 claims

Cephalexin193 claims

Methocarbamol79 claims

Meloxicam54 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

21.3

Cost

66.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$3.2M

Payment records

By payment type

Royalty or License$3.2M

Consulting Fee$27K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$20K

Travel and Lodging$2K

Food and Beverage$1K

REFERRAL NETWORK

Where Edward 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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Raymond Browne Internal Medicine · Birmingham, AL	74	708
Joseph Chaudry Diagnostic Radiology · Jackson, MS	49	165
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	40	99
Adam Summerlin Diagnostic Radiology · Jackson, TN	39	121
Shane Wear Diagnostic Radiology · Hoover, AL	35	103
UNIVERSITY OF ALABAMA AT BIRMINGHAM	34	120
Stephen Gould Orthopedic Surgery · Cullman, AL	30	109
Jonathan Sadler Anesthesiology · Saint Louis, MO	19	85
SOLSTAS LAB PARTNERS GROUP LLC	19	80
Andrew Hutchinson Physical Therapist in Private Practice · Birmingham, AL	17	27
Bradley Gilliam Orthopedic Surgery · Waco, TX	17	54
Jack Carter Anesthesiology · Birmingham, AL	17	66

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