What is Edward Cain's specialty?

Edward Cain (NPI 1578538112) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Birmingham, AL.

Where does Edward Cain practice?

Edward Cain practices in Birmingham, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1578538112.

How much does Medicare pay Edward Cain?

Edward Cain (NPI 1578538112) received approximately $139K in total Medicare Part B payments, serving 234 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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