PROVIDER PROFILE · NPI 1629050307

Sean MccainMD

Family PracticeMarion, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

106

Unique beneficiaries

—

Total services

224

Distinct HCPCS

Medicare payment

$18K

Peer benchmark

Total Medicare services vs. 3,221 Family Practice providers in IL — below median (cohort median 556).

PRESCRIBING · PART D · 2024

Total Rx claims

432

Beneficiaries

—

Total drug cost

$37K

Distinct drugs

Brand share

39.1%

Top prescribed drugs

Hydrocodone/Acetaminophen62 claims

Tramadol Hcl35 claims

Lisinopril35 claims

Atorvastatin Calcium32 claims

Tirzepatide27 claims

QUALITY · MIPS · 2024

Final MIPS score

64.7

Quality

65.5

Cost

10.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

-1.23%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$479

Payment records

By payment type

Food and Beverage$479

REFERRAL NETWORK

Where Sean 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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
COUNTY OF CLAY	210	2,835
MARION DIAGNOSTIC CENTER, LLC	66	83
MARION HOSPITAL CORPORATION	52	158
David Mooth Emergency Medicine · Carlyle, IL	33	251
MACK, SUSAN	30	152
MURPHY, COLLEEN	30	150
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD	29	83
NPI 1396807111	29	153
Randy Balmforth Diagnostic Radiology · Garden City, MI	26	63
Angela Casolari Nurse Practitioner · Flora, IL	26	378
CLAY COUNTY HEALTH DEPARTMENT	22	57
BRUMMER, JUDY	19	142

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