PROVIDER PROFILE · NPI 1770581761

James CainM.D.

PRACTICEJEARLS NUTRITION, LLCSee all providers at this practice →

NephrologyRoanoke, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

982

Unique beneficiaries

—

Total services

1,710

Distinct HCPCS

Medicare payment

$166K

Peer benchmark

Total Medicare services vs. 218 Nephrology providers in VA — top quintile (cohort median 1,566).

PRESCRIBING · PART D · 2024

Total Rx claims

447

Beneficiaries

—

Total drug cost

$158K

Distinct drugs

Brand share

18.8%

Top prescribed drugs

Furosemide131 claims

Dapagliflozin Propanediol58 claims

Famotidine40 claims

Sevelamer Carbonate36 claims

Losartan Potassium32 claims

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

13.9

Cost

78.2

Improvement activities

40.0

Promoting interop.

87.0

Payment adjustment

0.80%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$17

Payment records

By payment type

Food and Beverage$17

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). 142 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CARILION MEDICAL CENTER	525	2,316
SOLSTAS LAB PARTNERS GROUP LLC	373	1,484
DICKERSON, SHELBY	302	1,080
Shahram Ahmadzadeh Nephrology · Roanoke, VA	210	642
Fred Ballenger Nephrology · Roanoke, VA	181	640
Spectra East, Inc. Clinical Laboratory · Rockleigh, NJ	152	619
Edgar Escasinas Nephrology · Roanoke, VA	142	458
CULPEPPER, CLIFFORD	126	352
FRESENIUS MEDICAL CARE ROANOKE VALLEY DIALYSIS, LLC	107	1,480
Vishal Patel Diagnostic Radiology · Roanoke, VA	105	293
John Lystash Cardiology · Bluffton, SC	90	342
Ray Beauchamp Diagnostic Radiology · Richmond, VA	86	278

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