Dr. James Cain, MD
187 Pr 4060, Lampasas, TX 76550 • +1-931-555-6947
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Lampasas Percentiles
NPI #1467434464 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. James Cain (MD, NPI 1467434464) at 187 Pr 4060 in Lampasas with 712 annual clinical services (353 beneficiaries), corresponding to a -0.38σ regional deviation and upper-quartile active clinical volume (66.67th Lampasas percentile) with sub-specialty concentration in 52 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Cain (averaging 2.0 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 38% of tracked volume (267 encounters), paired with 99213 (197x).
Direct cash-pay transparency modeling sets Dr. Cain's baseline new-consult rate near $209.00 in Lampasas, TX (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
From 187 Pr 4060 in Lampasas (+1-931-555-6947), Dr. Cain, MD (27-year clinical track record) delivers 52 Active CMS HCPCS Codes care.
Compared against Lampasas, TX Family Practice peers
712 annual services across 353 beneficiaries
Standard deviations from TX Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 267 | 66.67th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 197 | 62.67th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 76 | 69.67th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 57 | 69.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 38 | 66.67th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (52 HCPCS billing breadth) | 77 | 66.67th | $45 – $65 |
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Dr. James Cain, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cain National Provider Identifier | NPI #1467434464 (MD) | CMS NPPES Registry (76550) |
| Dr. Cain Lampasas CMS Volume Rank | 66.67th Pct (712 CMS svcs; Z -0.376σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lampasas, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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