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    OpenPayerNPI Medicare & MedicaidStefanie Cain
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    Stefanie Cain — Billing Profile & Reimbursement Data

    NPI 1104587914 · Moraine, OH · Family Nurse Practitioner

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    Stefanie Cain is a family nurse practitioner provider located in Moraine, Ohio. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStefanie Cain
    Address3033 Kettering Blvd Ste 100
    CityMoraine
    StateOH
    ZIP45439
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 4, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$79.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…450$80$34.4K
    G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…160$70$10.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$100$8.2K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…110$60$6.2K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…120$50$5.4K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…30$120$3.1K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…120$30$3.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…70$40$2.6K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…30$80$2K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…50$30$1.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993495470080$80$11.3K
    99490269420100$40$8.1K
    G04391,7554,72060$90$7.4K
    9935017026040$110$6.5K
    9934817561060$50$5.9K
    G018144040$70$4.2K
    9949714175040$60$3.8K
    993445018020$90$2.3K
    G00082,6505,28050$30$2.1K
    G01791925030$30$1.4K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Stefanie Cain, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vpa PCMIFamily Medicine Physician$0$19.2M
    Vpa PCMIClinical Medical Laboratory$4.6M$8.1M
    Vpa PCOHPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$247.6K$1.3M
    Vpa PCKSFamily Medicine Physician$0$1.2M
    Vpa PCMIPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$501.6K$80.8K
    Vpa PCVAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$234.8K$40.3K
    Gene HaoWAInternal Medicine Physician$164.2K$0
    Michael AmlogMIFamily Medicine Physician$152.8K$0
    Donald HastingsVAFamily Medicine Physician$144.9K$0
    Eliza ThorntonCAAdult Medicine Physician$91.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Stefanie Cain, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Community IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$54.4M
    Compunet Clinical Laboratories LLCOHClinical Medical Laboratory$7.7M$34.3M
    Premier Health Specialists IncOHInternal Medicine Physician$0$31.1M
    Fidelity Health Care IncOHHome Health Agency$0$10.1M
    Fidelity Health Care IncOHDurable Medical Equipment & Medical Supplies$0$10.1M
    Project Cure, Inc.OHCommunity/Behavioral Health Agency$0$10.1M
    Cleanslate Medical Group Of Ohio LLCOHAddiction Medicine (Internal Medicine) Physician$0$9.5M
    Providence Medical GroupOHFamily Medicine Physician$0$7.9M
    Excel Home Health Care LLCOHHome Health Agency$0$7.8M
    Providence Medical GroupOHClinical Medical Laboratory$213.6K$1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Stefanie Cain — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio