Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Janice Cain (NPI 1114963816)

Field	Value
Entity Type	Individual
Organization	Janice Cain
Address	1821 S Stoughton Rd
City	Madison
State	WI
ZIP	53716
Taxonomy	Psychologist
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicare	$33.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	210	$110	$22.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	60	$70	$3.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$120	$3.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	120	$20	$2.3K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10	$80	$890
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	10	$30	$350

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Janice Cain — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	64	280	130	$90	$13.3K
90834	208	300	90	$60	$6.6K
90791	27	190	20	$110	$2.5K
96130	12	10	20	$90	$2.5K
90853	7	20	110	$20	$2.1K
96136	33	40	20	$20	$900

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Kuhn	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.6M
Madison Pediatric Dental, Sc	WI	Pediatric Dentistry	$0	$2M
Ashley Neiweem	WI	Ophthalmology Physician	$183.2K	$0
Walgreen Co	WI	Pharmacy	$161.5K	$11.7K
Jining Wang	WI	Dermatology Physician	$170.8K	$0
Caroline Schmitt	WI	Dermatology Physician	$165K	$0
Walgreen Co	WI	Pharmacy	$133.7K	$25.5K
John Kelly	WI	Allergy & Immunology Physician	$134.1K	$0
Nathan Jung	WI	Urology Physician	$89.6K	$0
Nicholas Streit	WI	Podiatrist	$88.2K	$0

Janice Cain — Billing Profile & Reimbursement Data

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Janice Cain — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References