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    OpenPayerNPI Medicare & MedicaidWilliam Cain
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    William Cain — Billing Profile & Reimbursement Data

    NPI 1821083973 · Hermitage, TN · Allergy & Immunology Physician

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    William Cain is a allergy & immunology physician provider located in Hermitage, Tennessee. This profile covers 14 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
    OrganizationWilliam Cain
    Address5045 Old Hickory Blvd
    CityHermitage
    StateTN
    ZIP37076
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedSeptember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$221.8K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.15,840$10$158.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.2,940$10$20.6K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.4,330$1$13K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…70$110$7.4K
    95024The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.930$10$5.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…90$60$5.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$80$2.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…30$80$2.1K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.200$10$1.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…90$10$770

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9516521301,130$10$22.9K
    992149,74211,370120$80$16.6K
    992135,15611,03080$50$8K
    95004161001,340$1$5.5K
    992041,2355,49030$100$5.3K
    951177190340$10$5.1K
    364153,2313,310120$10$3.2K
    992031,7903,75030$70$3.1K
    950241360460$10$3.1K
    951154180200$10$2.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allergy Associates, P.A.TNSpecialist$0$26.5M
    Tennessee Ear, Nose & Throat Consultants, PCTNOtolaryngology Physician$0$9.2M
    Jeremiah BivinsTNAllergy & Immunology Physician$419.4K$4.6M
    Tidence PrinceTNAllergy & Immunology Physician$1.4M$0
    Jamie PolkGAFamily Nurse Practitioner$316.8K$0
    Karthik KrishnanTNAllergy & Immunology Physician$252.4K$0
    Ashley HindsTNNurse Practitioner$246.5K$0
    Bradley WolfTNThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$236.4K$0
    Jeana BushGAAllergy & Immunology Physician$168.4K$66.4K
    John PrinceTNPulmonary Disease Physician$230.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medistaff, LLCTNIn Home Supportive Care Agency$0$34M
    Advancecare Health Services, LLCTNIn Home Supportive Care Agency$0$23.4M
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$22.1M
    Hermitage Pediatric DentistryTNDental Clinic/Center$0$19.1M
    Childrens Medical GroupTNPediatrics Physician$0$4M
    Children's Clinic EastTNPediatrics Physician$0$3.9M
    Two Rivers Emergency Physicians PLLCTNEmergency Medicine Physician$0$2.6M
    Summit Surgery Center LPTNAmbulatory Surgical Clinic/Center$559.9K$655.4K
    Chirag AminTNHematology & Oncology Physician$820K$0
    Lisa LayaTNInfectious Disease Physician$222.2K$274.2K

    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. Tennessee Distribution
    William Cain — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee