Not Medicare Enrolled
Dr. Mark Cain, MD
Urology Physician · Evans, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 3 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Cain from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Cain
Dr. Mark Cain is an urology physician in Evans, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Cain performed 3,503 Medicare services across 1,868 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cain received a total of $3,470 from 43 pharmaceutical and/or device companies across 147 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cain is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 25% volume in GA
$3,470 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,503
Medicare services
Top 25% in GA for urology physician
1,868
Unique beneficiaries
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~175 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,400 | $0 | $0 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
600 | $53 | $150 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
346 | $2 | $25 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
217 | $8 | $22 |
| PSA test (prostate cancer screening) | 164 | $18 | $51 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 135 | $135 | $700 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
85 | $7 | $108 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
74 | $64 | $220 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
72 | $18 | $51 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
61 | $59 | $700 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
53 | $39 | $269 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
37 | $19 | $51 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
34 | $24 | $320 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
33 | $57 | $210 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
32 | $97 | $850 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
32 | $34 | $90 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
31 | $55 | $600 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
23 | $24 | $125 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
22 | $17 | $60 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
16 | $25 | $70 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
13 | $67 | $321 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
12 | $308 | $2,000 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
11 | $151 | $1,024 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.3% high complexity
47.6% medium
52.0% routine
Industry Payment Transparency
Open Payments through 2023 ↗$3,470
Total received (2018-2023)
Avg $578/year across 6 years
Bottom 44% in GA for urology physician
43
Companies
147
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,457 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$13 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2023
$1,098
2022
$824
2021
$460
2020
$311
2019
$381
2018
$396
Payments by company (2023)
Consulting
Speaking
Meals & Travel
Research
PROCEPT BioRobotics Corporation
$310
Teleflex LLC
$262
Bayer Healthcare Pharmaceuticals Inc.
$116
PFIZER INC.
$107
Sumitomo Pharma America, Inc.
$60
Blue Earth Diagnostics Limited
$34
ACCORD HEALTHCARE, INC.
$31
Axonics, Inc.
$28
AstraZeneca Pharmaceuticals LP
$24
AbbVie Inc.
$18
Laborie Medical Technologies Corp.
$18
Coloplast Corp
$17
Boston Scientific Corporation
$17
Janssen Biotech, Inc.
$17
Cardinal Health 414 LLC
$14
Merck Sharp & Dohme LLC
$13
Antares Pharma, Inc.
$13
Top 3 companies account for 62.6% of 2023 payments
All-time payments by company (2018-2023) ›
Astellas Pharma US Inc
$347
PROCEPT BioRobotics Corporation
$310
Boston Scientific Corporation
$263
Teleflex LLC
$262
Janssen Biotech, Inc.
$261
Myovant Sciences Inc.
$193
PFIZER INC.
$151
Axonics, Inc.
$138
Bayer Healthcare Pharmaceuticals Inc.
$116
UROVANT SCIENCES INC
$109
Bayer HealthCare Pharmaceuticals Inc.
$101
UroGen Pharma, Inc.
$97
Cook Medical LLC
$96
Allergan, Inc.
$90
Blue Earth Diagnostics Limited
$78
AbbVie Inc.
$74
Allergan Inc.
$65
Sumitomo Pharma America, Inc.
$60
AstraZeneca Pharmaceuticals LP
$50
Rochester Medical Corporation
$42
Clarus Therapeutics Inc.
$42
Novartis Pharmaceuticals Corporation
$38
Coloplast Corp
$37
Avadel Specialty Pharmaceuticals, LLC
$37
DENTSPLY IH Inc.
$36
ABBVIE INC.
$36
ACCORD HEALTHCARE, INC.
$31
Endo Pharmaceuticals Inc.
$31
Amgen Inc.
$29
Antares Pharma, Inc.
$27
Merck Sharp & Dohme LLC
$27
TOLMAR Pharmaceuticals, Inc.
$25
180 Medical, Inc.
$22
BAXTER HEALTHCARE
$21
Laborie Medical Technologies Corp.
$18
MEDIVATION FIELD SOLUTIONS LLC
$17
Retrophin, Inc.
$16
Smith+Nephew, Inc.
$15
Acerus Pharmaceuticals Corporation
$14
Cardinal Health 414 LLC
$14
Kowa Pharmaceuticals America, Inc.
$13
Ambu Inc.
$10
Travere Therapeutics, Inc.
$9
Top 3 companies account for 26.5% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AMS · AQUABEAM ROBOTIC SYSTEM · Axonics · Axumin · BOTOX · BOTOX THERAPEUTIC · CAMCEVI · Cook Medical Lasers · ELIGARD · ERLEADA · Erleada · GEMTESA · GENERAL KIDNEY STONE DISEASE · GENERAL - KIDNEY STONE DISEASE · GENTLECATH · JATENZO · JELMYTO · KEYTRUDA · LITHOVUE · LUPRON DEPOT · LYNPARZA · LoFric · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · Prolia · STRAVIX · Seglentis · SpaceOAR System · TISSEEL · TITAN · TOVIAZ · Thiola · Titan · UROLIFT · VESICARE · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · ZYTIGA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
28
Per 100K population
17.5
County median income
$96,122
Nearest hospital
DOCTORS HOSPITAL
7.9 mi
7.9 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2023 |
| Disciplinary History | — Not public | N/A |
This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Cain is a clinical cardiology specialist, with above-average Medicare volume (top 25% in GA), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Cain experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Cain performed 1,400 contrast dye for imaging (iodine-based) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Cain receive payments from pharmaceutical companies?
Yes. Dr. Cain received a total of $3,470 from 43 companies across 147 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Cain's costs compare to other urology physicians in Evans?
Dr. Cain's average Medicare payment per service is $24. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Cain) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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