Cain, Nicole

Cain, Nicole was paid $16K by Medicaid between Jan 2018 and Aug 2019, across 3 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 70% of everything it billed.

33Billing provider infoCAIN, NICOLE
CHARLESTON, SC 29425

33aNPI1215072855assigned 02/21/2007

33bProvider typePediatric Cardiology Physician

28Total paid$16K

24GClaims1,492

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Pediatric Cardiology Physician providers in South Carolina

Rank by total paid#2 of 12

Median peer was paid$5K

This provider vs. median3.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,268	$13K
2019	224	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	70%	1,344	1,176	$11K
93227		22%	132	131	$4K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	7.7%	16	16	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.