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BAIN, MICHAELMD NPI 1316029341 Clinician

Plastic and Reconstructive Surgery · NEWPORT BEACH, CA

Specialty Plastic and Reconstructive Surgery — from billed Medicare claims
Trained HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE — medical school, self-reported to CMS
In practice about 28 years since medical school (class of 1998, self-reported to CMS)
Location NEWPORT BEACH, CA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 21 codes billed · 5,634 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20232026
MICHAEL A BAIN MD INC
2023–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-07

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
11042 Removal of skin and tissue, 20.0 sq cm or less
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
G0179 Physician 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 review of reports of patient status required by physicians a
99183 Management of oxygen chamber therapy
15002 Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
G0180 Physician 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 of reports of patient status required by physicians and
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
17250 Application of chemical to stop tissue regrowth in wound
97597 Removal of tissue from wound, 20.0 sq cm or less
15272 Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.