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GAINES, MICHAELMD NPI 1497778047 Clinician

Family Practice · OXFORD, AL

Specialty Family Practice — from billed Medicare claims
Trained UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 47 years since medical school (class of 1979, self-reported to CMS)
Location OXFORD, AL · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 52 codes billed · 11,663 disclosed services (CY2024 — most recent year in data)
Current groups
member of 2 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

Group affiliation since 2019

20192026
BOWDON FAMILY MEDICINE LLC
2026
CHEAHA AREA REGIONAL EMERGENCY SPECIALISTS
2019–2026
BOWDON FAMILY MEDICINE LLC
2021–2023

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 2008-01

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
J0696 Injection, ceftriaxone sodium, per 250 mg
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
96372 Injection of drug or substance under skin or into muscle
87804 Detection test by immunoassay with direct visual observation for influenza virus
80053 Blood test, comprehensive group of blood chemicals
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
J1100 Injection, dexamethasone sodium phosphate, 1 mg
J1885 Injection, ketorolac tromethamine, per 15 mg
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
80061 Blood test, lipids (cholesterol and triglycerides)
81001 Manual urinalysis test with examination using microscope, automated
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G0444 Annual depression screening, 5 to 15 minutes
99497 Advance care planning, first 30 minutes
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
83036 Hemoglobin a1c level
81003 Automated urinalysis test
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
71046 X-ray of chest, 2 views
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
99443 Telephone medical discussion with physician, 21-30 minutes
82947 Blood glucose (sugar) level
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
J2010 Injection, lincomycin hcl, up to 300 mg
85652 Red blood cell sedimentation rate, to detect inflammation, automated
82962 Blood glucose (sugar) test performed by hand-held instrument
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
J1580 Injection, garamycin, gentamicin, up to 80 mg
99496 Transitional care management services for problem of high complexity
93923 Complete ultrasound study of arm and leg arteries
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
90662 Influenza vaccine split virus, preservative free
G0008 Administration of influenza virus vaccine
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
87420 Detection test by immunoassay technique for respiratory syncytial virus (rsv)
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
74018 X-ray of abdomen, 1 view
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
93970 Ultrasound study of arm or leg veins with compression and maneuvers
95921 Testing of autonomic nervous system function and heart rate response to deep breathing
95923 Testing of autonomic (sympathetic) nervous system function
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
73030 X-ray of shoulder, minimum of 2 views
94640 Inhalation treatment for airway obstruction or sputum production
70220 X-ray of paranasal sinus, minimum of 3 views
72110 X-ray of lower and sacral spine, minimum of 4 views
73630 X-ray of foot, minimum of 3 views
99406 Smoking and tobacco use intensive counseling, 4-10 minutes
99495 Transitional care management services for problem of at least moderate complexity
72050 X-ray of upper spine, 4-5 views

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.