Medicare Facts for Dr. Arthur L. Raines, MD


National Provider Identifier [NPI]: 1235126160
Last Name Of The Provider RAINES
First Name Of The Provider ARTHUR
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 550 PEACHTREE ST
Street Address 2 Of The Provider 19TH FLOOR
City Of The Provider ATLANTA
Zip Code Of The Provider 30308
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 4282
Number Of Medicare Beneficiaries 320
Total Submitted Charge Amount 708018.33
Total Medicare Allowed Amount 204824.08
Total Medicare Payment Amount 153808.13
Total Medicare Standardized Payment Amount 156526.65
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 3008
Number Of Medicare Beneficiaries With Drug Services 66
Total Drug Submitted ChargeAmount 96328
Total Drug Medicare AllowedAmount 37417.17
Total Drug Medicare PaymentAmount 29319.62
Total Drug Medicare Standardized Payment Amount 29319.62
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 1274
Number Of Medicare Beneficiaries With Medical Services 320
Total Medical Submitted Charge Amount 611690.33
Total Medical Medicare Allowed Amount 167406.91
Total Medical Medicare Payment Amount 124488.51
Total Medical Medicare Standardized Payment Amount 127207.03
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 74
Number Of Beneficiaries Age 65 to 74 147
Number Of Beneficiaries Age 75 to 84 74
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 228
Number Of Male Beneficiaries 92
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 282
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 228
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 16
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5604

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