Medicare Facts for Dr. Robert A. Raines, MD


National Provider Identifier [NPI]: 1427040831
Last Name Of The Provider RAINES
First Name Of The Provider ROBERT
Middle Initial Of The Provider A
Credentials Of The Provider M.M.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3219 CLIFTON AVE
Street Address 2 Of The Provider SUITE 300
City Of The Provider CINCINNATI
Zip Code Of The Provider 452203045
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 84
Number Of Services 1029.5
Number Of Medicare Beneficiaries 243
Total Submitted Charge Amount 288167.05
Total Medicare Allowed Amount 114754.14
Total Medicare Payment Amount 85153.78
Total Medicare Standardized Payment Amount 89288.58
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 97.5
Number Of Medicare Beneficiaries With Drug Services 38
Total Drug Submitted ChargeAmount 892.5
Total Drug Medicare AllowedAmount 226.52
Total Drug Medicare PaymentAmount 172.76
Total Drug Medicare Standardized Payment Amount 172.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 82
Number Of Medical Services 932
Number Of Medicare Beneficiaries With Medical Services 243
Total Medical Submitted Charge Amount 287274.55
Total Medical Medicare Allowed Amount 114527.62
Total Medical Medicare Payment Amount 84981.02
Total Medical Medicare Standardized Payment Amount 89115.82
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 54
Number Of Beneficiaries Age 65 to 74 124
Number Of Beneficiaries Age 75 to 84 52
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 149
Number Of Male Beneficiaries 94
Number Of Non Hispanic White Beneficiaries 219
Number Of Black or African American Beneficiaries
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 202
Number Of Beneficiaries With Medicare Medicaid Entitlement 41
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 24
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5304

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