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PROVIDER PROFILE · NPI 1144215872

Michael RainesM.D

Family PracticeAmericus, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
23,143
Beneficiaries
—
Total drug cost
$1.0M
Distinct drugs
210
Brand share
18.2%
Top prescribed drugs
Atorvastatin Calcium1,251 claims
Amlodipine Besylate1,070 claims
Potassium Chloride786 claims
Losartan Potassium778 claims
Famotidine657 claims
REFERRAL NETWORK

Where Michael Raines's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 38 inbound referrers · 66 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 1457355356100322
Gold Star Ems, Llc
Ambulance Service Provider · Albany, GA
60236
Patrick Crimmins
Diagnostic Radiology · Tifton, GA
56126
Fleming Burroughs
Internal Medicine · Americus, GA
43151
Benjamin Andrews
Emergency Medicine · Americus, GA
36111
Edwin Fortenbery
Diagnostic Radiology · Albany, GA
3368
James Bise
Diagnostic Radiology · Ft Stewart, GA
3253
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3055
Jill Olek
Family Practice · Americus, GA
29122
Brian Jordan
Emergency Medicine · Americus, GA
2787
Anna Stinchcum
Nurse Practitioner · Americus, GA
2559
Sharon Hall
Nurse Practitioner · Americus, GA
2447
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PHOEBE SUMTER MEDICAL CENTER, INC.4602,115
NPI 1457355356102316
PHOEBE PUTNEY MEMORIAL HOSPITAL INC80232
Patrick Crimmins
Diagnostic Radiology · Tifton, GA
69179
PHOEBE SUMTER MEDICAL CENTER, INC.62275
MAGNOLIA MANOR, INC.56186
HOSPITAL AUTHORITY OF RANDOLPH COUNTY55221
Gold Star Ems, Llc
Ambulance Service Provider · Albany, GA
55225
Sharon Hall
Nurse Practitioner · Americus, GA
3662
James Bise
Diagnostic Radiology · Ft Stewart, GA
3368
John Fennessy
Orthopedic Surgery · Atlanta, GA
32112
Jimmie Felton
Podiatry · Americus, GA
31121
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 111505
Hospice
CCN 111537
Hospice
CCN 110025
Hospital
CCN 110044
Hospital
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$128
Payment records
7
By payment type
Food and Beverage$128
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
344
Unique beneficiaries
—
Total services
393
Distinct HCPCS
5
Medicare payment
$18K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,265 Family Practice providers in GA — above median (cohort median 688).