What is Arthur Raines's specialty?

Arthur Raines (NPI 1235126160) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Atlanta, GA.

Where does Arthur Raines practice?

Arthur Raines practices in Atlanta, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1235126160.

How much does Medicare pay Arthur Raines?

Arthur Raines (NPI 1235126160) received approximately $54K in total Medicare Part B payments, serving 210 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1235126160

Arthur RainesM.D.

Orthopedic SurgeryAtlanta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

529

Unique beneficiaries

—

Total services

1,964

Distinct HCPCS

Medicare payment

$39K

Peer benchmark

Total Medicare services vs. 640 Orthopedic Surgery providers in GA — above median (cohort median 2,020).

PRESCRIBING · PART D · 2024

Total Rx claims

533

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

18.6%

Top prescribed drugs

Meloxicam223 claims

Tramadol Hcl123 claims

Oxycodone Hcl/Acetaminophen57 claims

Hydrocodone/Acetaminophen42 claims

Naproxen42 claims

QUALITY · MIPS · 2024

Final MIPS score

93.9

Quality

82.1

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110082

Hospital

CCN 110161

Hospital

CCN 112007

Long-term care hospital

REFERRAL NETWORK

Where Arthur 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). 6 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CRAWFORD LONG HOSPITAL	79	273
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	43	105
Robert Kaufmann Internal Medicine · Atlanta, GA	16	86
NORTHSIDE HOSPITAL, INC.	14	30
John Roback Pathology · Atlanta, GA	12	28
Joseph Martin Internal Medicine · Atlanta, GA	11	42

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
CRAWFORD LONG HOSPITAL	52	113
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	33	83
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tucker, GA	23	62
Colette Curtis Anesthesiology · Atlanta, GA	17	65
Northwest Georgia Orthopaedic Surgery Center, Llc Ambulatory Surgical Center · Marietta, GA	15	43
Robert Kaufmann Internal Medicine · Atlanta, GA	15	49
Leslie Cone Physical Medicine and Rehabilitation · Atlanta, GA	13	18
EMORY UNIVERSITY	12	31

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events