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PROVIDER PROFILE · NPI 1235126160

Arthur RainesM.D.

Orthopedic SurgeryAtlanta, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
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
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110082
Hospital
CCN 110161
Hospital
CCN 112007
Long-term care hospital
PRESCRIBING · PART D · 2024
Total Rx claims
533
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
7
Brand share
18.6%
Top prescribed drugs
Meloxicam223 claims
Tramadol Hcl123 claims
Oxycodone Hcl/Acetaminophen57 claims
Hydrocodone/Acetaminophen42 claims
Naproxen42 claims
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
PhysicianPatientsVisits
CRAWFORD LONG HOSPITAL79273
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
43105
Robert Kaufmann
Internal Medicine · Atlanta, GA
1686
NORTHSIDE HOSPITAL, INC.1430
John Roback
Pathology · Atlanta, GA
1228
Joseph Martin
Internal Medicine · Atlanta, GA
1142
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CRAWFORD LONG HOSPITAL52113
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3383
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
2362
Colette Curtis
Anesthesiology · Atlanta, GA
1765
Northwest Georgia Orthopaedic Surgery Center, Llc
Ambulatory Surgical Center · Marietta, GA
1543
Robert Kaufmann
Internal Medicine · Atlanta, GA
1549
Leslie Cone
Physical Medicine and Rehabilitation · Atlanta, GA
1318
EMORY UNIVERSITY1231
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
529
Unique beneficiaries
—
Total services
1,964
Distinct HCPCS
12
Medicare payment
$39K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 640 Orthopedic Surgery providers in GA — above median (cohort median 2,020).