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PROVIDER PROFILE · NPI 1427040831

Robert RainesM.M.

PRACTICELONE STAR ORTHOPAEDICS INCSee all providers at this practice →
Orthopedic SurgeryCincinnati, OHI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
93.0
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
12
By payment type
Travel and Lodging$859
Food and Beverage$487
PRESCRIBING · PART D · 2024
Total Rx claims
843
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
9
Brand share
19.8%
Top prescribed drugs
Gabapentin260 claims
Hydrocodone/Acetaminophen156 claims
Meloxicam132 claims
Ibuprofen123 claims
Promethazine Hcl96 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,603
Unique beneficiaries
—
Total services
2,276
Distinct HCPCS
21
Medicare payment
$104K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 853 Orthopedic Surgery providers in OH — above median (cohort median 1,114).
REFERRAL NETWORK

Where Robert 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 · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BETHESDA HOSPITAL INC49147
Michael Kreeger
Diagnostic Radiology · Cincinnati, OH
1454
James Schafer
Diagnostic Radiology · Cincinnati, OH
1423
Maziar Arya
Cardiology · Cincinnati, OH
1252
James Meranus
Diagnostic Radiology · Cincinnati, OH
1123
Matthew Recht
Vascular Surgery · Cincinnati, OH
1133
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO63207
BETHESDA HOSPITAL INC38156
KENWOOD ASC, LLC2153
CHRIST HOSPITAL2145
Scott Friedstrom
Infectious Disease · Cincinnati, OH
19179
Stephen Blatt
Infectious Disease · Cincinnati, OH
17267
MERCY HEALTH - WEST HOSPITAL LLC1433
Patrick Muck
General Surgery · Cincinnati, OH
1362
Nancy Mcdonough
Physical Medicine and Rehabilitation · Cincinnati, OH
13119
PATIENT TRANSPORT SERVICES INC.1341
James Schafer
Diagnostic Radiology · Cincinnati, OH
1124
Jeffrey Fitzgerald
Diagnostic Radiology · Scottsdale, AZ
1116
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.