PROVIDER PROFILE · NPI 1679587737

John RainesD.O.

PRACTICESOUTHERN MEDICAL HOLDINGS, LLCSee all providers at this practice →

Family PracticeRainbow City, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

363

Unique beneficiaries

—

Total services

670

Distinct HCPCS

Medicare payment

$26K

Peer benchmark

Total Medicare services vs. 1,250 Family Practice providers in AL — top quintile (cohort median 957).

PRESCRIBING · PART D · 2024

Total Rx claims

5,052

Beneficiaries

—

Total drug cost

$340K

Distinct drugs

107

Brand share

19.3%

Top prescribed drugs

Levothyroxine Sodium256 claims

Rosuvastatin Calcium221 claims

Gabapentin154 claims

Lorazepam149 claims

Escitalopram Oxalate123 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$281

Payment records

By payment type

Food and Beverage$281

REFERRAL NETWORK

Where John 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). 5 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
AMEDISYS HOSPICE, LLC	57	265
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	44	76
GADSDEN REGIONAL MEDICAL CENTER LLC	23	30
AMEDISYS HOME HEALTH OF ALABAMA, LLC	13	23
Mary Burgess-Parker Nurse Practitioner · Gadsden, AL	11	28

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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