Rayne, Susan

Rayne, Susan was paid $71K by Medicaid between Jan 2018 and Mar 2021, across 28 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 26% of everything it billed.

33Billing provider infoRAYNE, SUSAN
SAINT LOUIS, MO 63136

33aNPI1164404208assigned 11/15/2005

33bProvider typeCytopathology Physician

28Total paid$71K

24GClaims11,261

24DCodes billed28

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Cytopathology Physician providers in Missouri

Rank by total paid#1 of 10

Median peer was paid$6K

This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	4,577	$26K
2019	3,323	$22K
2020	2,910	$19K
2021	451	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	26%	848	723	$19K
88305	Level IV - Surgical pathology, gross and microscopic examination	16%	545	485	$11K
80053	Comprehensive metabolic panel	15%	2,223	1,692	$11K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	11%	2,847	1,989	$8K
87631		10%	151	144	$7K
88307		6.8%	212	165	$5K
80048	Basic metabolic panel (calcium, ionized)	1.6%	316	164	$1K
81001		1.5%	838	766	$1K
84484		1.4%	277	224	$987.47
83690		1.3%	291	265	$947.52
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	112	111	$847.80
85610		1.1%	432	334	$787.48

16 more codes

88304		1.1%	54	$783.78
81003		<1%	589	$608.22
86901		<1%	228	$486.39
85730		<1%	159	$470.40
85027		<1%	179	$441.98
81025		<1%	322	$367.65
86900		<1%	229	$363.95
83605		<1%	79	$327.82
84702		<1%	69	$305.67
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	15	$274.80
87420		<1%	33	$252.33
86850		<1%	81	$214.32
83735		<1%	68	$170.56
82150		<1%	40	$124.41
82805		<1%	12	$65.28
85379		<1%	12	$44.90

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.