Rayner, James

Rayner, James was paid $142K by Medicaid between Apr 2018 and Dec 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.

33Billing provider infoRAYNER, JAMES
PROVIDENCE, RI 02903

33aNPI1194793018assigned 03/08/2006

33bProvider typeEmergency Medicine Physician

28Total paid$142K

24GClaims1,507

24DCodes billed7

24AFirst – last monthApr 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Rhode Island

Rank by total paid#76 of 188

Median peer was paid$94K

This provider vs. median1.5×

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	289	$44K
2019	29	$3K
2020	37	$8K
2021	101	$12K
2022	139	$20K
2023	151	$16K
2024incomplete	761	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	51%	528	492	$72K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	14%	129	111	$20K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	14%	156	144	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	423	418	$19K
87428		6.5%	164	163	$9K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	95	95	$914.76
81002		<1%	12	12	$25.48

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.