Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rains, Paul

Rains, Paul was paid $73K by Medicaid between Dec 2018 and May 2020, across 4 billing codes. Its largest line is S9083, Global fee urgent care centers — 92% of everything it billed.

33Billing provider infoRAINS, PAUL
ELLINGTON, MO 63638
33aNPI1437152303assigned 05/24/2005
28Total paid$73K
24GClaims872
24DCodes billed4
24AFirst – last monthDec 2018 – May 2020
Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#229 of 911
Median peer was paid$16K
This provider vs. median4.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201818$1K
2019549$47K
2020305$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9083 Global fee urgent care centers 92% 771 749 $67K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.1% 55 55 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 34 17 $450.16
99051 <1% 12 12 $128.40

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.