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
ELLINGTON, MO 63638
33aNPI1437152303assigned 05/24/2005
33bProvider typeFamily Medicine Physician
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
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 | 18 | $1K | |
| 2019 | 549 | $47K | |
| 2020 | 305 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.