Raines, Edwin

Raines, Edwin was paid $29K by Medicaid between Jan 2018 and May 2019, across 6 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 70% of everything it billed.

33Billing provider infoRAINES, EDWIN
MEMPHIS, TN 38104

33aNPI1811971856assigned 12/02/2005

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$29K

24GClaims1,468

24DCodes billed6

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Tennessee

Rank by total paid#26 of 73

Median peer was paid$13K

This provider vs. median2.2×

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	1,202	$25K
2019	266	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	70%	866	774	$21K
88342		12%	237	218	$3K
88307		11%	99	84	$3K
88304		5.3%	232	223	$2K
88112		1.1%	17	16	$314.66
88312		<1%	17	13	$267.67

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.