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John Mattox Raines

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NPI Number Detailed Information

Provider Information:

Name: John Mattox Raines
Gender: M
Provider License Number If Given: 417640

NPI Information:

NPI: 1679587737
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/27/2006

Last Update Date: 3/13/2023

Reputation Report:

Provider Business Mailing Address:

Address: 190 INDEPENDENT DR STE A
Rainbow City, AL 35906
Phone Number: 2564421834
Fax Number: 8779914819

Provider Business Practice Location Address:

Address: 190 INDEPENDENT DR STE A
Rainbow City, AL 35906
Phone Number: 2564421834
Fax Number: 8779914819

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: AL

Top Doctors in AL

 

About John Mattox Raines

John Mattox Raines ( JOHN MATTOX RAINES ) is Family Family Medicine Physician in Rainbow City, AL. The NPI Number for John Mattox Raines is 1679587737.
The current location address for John Mattox Raines is 190 INDEPENDENT DR STE A Rainbow City, AL 35906 and the contact number is 2564421834 and fax number is 8779914819. The mailing address for John Mattox Raines is 190 INDEPENDENT DR STE A Rainbow City, AL 35906- 2564421834 (mailing address contact number - 2564421834).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for John Mattox Raines ?


Answer: The NPI Number for John Mattox Raines is 1679587737

Where is John Mattox Raines located?


Answer: John Mattox Raines is located at 190 INDEPENDENT DR STE A Rainbow City, AL 35906.

What is the specialty for John Mattox Raines ?


Answer: The Specialty of John Mattox Raines is Family Family Medicine Physician.

Are there any online reviews for John Mattox Raines ?


Answer: Yes! Check It Now.

Are there any other health care providers in Rainbow City, AL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by John Mattox Raines

Number of HCPCS 24
Number of Medicare Beneficiaries 140
Number of Services 19033
Total Submitted Charge Amount 76743
Total Medicare Allowed Amount 39060.21
Total Medicare Payment Amount 26267.72
Total Medicare Standardized Payment Amount 28130.8
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 62
Number of Drug Services 18433
Total Drug Submitted Charge Amount 5057
Total Drug Medicare Allowed Amount 1834.77
Total Drug Medicare Payment Amount 1625.13
Total Drug Medicare Standardized Payment Amount 1602.17
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 18
Number of Medicare Beneficiaries With Medical 140
Number of Medical Services 600
Total Medical Submitted Charge Amount 71686
Total Medical Medicare Allowed Amount 37225.44
Total Medical Medicare Payment Amount 24642.59
Total Medical Medicare Standardized Payment Amount 26528.63
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 17
Number of Beneficiaries Age 65 to 74 69
Number of Beneficiaries Age 75 to 84 40
Number of Beneficiaries Age Greater 84 14
Number of Female Beneficiaries 75
Number of Male Beneficiaries 65
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.54
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.34
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.27
Percent (%) of Beneficiaries Identified With Osteoporosis 0.21
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0515

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 5782
Number of Standardized 30-Day Fills 12542.8
Aggregate Cost Paid for All Claims 353171
Number of Day's Supply for All Claims 368783
Number of Medicare Beneficiaries 378
Number of Claims, Including Refills, for Beneficiaries Age 65+ 4638
Including Refills, for Beneficiaries Age 65+ 10309.4
Beneficiaries Age 65+ 280650.45
Number of Day's Supply for All Claims for Beneficaries Age 65+ 302899
Number of Medicare Beneficiaries Age 65+ 315
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 655
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 5091
Aggregate Cost Paid for Generic Drugs 112033.75
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 36
Aggregate Cost Paid for Other Drugs 2472.69
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3737
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 251978.09
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2045
Aggregate Cost Paid for Claims Filled by 101192.91
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 730
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 83496.04
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5052
by Low-Income Subsidy 269674.96
Total Claims of Opioid Drugs, Including 44
Aggregate Cost Paid for Opioid Drugs 331.29
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 0.760982359
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 102
Aggregate Cost Paid for Antibiotic Drugs 1693.36
Antibiotic Claims 68
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 14
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 197.14
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.423280423
Number of Beneficiaries Age Less Than 65 63
Number of Beneficiaries Age 65 to 74 188
Number of Beneficiaries Age 75 to 84 105
Number of Female Beneficiaries 218
Number of Male Beneficiaries 160
Number of Non-Hispanic White 368
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 338
Average Hierarchical Condition Category 1.1341898148

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