Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maine (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Paul Rainier (NPI 1033313788)

Field	Value
Entity Type	Individual
Organization	Paul Rainier
Address	417 State St Suite 340
City	Bangor
State	ME
ZIP	04401
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	June 14, 2007

Payer Source	Total Paid
Medicare	$24.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	20	$900	$17K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90	$50	$4.2K
99442	N/A	20	$50	$1.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	20	$60	$1.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$30	$700
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$60	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Paul Rainier — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	2	10	10	$620	$8.7K
99213	693	2,350	50	$50	$4.3K
99203	385	620	30	$60	$2.4K
99221	77	90	20	$60	$1.6K
99212	215	410	30	$30	$1.5K
99442	48	100	20	$50	$1.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Paul Rainier, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Sebasticook Valley Health	ME	Critical Access Hospital	$0	$3.6M
Sebasticook Valley Health	ME	Rural Health Clinic/Center	$0	$2.8M
Mppg, Inc.	GA	Family Medicine Physician	$0	$2.8M
Cheryl Lee	WA	Ophthalmology Physician	$1.5M	$0
Sebasticook Valley Health	ME	Rural Health Clinic/Center	$0	$1.4M
Sebasticook Valley Health	ME	Rural Health Clinic/Center	$0	$1.3M
Nathan Uebelhoer	CA	MOHS-Micrographic Surgery Physician	$1.3M	$0
Eastern Maine Healthcare Systems	ME	Rural Health Clinic/Center	$0	$1M
Naveed Jan	NJ	Hematology & Oncology Physician	$696.5K	$0

Paul Rainier — Billing Profile & Reimbursement Data

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Paul Rainier — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References