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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Selena Raines (NPI 1043697477)

Field	Value
Entity Type	Individual
Organization	Selena Raines
Address	1795 Alysheba Way Ste 2101
City	Lexington
State	KY
ZIP	40509
Taxonomy	Family Medicine Physician
NPI Enumerated	May 6, 2015

Payer Source	Total Paid
Medicare	$37.9K
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
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	370	$60	$21.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$120	$7K
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…	140	$40	$5.9K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	50	$30	$1.6K
93793	The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…	90	$10	$840
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	30	$20	$790

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. Kentucky Distribution

Selena Raines — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,063	7,230	110	$70	$14.1K
G0439	784	1,570	60	$110	$9.3K
99213	2,281	7,250	80	$50	$7.7K
98927	3	10	50	$40	$4.2K
93793	41	70	120	$10	$1.6K
98926	2	10	30	$20	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Hospital, LLC	KY	General Acute Care Hospital	$0	$83.8M
St Claire Medical Center Inc	KY	General Acute Care Hospital	$0	$71.2M
Clark Regional Physician Practices, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$9.4M
Ryan Hall	AR	Hematology & Oncology Physician	$4.6M	$0
St Claire Medical Center Inc.	KY	Emergency Medicine Physician	$0	$4M
St. Claire Medical Center, Inc	KY	Family Medicine Physician	$0	$3.3M
St Claire Medical Center, Inc.,	KY	Cardiovascular Disease Physician	$0	$3.3M
St. Claire Medical Center, Inc	KY	Home Health Agency	$0	$3.1M
Clark Regional Physician Practices LLC	KY	Rural Health Clinic/Center	$0	$3M
Tariq Mahmood	OK	Medical Oncology Physician	$253.8K	$17.8K

Selena Raines — Billing Profile & Reimbursement Data

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Selena Raines — 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