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

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

Carmen Raines (NPI 1104241686)

Field	Value
Entity Type	Individual
Organization	Carmen Raines
Address	1265 Cliff Gookin Blvd
City	Tupelo
State	MS
ZIP	38801
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 20, 2014

Payer Source	Total Paid
Medicare	$138.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	560	$50	$26.6K
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…	330	$70	$23.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	$100	$14.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	120	$60	$7.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	120	$50	$5.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	570	$10	$4.6K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	50	$90	$4.2K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	30	$130	$4K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	50	$70	$3.9K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	10	$280	$3.7K

Showing 1–10 of 49

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Carmen Raines — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

49 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,172	4,110	170	$70	$21.9K
G0439	236	810	70	$110	$14.4K
99213	318	4,000	100	$50	$10.3K
99215	622	900	40	$110	$9K
90677	407	480	20	$280	$8.7K
90694	168	320	60	$70	$6.2K
99497	63	290	50	$70	$6.2K
99204	2,072	2,150	40	$100	$5.8K
82306	83	180	70	$30	$4.6K
84443	132	280	90	$20	$4.5K

Showing 1–10 of 49

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pami Taylor	MS	Internal Medicine Physician	$601K	$0
Benjamin Gilliland	MS	Family Medicine Physician	$425.9K	$0
Julian Loden	MS	Internal Medicine Physician	$371.5K	$0
Meagan Hillhouse	MS	Nurse Practitioner	$127.2K	$0
Jessica Childs	MS	Adult Health Nurse Practitioner	$99K	$0

Carmen Raines — Billing Profile & Reimbursement Data

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Carmen 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