ProPublica

Journalism in the Public Interest

Cancel

Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $193 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
892
Rank: 83rd
out of 2,477 providers in this state & specialty
Services
Performed
5,181
Rank: 239th
out of 2,477 providers in this state & specialty
Avg Services
Per Patient
5.8 This Provider
Avg 5.6
Total Paid
by Medicare
$236K
Rank: 96th
out of 2,477 providers in this state & specialty
Avg Paid
Per Patient
$265 This Provider
Avg $193

Office Visits

Story image rib

Top Billing

Related story »

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Ben A. Raines
Average for Family Practice Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

GARLON CAMPBELL

EMIDIO NOVEMBRE

GREGORY EVANS

PAUL BEERMAN

JAMES SANDERFORD

Organizations

NORTHERN HOSPITAL DISTR...

HUGH CHATHAM MEMORIAL H...

Patients saw before

Ben A. Raines

Patients saw after

Individuals

GARLON CAMPBELL

EMIDIO NOVEMBRE

PAUL BEERMAN

JAMES SANDERFORD

DONNA DAVIS

Organizations

NORTHERN HOSPITAL DISTR...

HUGH CHATHAM MEMORIAL H...

This Provider's Services

This provider performed 8 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
2,645
times performed,
51% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

824
patients got this service, 92% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2)
$449,650an average of $170 per time performed $124,315
an average of $47 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
1,169
times performed,
23% of his services

2nd 1st

most performed service for this provider most performed service in this state & specialty

559
patients got this service, 63% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$298,095an average of $255 per time performed $81,830
an average of $70 per time performed
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
1,135
times performed,
22% of his services

3rd 99th

most performed service for this provider most performed service in this state & specialty

603
patients got this service, 68% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$113,500an average of $100 per time performed $22,700
an average of $20 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
93
times performed,
2% of his services

4th 131st

most performed service for this provider most performed service in this state & specialty

93
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$23,715an average of $255 per time performed $2,418
an average of $26 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
64
times performed,
1% of his services

5th 12th

most performed service for this provider most performed service in this state & specialty

62
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 3.2)
$5,440an average of $85 per time performed $832
an average of $13 per time performed
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
39
times performed,
0.75% of his services

6th 270th

most performed service for this provider most performed service in this state & specialty

39
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,630an average of $170 per time performed $1,170
an average of $30 per time performed
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
22
times performed,
0.42% of his services

7th 186th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$8,118an average of $369 per time performed $2,266
an average of $103 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
14
times performed,
0.27% of his services

8th 56th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,950an average of $425 per time performed $1,232
an average of $88 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Family Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.