Physician

Martin Rains, M.D.

According to 2025 Medicare claims, Martin Rains, M.D. (NPI: 1063675551) practices cardiology in the Paducah, KY-IL market, with the plurality of this provider's patient population coming from Mc Cracken, KY. This provider's primary affiliated billing organization is BAPTIST HEALTH MEDICAL GROUP INC (NPI: 1922401611; TIN: 205497203) and primary practice location at 42003-3813. Rains is affiliated with the IRCCO (ACO ID: A2619), Baptist Health Care Partners, LLC (ACO ID: A2975), and The Rural Advantage LLC (ACO ID: A5257), participating under the MSSP model.

Rains' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,542 traditional Medicare patients, billed 4,607 HCPCS/CPT codes, and received $215,913 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,380 prescription claims across 579 beneficiaries totaling $1,010,891 in drug costs, led by Eliquis (Apixaban). DME data shows 24 claims. Open Payments data shows 103 records totaling $2,455. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $6,914 to $1,010,891. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $7,273 to $5,038.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	1,680	3,921	$150,280
2018	2,067	5,481	$230,522
2019	2,289	5,858	$238,593
2020	1,868	4,456	$178,970
2021	1,660	4,449	$215,086
2022	1,595	4,665	$209,770
2023	1,410	4,113	$194,702
2024	1,542	4,607	$215,913

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	30	218	$6,914
2016	29	161	$6,035
2017	154	949	$73,758
2018	322	2,427	$296,860
2019	445	3,379	$601,526
2020	489	3,772	$821,914
2021	561	3,784	$951,605
2022	563	3,606	$1,099,464
2023	520	3,362	$1,072,857
2024	579	3,380	$1,010,891

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	24	$1,823
2024	N/R	24	$997

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	393	$85
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	436	452	$51
93018	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	134	135	$10
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	442	540	$10
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	698	1,043	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	310	13,815	$263,930
Entresto	Sacubitril/Valsartan	225	9,330	$207,076
Farxiga	Dapagliflozin Propanediol	160	6,708	$123,102
Jardiance	Empagliflozin	121	5,250	$100,291
Xarelto	Rivaroxaban	80	5,190	$94,385

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$817
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$181

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	103	$2,455	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Martin Rains, M.D.?

Tedicare shows public-source Medicare data for Martin Rains, M.D. (NPI 1063675551), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Martin Rains, M.D. have ACO affiliation data?

Martin Rains, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), Baptist Health Care Partners, LLC (MSSP, ACO ID A2975), and The Rural Advantage LLC (MSSP, ACO ID A5257).

What billing organization is linked to Martin Rains, M.D.?

Martin Rains, M.D. is linked to BAPTIST HEALTH MEDICAL GROUP INC (billing NPI 1922401611) in the available physician profile data.

Does Martin Rains, M.D. have Open Payments data?

Martin Rains, M.D. has 103 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.