DR. PAULINDER SINGH RAI DO, MPH
NPI 1568604478
Physical Medicine & Rehabilitation in Brightwaters, NY

Medicare Participation & PECOS Enrollment Status

Paulinder Rai is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Paulinder Rai is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 2769531912

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20090519000484

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

• DME-Medical/Surgical Supplies (DA000N)

  Tape, waterproof, per 18 square inches (HCPCS:A4452)

  1 DME suppliers used 15 Medicare Claims 800 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)

  3 DME suppliers used 16 Medicare Claims 1980 Services Paid

Orthotic Devices

• DME-Orthotic Devices (DF000N)

  Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined (HCPCS:L2275)

  9 DME suppliers used 13 Medicare Claims 13 Services Paid

• DME-Orthotic Devices (DF003N)

  Below knee, molded socket, shin, sach foot, endoskeletal system (HCPCS:L5301)

  19 DME suppliers used 57 Medicare Claims 60 Services Paid

• DME-Orthotic Devices (DF000N)

  Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee (HCPCS:L5321)

  11 DME suppliers used 29 Medicare Claims 29 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, test socket, below knee (HCPCS:L5620)

  26 DME suppliers used 147 Medicare Claims 216 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition to lower extremity, test socket, above knee (HCPCS:L5624)

  18 DME suppliers used 72 Medicare Claims 117 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee, acrylic socket (HCPCS:L5629)

  25 DME suppliers used 102 Medicare Claims 108 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition to lower extremity, above knee or knee disarticulation, acrylic socket (HCPCS:L5631)

  16 DME suppliers used 63 Medicare Claims 63 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee, total contact (HCPCS:L5637)

  26 DME suppliers used 140 Medicare Claims 145 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee, flexible inner socket, external frame (HCPCS:L5645)

  25 DME suppliers used 123 Medicare Claims 128 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee suction socket (HCPCS:L5647)

  15 DME suppliers used 50 Medicare Claims 50 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition to lower extremity, ischial containment/narrow m-l socket (HCPCS:L5649)

  19 DME suppliers used 74 Medicare Claims 76 Services Paid

• DME-Orthotic Devices (DF000N)

  Additions to lower extremity, total contact, above knee or knee disarticulation socket (HCPCS:L5650)

  18 DME suppliers used 74 Medicare Claims 76 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition to lower extremity, above knee, flexible inner socket, external frame (HCPCS:L5651)

  18 DME suppliers used 70 Medicare Claims 72 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition to lower extremity, suction suspension, above knee or knee disarticulation socket (HCPCS:L5652)

  8 DME suppliers used 34 Medicare Claims 35 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) (HCPCS:L5670)

  2 DME suppliers used 12 Medicare Claims 12 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert (HCPCS:L5671)

  24 DME suppliers used 127 Medicare Claims 132 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism (HCPCS:L5673)

  24 DME suppliers used 133 Medicare Claims 259 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism (HCPCS:L5679)

  22 DME suppliers used 109 Medicare Claims 192 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each (HCPCS:L5685)

  20 DME suppliers used 83 Medicare Claims 137 Services Paid

• DME-Orthotic Devices (DF003N)

  Replacement, socket, below knee, molded to patient model (HCPCS:L5700)

  19 DME suppliers used 70 Medicare Claims 73 Services Paid

• DME-Orthotic Devices (DF000N)

  Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model (HCPCS:L5701)

  13 DME suppliers used 36 Medicare Claims 37 Services Paid

• DME-Orthotic Devices (DF003N)

  Custom shaped protective cover, below knee (HCPCS:L5704)

  14 DME suppliers used 66 Medicare Claims 67 Services Paid

• DME-Orthotic Devices (DF000N)

  Custom shaped protective cover, above knee (HCPCS:L5705)

  8 DME suppliers used 34 Medicare Claims 34 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system (HCPCS:L5781)

  6 DME suppliers used 18 Medicare Claims 19 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control (HCPCS:L5828)

  10 DME suppliers used 32 Medicare Claims 32 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable (HCPCS:L5845)

  11 DME suppliers used 39 Medicare Claims 39 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability (HCPCS:L5848)

  10 DME suppliers used 32 Medicare Claims 32 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist (HCPCS:L5850)

  7 DME suppliers used 13 Medicare Claims 14 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type (HCPCS:L5856)

  10 DME suppliers used 32 Medicare Claims 32 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition, endoskeletal system, below knee, alignable system (HCPCS:L5910)

  26 DME suppliers used 115 Medicare Claims 116 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition, endoskeletal system, above knee or hip disarticulation, alignable system (HCPCS:L5920)

  14 DME suppliers used 53 Medicare Claims 54 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock (HCPCS:L5925)

  7 DME suppliers used 14 Medicare Claims 15 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) (HCPCS:L5940)

  26 DME suppliers used 110 Medicare Claims 114 Services Paid

• DME-Orthotic Devices (DF000N)

  Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) (HCPCS:L5950)

  15 DME suppliers used 62 Medicare Claims 63 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition, endoskeletal system, below knee, flexible protective outer surface covering system (HCPCS:L5962)

  5 DME suppliers used 22 Medicare Claims 22 Services Paid

• DME-Orthotic Devices (DF003N)

  Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature (HCPCS:L5968)

  10 DME suppliers used 12 Medicare Claims 12 Services Paid

• DME-Orthotic Devices (DF003N)

  All lower extremity prostheses, foot, flexible keel (HCPCS:L5972)

  14 DME suppliers used 31 Medicare Claims 33 Services Paid

• DME-Orthotic Devices (DF003N)

  All lower extremity prostheses, flex-walk system or equal (HCPCS:L5981)

  14 DME suppliers used 46 Medicare Claims 47 Services Paid

• DME-Orthotic Devices (DF000N)

  All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability (HCPCS:L5984)

  8 DME suppliers used 18 Medicare Claims 19 Services Paid

• DME-Orthotic Devices (DF000N)

  All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) (HCPCS:L5986)

  12 DME suppliers used 60 Medicare Claims 63 Services Paid

• DME-Orthotic Devices (DF003N)

  All lower extremity prosthesis, shank foot system with vertical loading pylon (HCPCS:L5987)

  10 DME suppliers used 34 Medicare Claims 34 Services Paid

• DME-Orthotic Devices (DF000N)

  Repair prosthetic device, labor component, per 15 minutes (HCPCS:L7520)

  5 DME suppliers used 24 Medicare Claims 113 Services Paid

• DME-Orthotic Devices (DF000N)

  Prosthetic sheath, below knee, each (HCPCS:L8400)

  15 DME suppliers used 39 Medicare Claims 207 Services Paid

• DME-Orthotic Devices (DF003N)

  Prosthetic sock, multiple ply, below knee, each (HCPCS:L8420)

  27 DME suppliers used 140 Medicare Claims 957 Services Paid

• DME-Orthotic Devices (DF000N)

  Prosthetic sock, multiple ply, above knee, each (HCPCS:L8430)

  15 DME suppliers used 55 Medicare Claims 339 Services Paid

• DME-Orthotic Devices (DF000N)

  Prosthetic shrinker, below knee, each (HCPCS:L8440)

  18 DME suppliers used 64 Medicare Claims 125 Services Paid

• DME-Orthotic Devices (DF000N)

  Prosthetic shrinker, above knee, each (HCPCS:L8460)

  7 DME suppliers used 24 Medicare Claims 55 Services Paid

• DME-Orthotic Devices (DF000N)

  Prosthetic sock, single ply, fitting, below knee, each (HCPCS:L8470)

  20 DME suppliers used 77 Medicare Claims 394 Services Paid

• DME-Orthotic Devices (DF000N)

  Prosthetic sock, single ply, fitting, above knee, each (HCPCS:L8480)

  10 DME suppliers used 35 Medicare Claims 181 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

This service was performed 17 times for 11 patients

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 15 times for 13 patients

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 26 times for 13 patients

Electrical stimulation for guidance with injection of chemical for paralysis of nerve muscle

Electrical stimulation helps locate the specific nerve to be treated. A small amount of electricity is applied, causing a mild muscle reaction. Once the nerve is found, a chemical is injected to temporarily paralyze it, reducing pain and discomfort.

This service was performed 28 times for 11 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 39 times for 21 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 488 times for 99 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 830 times for 274 patients

Evaluation for occupational therapy, typically 45 minutes

An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.

This service was performed 12 times for 12 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 13 times for 13 patients

Follow-up nursing facility visit per day, typically 10 minutes

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

This service was performed 92 times for 48 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 2,344 times for 830 patients

Initial nursing facility visit per day, typically 25 minutes

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

This service was performed 130 times for 129 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 998 times for 989 patients

Injection, abobotulinumtoxina, 5 units

Abobotulinumtoxina, commonly known as Dysport, is a medication injected into muscles. It's used to treat certain muscle conditions by causing temporary muscle weakness. Each injection contains 5 units of the medicine. It's safe and administered by a healthcare professional.

This service was performed 5,520 times for 14 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 23 times for 13 patients

Management of oxygen chamber therapy

Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.

This service was performed 91 times for 21 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 55 times for 55 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 174 times for 174 patients

Removal of muscle and/or tissue, 20.0 sq cm or less

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

This service was performed 27 times for 14 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 98 times for 38 patients

Removal of skin and tissue, each additional 20.0 sq cm or less

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

This service was performed 26 times for 12 patients

Removal of tissue from wound, 20.0 sq cm or less

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

This service was performed 20 times for 12 patients

Strapping, unna boot

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

This service was performed 24 times for 13 patients

Therapy procedure for walking training, each 15 minutes

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

This service was performed 191 times for 16 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 370 times for 30 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 248 times for 21 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 0, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

• Final Score: 0 out of 100

  The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
  
  

• Quality Score: 0

  The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
  
  There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
  
  

• Promoting Interoperability Score: N/A

  The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
  
  The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

• Improvement Activities Score: 0

  The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
  
  The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paulinder Rai is affiliated with the following medical facilities:

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Frequently Asked Questions