Active NPI 1477999860 Individual Practitioner Female Practitioner

Raina Udom , PA-C

Physician Assistant • Stone Mountain, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Raina Udom, PA-C is a certified Physician Assistant practicing in Stone Mountain, GA. With approximately 15 years of clinical experience since completing medical education in 2011, Raina Udom delivers high-quality medical care to the local community at 5470 MEMORIAL DR.

Raina Udom is affiliated with Peachtree Immediate Care Fp, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, established patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5470 Memorial Dr
Ste A

Stone Mountain, GA 300833268

Telephone 4042968500

Associated Practice Facility / Clinic

🏢 Crosslinks Medical Services And Reh Llc Facility NPI 1447438825

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Stone Mountain, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +2.0 yrs vs City Avg

City Avg: 13.0 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Stone Mountain, GA (4726 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Udom (15 Years) 15 Yrs

Stone Mountain Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	16	$40.94	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$321.90	$109.97
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	11	$100.00	$40.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$68.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$40.94	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	22	22	$100.00	$34.62
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$216.29	$76.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$317.54	$95.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	27	$100.00	$34.77
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$40.94	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$317.54	$94.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$492.02	$143.95
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$216.29	$78.20
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	13	13	$200.00	$30.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$321.90	$110.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	120	116	$100.00	$35.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$489.01	$143.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg	69	12	$14.24	$0.16
87804 Detection test by immunoassay with direct visual observation for influenza virus	41	20	$40.94	$16.55
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$225.68	$62.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$320.59	$111.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$129.63	$48.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	15	$93.84	$12.12
81003 Automated urinalysis test	18	17	$33.00	$2.25
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	17	16	$200.00	$63.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$312.13	$96.17
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$216.29	$78.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$490.04	$142.63
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	111	105	$100.00	$35.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	90	$321.23	$93.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$93.84	$12.20
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	13	13	$100.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	129	$320.78	$92.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg	128	27	$14.24	$0.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$492.02	$140.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$317.54	$92.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	43	$93.84	$14.21
81003 Automated urinalysis test	39	36	$32.37	$2.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	16	$40.94	$16.22
94640 Inhalation treatment for airway obstruction or sputum production	27	27	$71.00	$15.09
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	23	23	$24.57	$0.13
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$66.50	$16.20
69209 Removal of impacted ear wax by washing	17	17	$178.82	$13.51
J1030 Injection, methylprednisolone acetate, 40 mg	15	14	$17.23	$6.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$475.99	$139.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	70	$318.14	$89.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$318.07	$91.39
81003 Automated urinalysis test	29	28	$33.00	$2.71
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$52.07	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$84.60	$17.33
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$59.36	$16.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 6417

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Peachtree Immediate Care Fp, Llc

5419 Chamblee Dunwoody Rd, Dunwoody, GA 303384101

Phone: 6782842067

Peachtree Immediate Care Fp, Llc

3827 Jimmy Lee Smith Pkwy, Hiram, GA 301412804

Phone: 7702228900

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2013

Registered at 5470 MEMORIAL DR, STE A, STONE MOUNTAIN, GA 300833268 (Tel: 4042968500)

📍

Updated Business Mailing Address May 13, 2013

Registered at 5470 MEMORIAL DR, STE A, STONE MOUNTAIN, GA 300833268

👤

Provider Name / Credentials Updated May 13, 2013

Recorded as RAINA UDOM, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2013

Physician Assistant (License #6417 in GA)

🟢

Initial NPI Registration & Enumeration May 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477999860

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 13, 2013

Last Update: May 13, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5470 Memorial Dr, Ste A

Stone Mountain, GA 300833268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.