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Jessica A Rainey-Clay, MD

Emergency Medicine · Denver

NPI 1558748723

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Usacs Community Emergency Services of Colorado Inc. · 167 clinicians in this group

Looking this up.

Hospitals listed: St Anthony Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Rainey-Clay’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A143776 · Delinquent

Licence status: Delinquent · since 2016 · expires 2025-10-31 · University of South Florida College of Medicine.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • Emergency Medicine

Education

  • University of South Florida College of Medicine2015

What else the board holds

Hospitals they may admit to

Where the clinician told their state board they may admit and treat patients.

  • Centura Health · Lakewood, CO
  • Commonspirit - St. Anthony Hospital · Lakewood, CO
  • Commonspirit - St. Anthony North Hospital · Westminster, CO
  • Stanford Healthcare · Stanford, CA

Also licensed in

States the clinician told their board they are also licensed in. Only the states we check are verified.

California

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Centura Health-St Anthony HospitalLakewood, COAcute Care Hospital · Voluntary non-profit - Church · Has an emergency departmentPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Pressure ulcer rate: 1.37 (0.72 to 2.02) · 4,617 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.196, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.258, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.164, Oct 2024 – Sep 2025
See every measure and the patient survey for Centura Health-St Anthony Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 4 better, 1 the same, 1 worse of 6 measures. Readmissions: 1 better, 6 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Centura Health-St Anthony Hospital
Pressure ulcer rateComplications and deaths1.37 (0.72 to 2.02) · 4,617 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.196BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.258BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.164BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.18 (0.26 to 2.11) · 1,213 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.03 (0.73 to 1.33)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths163.38 (120.4 to 206.36) · 112 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 47 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths9.4 · 74 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.5 · 167 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths13.2 · 278 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 277 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11 · 421 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 4,002 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.15 (0 to 0.35) · 5,724 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 5,865 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.04 (0.16 to 3.93) · 1,898 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.03 (0.51 to 3.55) · 693 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.4 (1 to 3.8) · 1,731 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.85 (0.63 to 13.07) · 603 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.66 (0.33 to 7) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.87 (0.43 to 3.31) · 421 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.827No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.614No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.3 · 330 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 577 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-22.9 · 208 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-0.5 · 310 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits13.8 · 302 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 626 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 41 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.1 · 62 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 174 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.2 to 16.6) · 329 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.6) · 248 casesNo differentJan 2024 – Dec 2024

What patients said (433 patients answered, 20% of those asked)

Patient survey stars by topic at Centura Health-St Anthony Hospital
Cleanliness3
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Centura Health-St Anthony Hospital
Room was "always" clean69%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained56%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$22,947

Medicare paid this office $22,947 for 176 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making68$8,311$120
Critical care, first 30-74 minutes45$7,427$165
Emergency department visit with moderate level of medical decision making29$2,659$92
Emergency department visit with low level of medical decision making12$679$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only62$462$6

Who their Medicare patients are

176 Original Medicare patients in 2024. Average age 73 · Under 65 14% · 85 and older 19% · Women 50% · Also on Medicaid 20% · Health risk score 1.77. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 73% · Chronic kidney disease 36% · Coronary heart disease 35% · Depression 34% · Atrial fibrillation 26% · Heart failure 24% · COPD 23% · Diabetes 22% · Dementia 22% · Stroke 17% · Cancer 15%.

The office billed $263,483, Medicare allowed $30,478 and paid $22,947; for 275 services of 30 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024176275731.77$263,483$22,947
2023157244711.86$243,189$21,648
2022210331711.84$323,201$31,478
2021208339711.96$330,721$31,782
202097145701.71$134,413$12,697
2019315452701.77$411,872$38,356
2018122175702.05$160,264$15,726

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making68$9,152$133
Critical care, first 30-74 minutes34$5,241$154
Emergency department visit with moderate level of medical decision making27$2,248$83
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only58$383$6

2022: 5 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes63$11,864$185
Emergency department visit with high level of medical decision making72$10,525$142
Emergency department visit with moderate level of medical decision making24$2,378$99
Emergency department visit with low level of medical decision making13$667$48
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only80$583$6

2021: 4 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making93$13,327$140
Critical care, first 30-74 minutes60$11,170$186
Emergency department visit with moderate level of medical decision making26$2,226$86
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only100$699$7

2020: 4 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making49$6,579$134
Critical care, first 30-74 minutes12$2,295$191
Emergency department visit with moderate level of medical decision making21$1,955$93
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only37$278$7

2019: 5 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making158$21,808$137
Emergency department visit with moderate level of medical decision making71$6,228$87
Critical care, first 30-74 minutes28$4,737$169
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only114$860$7
Emergency department visit with low level of medical decision making17$796$47

2018: 4 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making67$9,438$139
Emergency department visit with moderate level of medical decision making22$2,074$94
New patient visit (30+ min)12$968$81
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only39$279$7

Medicaid work

$126,912 in 2024

Medicaid paid $126,912 for 3,853 billed services this clinician did in 2024, up to 49 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)140$43,719
EMERGENCY DEPT VISIT LOW MDM199$29,306
EMERGENCY DEPT VISIT MOD MDM229$27,274
EMERGENCY DEPARTMENT VISIT HIGH MDM130$17,956
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes15$3,137
Hospital observation service, per hour17$2,202
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP13$1,953
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug191$600
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only55$410
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)137$81
COMPREHENSIVE METABOLIC PANEL253$77
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)54$64
Medicaid work by year
20243,8532249$126,912
20232,2951552$95,942
20221,1081531$45,475
2021550920$23,084
202068413$346
20191,3941231$70,594
2018219818$8,612
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT LOW MDM259$37,076
EMERGENCY DEPT VISIT MOD MDM379$32,259
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)39$13,270
EMERGENCY DEPARTMENT VISIT HIGH MDM47$5,796
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP42$5,579
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM15$1,963
Radiologic examination, chest; single view13$0
COMPREHENSIVE METABOLIC PANEL181$0
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy18$0
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count250$0
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report26$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug137$0

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM217$29,470
EMERGENCY DEPARTMENT VISIT HIGH MDM57$7,621
EMERGENCY DEPT VISIT MOD MDM61$5,506
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes13$2,384
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only45$184
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug71$96
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)13$96
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count256$52
COMPREHENSIVE METABOLIC PANEL60$38
Gonadotropin, chorionic (hCG); qualitative12$17
Injection, ondansetron hydrochloride, per 1 mg15$11
Radiologic examination, chest; single view46$0

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM87$9,874
EMERGENCY DEPT VISIT LOW MDM110$9,409
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes18$2,637
COMPREHENSIVE METABOLIC PANEL33$884
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only96$185
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report33$96
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count146$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug13$0
Infusion, normal saline solution , 1000 cc14$0

2020

Largest Medicaid services in 2020
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)18$346
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count20$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug14$0
Infusion, normal saline solution , 1000 cc16$0

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT LOW MDM319$27,231
EMERGENCY DEPARTMENT VISIT HIGH MDM196$19,784
EMERGENCY DEPT VISIT MOD MDM218$18,412
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)14$2,860
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)33$963
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only118$736
COMPREHENSIVE METABOLIC PANEL25$608
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count294$0
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report16$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug41$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)13$0
Infusion, normal saline solution , 1000 cc107$0

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM45$4,265
EMERGENCY DEPT VISIT MOD MDM30$2,088
EMERGENCY DEPT VISIT LOW MDM17$1,904
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)13$274
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only14$81
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count67$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug17$0
Infusion, normal saline solution , 1000 cc16$0

Drugs they prescribed that Part D paid

$4,539

Pharmacies billed $4,539 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

92 generic and fewer than 11 brand-name prescriptions · $4,539 in drug cost · 34 antibiotic prescriptions to 31 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Ondansetron Odt19$211$11
Cephalexin12$87$7

Year by year

Part D prescribing by year
202410271NoneNone$4,539
202383610% (0)None$858
202210375NoneNone$1,468
202142350% (0)None$638
20203026None0%$277
201911084NoneNone$2,480
20182317NoneNone$322

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 2 drugs

Part D drugs prescribed in 2022
Cephalexin13$117$9
Prednisone11$40$4

2019: 1 drug

Part D drugs prescribed in 2019
Cephalexin24$209$9

Professional record

NPI
1558748723
Licence
CA A143776, CO DR0060122California A143776: Delinquent · expires 2025-10-31Colorado DR.60122: Active
Trained
University of South Florida College of Medicine, 2015
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
11600 W 2nd Pl, Lakewood, CO, 80228
NPI first listed
2015-04-27
NPI last updated
2018-07-31

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305