Physician
Rainville, Crystal
Rainville, Crystal was paid $141K by Medicaid between Mar 2018 and Dec 2021, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoRAINVILLE, CRYSTAL
ATTLEBORO, MA 02703
ATTLEBORO, MA 02703
33aNPI1033187919assigned 03/08/2006
33bProvider typePediatrics Physician
28Total paid$141K
24GClaims4,562
24DCodes billed13
24AFirst – last monthMar 2018 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#345 of 1,273
Median peer was paid$24K
This provider vs. median5.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 936 | $26K | |
| 2019 | 1,320 | $42K | |
| 2020 | 1,082 | $30K | |
| 2021 | 1,224 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 564 | 534 | $51K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 29% | 1,397 | 1,141 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 284 | 274 | $16K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.9% | 1,231 | 1,230 | $11K |
| 96127 | 4.2% | 578 | 578 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 52 | 52 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 44 | 44 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 292 | 292 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 27 | 27 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 90461 | <1% | 19 | 19 | $747.84 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | 27 | $347.69 |
1 more codes
| 85018 | <1% | 32 | $69.12 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.