Physician
Rainbow Pediatrics, LLC
Rainbow Pediatrics, LLC was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoRAINBOW PEDIATRICS, LLC
STAMFORD, CT 06902
STAMFORD, CT 06902
33aNPI1053575662assigned 07/12/2008
33bProvider typePediatrics Physician
28Total paid$1.59M
24GClaims50,879
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#41 of 162
Median peer was paid$313K
This provider vs. median5.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ALLEN, BARBARA controls 15+ related entities in our dataset. Read more
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 | 8,939 | $277K | |
| 2019 | 7,904 | $244K | |
| 2020 | 6,899 | $205K | |
| 2021 | 6,113 | $182K | |
| 2022 | 6,764 | $200K | |
| 2023 | 6,854 | $216K | |
| 2024incomplete | 7,406 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 7,581 | 6,680 | $533K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 6,149 | 5,830 | $204K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,818 | 1,761 | $198K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,493 | 1,440 | $171K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 825 | 803 | $101K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 852 | 750 | $87K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 1,691 | 1,558 | $73K |
| 92552 | 2.8% | 3,891 | 3,759 | $45K | |
| 99173 | 2.1% | 4,662 | 4,496 | $33K | |
| 96127 | 2.1% | 1,859 | 1,794 | $33K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 735 | 703 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 1,148 | 1,069 | $20K |
30 more codes
| 36416 | 1.1% | 5,263 | $17K | |
| 92583 | <1% | 362 | $8K | |
| 99401 | <1% | 246 | $7K | |
| 99174 | <1% | 352 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 645 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 594 | $6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 262 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 28 | $3K |
| 94760 | <1% | 1,047 | $2K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 31 | $574.56 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $450.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $367.92 |
| 90686 | <1% | 2,448 | $303.09 | |
| 90651 | <1% | 158 | $227.18 | |
| 90734 | <1% | 60 | $110.70 | |
| 99051 | <1% | 13 | $103.74 | |
| 85018 | <1% | 5,231 | $24.86 | |
| 90671 | <1% | 42 | $0.10 | |
| 90697 | 0% | 14 | $0.00 | |
| 99000 | 0% | 207 | $0.00 | |
| 90698 | 0% | 142 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 3008F | 0% | 20 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 14 | $0.00 |
| 90670 | 0% | 167 | $0.00 | |
| 90461 | 0% | 701 | $0.00 | |
| 90633 | 0% | 16 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 38 | $0.00 |
| 90681 | 0% | 20 | $0.00 | |
| 90715 | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialALLEN, BARBARA (MEMBER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.