Physician
Rainey, Lisa
Rainey, Lisa was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoRAINEY, LISA
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
33aNPI1174544399assigned 07/22/2006
33bProvider typePediatrics Physician
28Total paid$1.17M
24GClaims37,425
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#111 of 817
Median peer was paid$29K
This provider vs. median40×
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 | 5,696 | $146K | |
| 2019 | 4,100 | $117K | |
| 2020 | 4,547 | $136K | |
| 2021 | 5,061 | $140K | |
| 2022 | 6,611 | $230K | |
| 2023 | 5,875 | $223K | |
| 2024incomplete | 5,535 | $177K |
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 | 32% | 4,585 | 4,061 | $376K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 4,094 | 3,768 | $232K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,846 | 1,754 | $136K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 1,417 | 1,308 | $102K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.2% | 1,032 | 994 | $84K |
| 92551 | 3.3% | 4,140 | 3,918 | $39K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 415 | 374 | $28K |
| 99070 | 2.3% | 1,142 | 1,065 | $27K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.2% | 212 | 204 | $25K |
| 90686 | 1.2% | 1,273 | 1,204 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 462 | 425 | $14K |
| 90651 | 1.1% | 355 | 345 | $13K |
33 more codes
| 96127 | 1.1% | 2,821 | $13K | |
| 96160 | <1% | 5,000 | $10K | |
| 90670 | <1% | 454 | $10K | |
| 99173 | <1% | 4,192 | $9K | |
| 90734 | <1% | 265 | $7K | |
| 90634 | <1% | 270 | $4K | |
| 0071A | <1% | 107 | $4K | |
| 0072A | <1% | 84 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 235 | $3K |
| 90698 | <1% | 178 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 260 | $2K |
| 0001A | <1% | 44 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 730 | $1K |
| 91320 | <1% | 16 | $1K | |
| 90715 | <1% | 64 | $867.31 | |
| 99174 | <1% | 170 | $864.76 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | $722.40 |
| 90680 | <1% | 52 | $692.63 | |
| 90461 | <1% | 334 | $592.60 | |
| 99000 | <1% | 195 | $574.08 | |
| 90744 | <1% | 57 | $522.47 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 88 | $485.10 |
| 90685 | <1% | 49 | $478.30 | |
| 90710 | <1% | 21 | $368.37 | |
| 99051 | <1% | 202 | $218.00 | |
| 90696 | <1% | 20 | $193.70 | |
| 90677 | <1% | 13 | $132.00 | |
| 90658 | <1% | 12 | $112.22 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 23 | $21.45 |
| 99072 | <1% | 131 | $10.00 | |
| 91307 | <1% | 250 | $1.57 | |
| 91300 | <1% | 84 | $0.64 | |
| 90480 | 0% | 15 | $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.