Physician
Rainbow Children's Clinic, P.A.
Rainbow Children's Clinic, P.A. was paid $3.74M by Medicaid between Aug 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoRAINBOW CHILDREN'S CLINIC, P.A.
ARLINGTON, TX 76006
ARLINGTON, TX 76006
33aNPI1174828289assigned 01/20/2011
33bProvider typePediatrics Physician
28Total paid$3.74M
24GClaims164,511
24DCodes billed71
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#122 of 1,136
Median peer was paid$329K
This provider vs. median11×
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 | 263 | $3K | |
| 2019 | 2,522 | $32K | |
| 2020 | 10,257 | $177K | |
| 2021 | 33,960 | $689K | |
| 2022 | 41,235 | $965K | |
| 2023 | 40,462 | $985K | |
| 2024incomplete | 35,812 | $893K |
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 | 24% | 26,442 | 24,429 | $912K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 6,347 | 6,324 | $470K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 5,298 | 5,292 | $420K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 27,295 | 12,042 | $284K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 3,888 | 3,818 | $281K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 3,259 | 3,250 | $276K |
| 99429 | 5.4% | 6,303 | 6,273 | $201K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 11,852 | 11,484 | $160K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 6,388 | 6,137 | $147K |
| 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 | 3.5% | 2,766 | 2,683 | $133K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 12,061 | 9,312 | $95K |
| 99383 | 1.3% | 586 | 584 | $50K |
59 more codes
| 99381 | 1.0% | 495 | $38K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,419 | $32K |
| 99050 | <1% | 2,411 | $32K | |
| 99382 | <1% | 370 | $32K | |
| 90461 | <1% | 7,205 | $30K | |
| 83655 | <1% | 2,750 | $28K | |
| 99384 | <1% | 219 | $20K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 449 | $19K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 101 | $14K |
| 99000 | <1% | 1,413 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 183 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 315 | $9K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 924 | $9K |
| 96160 | <1% | 4,171 | $9K | |
| 0001A | <1% | 88 | $3K | |
| 0071A | <1% | 49 | $2K | |
| 0002A | <1% | 45 | $2K | |
| 99080 | <1% | 58 | $2K | |
| 0072A | <1% | 40 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | $2K |
| 92551 | <1% | 1,968 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 107 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 32 | $1K |
| 87807 | <1% | 129 | $1K | |
| 85018 | <1% | 703 | $1K | |
| 88720 | <1% | 123 | $498.38 | |
| 96380 | <1% | 17 | $313.82 | |
| 81002 | <1% | 56 | $160.60 | |
| 90670 | <1% | 2,362 | $105.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $82.87 |
| 90723 | <1% | 1,619 | $78.75 | |
| 90680 | <1% | 1,818 | $77.00 | |
| 96127 | <1% | 928 | $56.00 | |
| 90648 | <1% | 2,657 | $49.00 | |
| 90688 | <1% | 364 | $34.32 | |
| 94760 | <1% | 16 | $29.25 | |
| 99174 | <1% | 120 | $7.00 | |
| 90677 | <1% | 664 | $3.62 | |
| 90671 | <1% | 603 | $1.79 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $0.34 |
| 90620 | <1% | 573 | $0.04 | |
| 90686 | <1% | 1,490 | $0.03 | |
| 90734 | <1% | 1,389 | $0.02 | |
| 90700 | 0% | 607 | $0.00 | |
| 99173 | 0% | 2,094 | $0.00 | |
| 91300 | 0% | 181 | $0.00 | |
| 90710 | 0% | 1,820 | $0.00 | |
| 90715 | 0% | 572 | $0.00 | |
| 90633 | 0% | 2,260 | $0.00 | |
| 90707 | 0% | 90 | $0.00 | |
| 90651 | 0% | 1,100 | $0.00 | |
| 90698 | 0% | 352 | $0.00 | |
| 36416 | 0% | 263 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 135 | $0.00 |
| 90696 | 0% | 798 | $0.00 | |
| 90716 | 0% | 95 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 46 | $0.00 |
| 91307 | 0% | 89 | $0.00 | |
| 91305 | 0% | 17 | $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 officialBERNARDEZ- TAN, RUTH (PEDIATRICS)