Physician
Rainbow Medical & Urgent Care LLC
Rainbow Medical & Urgent Care LLC was paid $45K by Medicaid between Jan 2018 and Jun 2019, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoRAINBOW MEDICAL & URGENT CARE LLC
RAINBOW CITY, AL 35906
RAINBOW CITY, AL 35906
33aNPI1225546427assigned 01/22/2018
33bProvider typeFamily Medicine Physician
28Total paid$45K
24GClaims3,253
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#240 of 455
Median peer was paid$57K
This provider vs. median0.8×
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 | 2,153 | $23K | |
| 2019 | 1,100 | $22K |
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 | 43% | 670 | 610 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 610 | 532 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7.2% | 651 | 552 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 53 | 43 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 101 | 93 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 40 | 34 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 57 | 53 | $605.00 |
| 99490 | Ccm add 20min | 1.3% | 406 | 386 | $572.34 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 60 | 57 | $504.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 106 | 88 | $134.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 117 | 104 | $130.91 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 216 | 208 | $121.21 |
4 more codes
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 officialROACH, CHRIS (PARTNER)