Physician
Rainbow Pediatric PC
Rainbow Pediatric PC was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoRAINBOW PEDIATRIC PC
HUMBOLDT, TN 38343
HUMBOLDT, TN 38343
33aNPI1255474300assigned 02/15/2007
33bProvider typePediatrics Physician
28Total paid$2.86M
24GClaims134,203
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#43 of 333
Median peer was paid$139K
This provider vs. median20×
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 | 8,559 | $229K | |
| 2019 | 10,304 | $263K | |
| 2020 | 13,552 | $295K | |
| 2021 | 19,410 | $394K | |
| 2022 | 27,792 | $489K | |
| 2023 | 29,484 | $620K | |
| 2024incomplete | 25,102 | $569K |
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 | 22% | 14,853 | 12,788 | $621K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 17,389 | 15,232 | $473K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 14,761 | 12,224 | $330K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 4,099 | 3,648 | $273K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 3,795 | 3,352 | $232K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 2,848 | 2,513 | $188K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 7,575 | 6,271 | $168K |
| 96161 | 2.3% | 4,801 | 4,127 | $65K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 722 | 606 | $51K |
| 99177 | 1.8% | 9,229 | 7,972 | $51K | |
| 96127 | 1.5% | 10,142 | 7,796 | $44K | |
| 99381 | 1.5% | 622 | 553 | $43K |
52 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 3,766 | $43K |
| 92558 | 1.3% | 8,099 | $36K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 576 | $36K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 477 | $30K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 747 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,162 | $20K |
| 96160 | <1% | 1,596 | $19K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 544 | $18K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,531 | $10K |
| 99403 | <1% | 266 | $9K | |
| 99201 | <1% | 338 | $9K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 509 | $7K |
| 99383 | <1% | 85 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 546 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 124 | $5K |
| 83655 | <1% | 446 | $5K | |
| 88720 | <1% | 1,179 | $4K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 205 | $4K |
| 99426 | <1% | 95 | $4K | |
| 92551 | <1% | 582 | $4K | |
| 99382 | <1% | 42 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 211 | $2K |
| 85018 | <1% | 875 | $2K | |
| 99173 | <1% | 283 | $1K | |
| 90461 | <1% | 1,718 | $1K | |
| 90670 | <1% | 1,871 | $1K | |
| 87807 | <1% | 114 | $1K | |
| 90651 | <1% | 435 | $973.38 | |
| 90697 | <1% | 1,407 | $901.12 | |
| 81025 | <1% | 177 | $765.85 | |
| 90681 | <1% | 695 | $750.00 | |
| 90686 | <1% | 2,183 | $744.68 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 19 | $650.53 |
| 36410 | <1% | 31 | $340.50 | |
| 90677 | <1% | 810 | $261.57 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $229.27 |
| 90723 | <1% | 430 | $107.30 | |
| 90633 | <1% | 785 | $84.14 | |
| 90647 | <1% | 476 | $32.55 | |
| 90785 | <1% | 93 | $11.44 | |
| 90688 | 0% | 194 | $0.00 | |
| 99000 | 0% | 1,697 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 90674 | 0% | 213 | $0.00 | |
| 90619 | 0% | 60 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 90661 | 0% | 425 | $0.00 | |
| 90700 | 0% | 76 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 90734 | 0% | 54 | $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 officialDIEUDONNE, GINA (OWNER)