Physician
Rachna Rawal MD INC
Rachna Rawal MD INC was paid $225K by Medicaid between Jan 2018 and Oct 2024, across 41 billing codes. Its largest line is 96156, — 20% of everything it billed.
33Billing provider infoRACHNA RAWAL MD INC
LA MIRADA, CA 90638
LA MIRADA, CA 90638
33aNPI1295062214assigned 11/12/2009
33bProvider typePediatrics Physician
28Total paid$225K
24GClaims21,901
24DCodes billed41
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#338 of 1,490
Median peer was paid$15K
This provider vs. median15×
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 | 4,693 | $50K | |
| 2019 | 4,919 | $51K | |
| 2020 | 1,686 | $14K | |
| 2021 | 2,937 | $30K | |
| 2022 | 3,085 | $29K | |
| 2023 | 2,974 | $40K | |
| 2024incomplete | 1,607 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 20% | 1,860 | 1,857 | $44K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 1,211 | 1,211 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 972 | 972 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 4,056 | 3,772 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 2,624 | 1,254 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.8% | 522 | 522 | $18K |
| 92552 | 6.8% | 1,657 | 1,654 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 173 | 173 | $9K |
| 99173 | 1.6% | 1,346 | 1,346 | $4K | |
| 85018 | 1.3% | 1,743 | 1,722 | $3K | |
| 81002 | <1% | 559 | 559 | $1K | |
| 90670 | <1% | 354 | 352 | $1K |
29 more codes
| 90648 | <1% | 335 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 112 | $1K |
| G9920 | Screening performed and negative | <1% | 451 | $1K |
| 90686 | <1% | 345 | $1K | |
| 92551 | <1% | 590 | $831.26 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 347 | $782.04 |
| 90700 | <1% | 247 | $630.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 36 | $553.00 |
| 90685 | <1% | 36 | $517.27 | |
| 90680 | <1% | 95 | $460.00 | |
| 81000 | <1% | 481 | $453.08 | |
| 90633 | <1% | 116 | $414.00 | |
| 90723 | <1% | 49 | $271.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $248.60 |
| 90716 | <1% | 96 | $216.00 | |
| 90707 | <1% | 73 | $189.00 | |
| 90651 | <1% | 65 | $168.09 | |
| 92060 | <1% | 176 | $113.70 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 24 | $85.70 |
| 90713 | <1% | 40 | $81.00 | |
| 90715 | <1% | 34 | $72.00 | |
| 90734 | <1% | 46 | $72.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 123 | $12.09 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 14 | $10.76 |
| 96127 | <1% | 91 | $4.11 | |
| 90657 | 0% | 21 | $0.00 | |
| 99441 | 0% | 67 | $0.00 | |
| 99177 | 0% | 426 | $0.00 | |
| 90461 | 0% | 274 | $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 officialRAWAL, RACHNA (CHIEF EXECUTIVE OFFICER)