Havasu Rainbow Pediatrics

Havasu Rainbow Pediatrics was paid $116K by Medicaid between Apr 2018 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoHAVASU RAINBOW PEDIATRICS
LAKE HAVASU CITY, AZ 86403

33aNPI1437340098assigned 08/07/2007

33bProvider typeClinic/Center

28Total paid$116K

24GClaims2,122

24DCodes billed9

24AFirst – last monthApr 2018 – Sep 2024

Compared with peers

Next to other Clinic/Center providers in Arizona

Rank by total paid#56 of 89

Median peer was paid$216K

This provider vs. median0.5×

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	353	$18K
2019	306	$16K
2023	345	$18K
2024incomplete	1,118	$63K

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	27%	418	365	$31K
90460	Immunization administration through 18 years of age via any route, first or only component	19%	522	521	$22K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	18%	305	305	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	436	385	$19K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	11%	164	163	$12K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.5%	87	87	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	39	39	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	27	27	$701.26
99173		<1%	124	122	$220.91

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 officialOYAS, MARIA (ADMINISTRATOR)