Physician
Rainbow Valley Pediatrics
Rainbow Valley Pediatrics was paid $35K by Medicaid between Sep 2023 and Dec 2024, across 22 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 33% of everything it billed.
33Billing provider infoRAINBOW VALLEY PEDIATRICS
SILVERTON, OR 97381
SILVERTON, OR 97381
33aNPI1558054916assigned 05/31/2023
33bProvider typePediatrics Physician
28Total paid$35K
24GClaims3,067
24DCodes billed22
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#57 of 87
Median peer was paid$147K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 740 | $8K | |
| 2024incomplete | 2,327 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 33% | 134 | 124 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 30% | 119 | 108 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 61 | 53 | $4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 7.0% | 286 | 268 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.4% | 147 | 139 | $2K |
| 90686 | 3.3% | 90 | 75 | $1K | |
| 90656 | 2.6% | 49 | 49 | $911.03 | |
| 96160 | 1.5% | 212 | 201 | $514.44 | |
| 99173 | 1.1% | 171 | 162 | $378.41 | |
| 90677 | <1% | 29 | 24 | $251.60 | |
| 90698 | <1% | 12 | 12 | $231.84 | |
| 90680 | <1% | 12 | 12 | $231.84 |
10 more codes
| 96127 | <1% | 29 | $216.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | $188.46 |
| 90633 | <1% | 18 | $138.32 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 320 | $130.02 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 606 | $76.68 |
| 99441 | <1% | 53 | $70.04 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | $51.82 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 124 | $8.84 |
| 90461 | 0% | 106 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 386 | $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 officialHAMBLIN, JEFFREY (ADMINISTRATOR)