Physician
Rainbow Children's Clinic Mayfield, PA
Rainbow Children's Clinic Mayfield, PA was paid $11.57M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoRAINBOW CHILDREN'S CLINIC MAYFIELD, PA
ARLINGTON, TX 76014
ARLINGTON, TX 76014
33aNPI1598144768assigned 05/21/2015
33bProvider typePediatrics Physician
28Total paid$11.57M
24GClaims500,394
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#18 of 1,136
Median peer was paid$329K
This provider vs. median35×
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 | 5,004 | $80K | |
| 2019 | 6,235 | $110K | |
| 2020 | 27,524 | $487K | |
| 2021 | 120,109 | $2.46M | |
| 2022 | 118,332 | $2.72M | |
| 2023 | 121,043 | $3.01M | |
| 2024incomplete | 102,147 | $2.70M |
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 | 26% | 89,888 | 82,992 | $3.07M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 16,207 | 16,161 | $1.27M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 16,346 | 16,298 | $1.21M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 12,719 | 12,627 | $1.08M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 80,415 | 38,141 | $830K |
| 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 | 6.3% | 15,072 | 14,562 | $734K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 10,038 | 9,833 | $716K |
| 99429 | 4.4% | 16,074 | 16,034 | $504K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 25,096 | 24,581 | $339K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 29,839 | 22,724 | $233K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 5,044 | 4,966 | $211K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 6,881 | 6,790 | $161K |
81 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 11,642 | $157K |
| 99050 | 1.2% | 10,301 | $135K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 4,338 | $124K |
| 99383 | <1% | 1,331 | $111K | |
| 90461 | <1% | 18,795 | $89K | |
| 99381 | <1% | 1,197 | $84K | |
| 99384 | <1% | 759 | $69K | |
| 83655 | <1% | 6,711 | $68K | |
| 99382 | <1% | 667 | $56K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 439 | $36K |
| 96160 | <1% | 15,589 | $32K | |
| 99000 | <1% | 3,262 | $30K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 506 | $28K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,413 | $23K |
| 99460 | <1% | 290 | $21K | |
| 0071A | <1% | 482 | $18K | |
| 0001A | <1% | 448 | $17K | |
| 87807 | <1% | 1,391 | $15K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 236 | $13K |
| 0072A | <1% | 302 | $11K | |
| 0002A | <1% | 262 | $10K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 28 | $10K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 53 | $7K |
| 92551 | <1% | 7,552 | $7K | |
| 81002 | <1% | 2,188 | $6K | |
| 0051A | <1% | 145 | $5K | |
| 99080 | <1% | 186 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 61 | $4K |
| 95117 | <1% | 496 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 295 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 225 | $3K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | $3K |
| 85018 | <1% | 1,688 | $3K | |
| 0052A | <1% | 67 | $2K | |
| 88720 | <1% | 607 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $2K |
| 96380 | <1% | 97 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 34 | $2K |
| 0054A | <1% | 41 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 109 | $1K |
| 81025 | <1% | 145 | $1K | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 79 | $971.34 |
| 0081A | <1% | 31 | $798.50 | |
| 0073A | <1% | 18 | $600.00 | |
| 90677 | <1% | 1,572 | $515.46 | |
| 97169 | <1% | 54 | $510.00 | |
| 96127 | <1% | 1,036 | $245.66 | |
| 94760 | <1% | 209 | $237.68 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 39 | $204.79 |
| 90688 | <1% | 1,501 | $85.80 | |
| 90715 | <1% | 2,242 | $31.50 | |
| 90671 | <1% | 951 | $26.58 | |
| 99174 | <1% | 229 | $21.00 | |
| 99173 | <1% | 8,022 | $14.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 214 | $9.49 |
| 90686 | <1% | 8,920 | $0.36 | |
| 90381 | <1% | 43 | $0.18 | |
| 90623 | <1% | 37 | $0.14 | |
| 90620 | <1% | 3,036 | $0.14 | |
| 90734 | <1% | 4,840 | $0.09 | |
| 91300 | <1% | 715 | $0.03 | |
| 90651 | <1% | 6,856 | $0.02 | |
| 90670 | 0% | 6,484 | $0.00 | |
| 90648 | 0% | 6,536 | $0.00 | |
| 90633 | 0% | 5,666 | $0.00 | |
| 90710 | 0% | 4,923 | $0.00 | |
| 90700 | 0% | 1,826 | $0.00 | |
| 90707 | 0% | 125 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 15 | $0.00 |
| 91308 | 0% | 48 | $0.00 | |
| 90713 | 0% | 33 | $0.00 | |
| 90680 | 0% | 4,915 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 360 | $0.00 |
| 90716 | 0% | 137 | $0.00 | |
| 90696 | 0% | 2,087 | $0.00 | |
| 36416 | 0% | 757 | $0.00 | |
| 91307 | 0% | 880 | $0.00 | |
| 90723 | 0% | 4,143 | $0.00 | |
| 90698 | 0% | 1,318 | $0.00 | |
| 91305 | 0% | 411 | $0.00 | |
| 90744 | 0% | 25 | $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 officialBERNARDEZ-TAN, RUTH (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rainbow Children's Clinic 3, P.A. | Grand Prairie, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.