Physician
Rainbow Pediatrics
Rainbow Pediatrics was paid $1.80M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoRAINBOW PEDIATRICS
MIDDLEBURY, VT 05753
MIDDLEBURY, VT 05753
33aNPI1649216268assigned 06/21/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.80M
24GClaims44,878
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
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 | 6,613 | $269K | |
| 2019 | 7,252 | $263K | |
| 2020 | 5,365 | $176K | |
| 2021 | 7,172 | $263K | |
| 2022 | 7,504 | $290K | |
| 2023 | 6,304 | $284K | |
| 2024incomplete | 4,668 | $250K |
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 | 52% | 13,981 | 12,430 | $932K |
| 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% | 4,848 | 4,377 | $479K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 3,504 | 3,164 | $105K |
| G9001 | Coordinated care fee, initial rate | 3.1% | 1,609 | 1,509 | $56K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 486 | 424 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 286 | 276 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 306 | 262 | $23K |
| 96127 | 1.2% | 4,321 | 3,685 | $22K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 2,715 | 2,368 | $21K |
| 90461 | 1.1% | 582 | 519 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,017 | 965 | $16K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 402 | 399 | $13K |
23 more codes
| 92552 | <1% | 454 | $11K | |
| 96161 | <1% | 5,454 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 428 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 95 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $3K |
| 94760 | <1% | 1,254 | $2K | |
| 90480 | <1% | 43 | $1K | |
| 96160 | <1% | 553 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 114 | $1K |
| 0072A | <1% | 28 | $1K | |
| 99173 | <1% | 471 | $898.50 | |
| 0071A | <1% | 14 | $560.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $421.20 |
| 92558 | <1% | 27 | $188.01 | |
| 91307 | <1% | 66 | $0.02 | |
| 90648 | 0% | 26 | $0.00 | |
| 90685 | 0% | 107 | $0.00 | |
| 90670 | 0% | 41 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 36416 | 0% | 66 | $0.00 | |
| 90686 | 0% | 1,368 | $0.00 | |
| 90656 | 0% | 143 | $0.00 | |
| 90697 | 0% | 13 | $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 officialRYAN, LISA (OFFICE MANAGER)