Physician
Rainbow Pediatrics of Houston, PLLC.
Rainbow Pediatrics of Houston, PLLC. was paid $1.47M by Medicaid between Apr 2021 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoRAINBOW PEDIATRICS OF HOUSTON, PLLC.
HOUSTON, TX 77014
HOUSTON, TX 77014
33aNPI1821612276assigned 06/02/2020
33bProvider typePediatrics Physician
28Total paid$1.47M
24GClaims72,576
24DCodes billed50
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#301 of 1,136
Median peer was paid$329K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2021 | 6,443 | $135K | |
| 2022 | 19,720 | $370K | |
| 2023 | 25,224 | $478K | |
| 2024incomplete | 21,189 | $483K |
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 | 22% | 8,704 | 7,483 | $329K |
| 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 | 17% | 4,607 | 4,199 | $256K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,944 | 1,909 | $164K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.7% | 10,521 | 3,984 | $128K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 1,563 | 1,498 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 867 | 848 | $78K |
| 99000 | 4.1% | 5,759 | 5,229 | $60K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.9% | 4,887 | 2,340 | $57K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 2.9% | 1,086 | 1,077 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 3,102 | 2,910 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 3,552 | 2,537 | $30K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 497 | 475 | $29K |
38 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 227 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 166 | $15K |
| 92551 | 1.0% | 1,876 | $15K | |
| 99383 | <1% | 142 | $13K | |
| 99382 | <1% | 135 | $13K | |
| 99381 | <1% | 193 | $12K | |
| 90461 | <1% | 2,387 | $7K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 1,788 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 482 | $6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 517 | $6K |
| 99384 | <1% | 42 | $4K | |
| 90670 | <1% | 1,197 | $3K | |
| 96160 | <1% | 1,380 | $2K | |
| 97803 | <1% | 1,668 | $1K | |
| 90710 | <1% | 109 | $1K | |
| 99050 | <1% | 60 | $917.91 | |
| 90723 | <1% | 1,171 | $883.80 | |
| 90677 | <1% | 400 | $762.25 | |
| 99429 | <1% | 16 | $526.18 | |
| 90480 | <1% | 16 | $478.50 | |
| 83655 | <1% | 73 | $453.70 | |
| 90633 | <1% | 963 | $398.53 | |
| 90648 | <1% | 1,550 | $255.78 | |
| 87807 | <1% | 23 | $196.51 | |
| 81002 | <1% | 46 | $121.50 | |
| 90686 | <1% | 883 | $38.74 | |
| 90700 | 0% | 276 | $0.00 | |
| 90707 | 0% | 269 | $0.00 | |
| 99173 | 0% | 1,579 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 1,077 | $0.00 |
| 90734 | 0% | 43 | $0.00 | |
| 36416 | 0% | 1,985 | $0.00 | |
| 90656 | 0% | 293 | $0.00 | |
| 90680 | 0% | 962 | $0.00 | |
| 90716 | 0% | 287 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,122 | $0.00 |
| 90651 | 0% | 58 | $0.00 | |
| 90696 | 0% | 26 | $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 officialLAU, LISA (MANAGING MEMBER)