Physician
Rainbow Pediatrics PC
Rainbow Pediatrics PC was paid $9.31M by Medicaid between Jan 2018 and Nov 2020, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoRAINBOW PEDIATRICS PC
CAPE MAY COURT HOUSE, NJ 08210
CAPE MAY COURT HOUSE, NJ 08210
33aNPI1871643957assigned 01/11/2007
33bProvider typePediatrics Physician
28Total paid$9.31M
24GClaims172,434
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#16 of 549
Median peer was paid$154K
This provider vs. median61×
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 | 63,542 | $3.63M | |
| 2019 | 59,431 | $3.26M | |
| 2020 | 49,461 | $2.42M |
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% | 37,532 | 35,157 | $2.43M |
| 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 | 24% | 22,132 | 20,946 | $2.23M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 7,411 | 7,385 | $776K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 7,213 | 7,189 | $762K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 8,165 | 8,108 | $745K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 8,374 | 8,215 | $386K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 3,151 | 3,136 | $361K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 2,292 | 1,965 | $329K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 16,209 | 16,103 | $315K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 13,195 | 12,935 | $305K |
| 92552 | 1.5% | 6,081 | 6,070 | $143K | |
| 90461 | 1.3% | 6,069 | 5,980 | $122K |
34 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 8,322 | $98K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,398 | $58K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,769 | $54K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,127 | $50K |
| 92551 | <1% | 3,513 | $46K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 691 | $27K |
| 90686 | <1% | 3,342 | $21K | |
| 90723 | <1% | 669 | $19K | |
| 99173 | <1% | 5,681 | $6K | |
| 90670 | <1% | 362 | $6K | |
| 90474 | <1% | 310 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | $3K |
| 99460 | <1% | 30 | $2K | |
| 90710 | <1% | 38 | $2K | |
| 94664 | <1% | 128 | $2K | |
| 99441 | <1% | 68 | $2K | |
| 90473 | <1% | 116 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 90734 | <1% | 16 | $924.74 | |
| 90672 | <1% | 40 | $828.58 | |
| 96127 | <1% | 116 | $700.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 49 | $693.90 |
| 90696 | <1% | 54 | $478.79 | |
| 36416 | <1% | 72 | $450.04 | |
| 90633 | <1% | 49 | $428.00 | |
| 90620 | <1% | 12 | $321.50 | |
| 83655 | <1% | 45 | $285.33 | |
| 90681 | <1% | 14 | $260.88 | |
| 90698 | <1% | 27 | $199.66 | |
| 90715 | <1% | 12 | $174.88 | |
| 81002 | <1% | 451 | $117.50 | |
| 90648 | <1% | 103 | $82.18 | |
| 99401 | 0% | 319 | $0.00 | |
| 99072 | 0% | 613 | $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 officialFLICK, JEFFREY (PRESIDENT)