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RAINBOW PEDIATRICS OF FAYETTEVILLE

Pediatrics·FAYETTEVILLE, NC·NPI: 1356439566Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.2M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.2M

$21,236,841

Total Claims

1.2M

Beneficiaries

871K

1.4 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+12%
2019
$2.4M
-11%
2020
$2.1M
+44%
2021
$3.0M
+46%
2022
$4.4M
-11%
2023
$3.9M
-17%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 29% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$6.1M

70K claims · 28.7%

Your Cost: $86.85/claim|Median: $53.41
1.6× median
99199Normal range

Unlisted special service, procedure, or report

$3.7M

635K claims · 17.5%

Your Cost: $5.86/claim|Median: $5.39
1.1× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$2.5M

43K claims · 11.8%

Your Cost: $57.70/claim|Median: $37.81
1.5× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

43K claims · 7.5%

Your Cost: $37.21/claim|Median: $17.85
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

16K claims · 6.5%

Your Cost: $87.58/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

14K claims · 5.7%

Your Cost: $84.14/claim|Median: $69.35
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.2M

13K claims · 5.4%

Your Cost: $87.62/claim|Median: $74.82
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$630K

11K claims · 3.0%

Your Cost: $59.65/claim|Median: $65.64
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$545K

12K claims · 2.6%

Your Cost: $46.79/claim|Median: $39.70
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$361K

3,766 claims · 1.7%

Your Cost: $95.98/claim|Median: $80.15
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$244K

25K claims · 1.1%

Your Cost: $9.96/claim|Median: $9.10
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$213K

24K claims · 1.0%

Your Cost: $8.88/claim|Median: $4.71
1.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$210K

16K claims · 1.0%

Your Cost: $13.03/claim|Median: $11.48
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$178K

26K claims · 0.8%

Your Cost: $6.78/claim|Median: $3.67
1.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$162K

6,065 claims · 0.8%

Your Cost: $26.69/claim|Median: $28.46
0.9× median
95004Top 25%

Percutaneous allergy skin tests, each

$127K

538 claims · 0.6%

Your Cost: $236.84/claim|Median: $134.97
1.8× median
90471Top 10%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$104K

5,150 claims · 0.5%

Your Cost: $20.11/claim|Median: $9.80
2.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$102K

3,149 claims · 0.5%

Your Cost: $32.28/claim|Median: $57.30
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$99K

1,387 claims · 0.5%

Your Cost: $71.21/claim|Median: $62.48
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$89K

1,450 claims · 0.4%

Your Cost: $61.13/claim|Median: $37.22
1.6× median
99051Top 10%

$74K

3,054 claims · 0.3%

Your Cost: $24.23/claim|Median: $7.89
3.1× median
99215Top 25%

Office/outpatient visit, high complexity

$74K

627 claims · 0.3%

Your Cost: $118.03/claim|Median: $74.09
1.6× median
D1206Normal range

Topical application of fluoride varnish

$45K

3,152 claims · 0.2%

Your Cost: $14.23/claim|Median: $18.12
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$39K

1,123 claims · 0.2%

Your Cost: $34.88/claim|Median: $25.06
1.4× median
87634Normal range

$29K

1,043 claims · 0.1%

Your Cost: $28.09/claim|Median: $48.78
0.6× median
99462Normal range

$27K

827 claims · 0.1%

Your Cost: $32.90/claim|Median: $27.49
1.2× median
96161Normal range

$19K

5,440 claims · 0.1%

Your Cost: $3.58/claim|Median: $2.49
1.4× median
0072ATop 25%

$16K

326 claims · 0.1%

Your Cost: $49.49/claim|Median: $39.57
1.3× median
0071ATop 25%

$15K

311 claims · 0.1%

Your Cost: $47.52/claim|Median: $38.71
1.2× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$14K

176 claims · 0.1%

Your Cost: $77.70/claim|Median: $65.45
1.2× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$13K

257 claims · 0.1%

Your Cost: $51.50/claim|Median: $33.72
1.5× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$13K

253 claims · 0.1%

Your Cost: $49.73/claim|Median: $36.70
1.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$12K

20K claims · 0.1%

Your Cost: $0.58/claim|Median: $6.93
0.1× median
87804Normal range

Influenza virus detection, rapid test

$12K

842 claims · 0.1%

Your Cost: $13.68/claim|Median: $12.59
1.1× median
88738Top 25%

$11K

1,966 claims · 0.1%

Your Cost: $5.81/claim|Median: $4.06
1.4× median
90651Top 25%

HPV vaccine, 9-valent

$11K

460 claims · 0.0%

Your Cost: $22.95/claim|Median: $8.93
2.6× median
92558Normal range

$10K

22K claims · 0.0%

Your Cost: $0.46/claim|Median: $6.67
0.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$9K

74 claims · 0.0%

Your Cost: $124.28/claim|Median: $91.47
1.4× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$8K

906 claims · 0.0%

Your Cost: $9.36/claim|Median: $10.88
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

9,325 claims · 0.0%

Your Cost: $0.79/claim|Median: $7.18
0.1× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$7K

48K claims · 0.0%

Your Cost: $0.14/claim|Median: $0.79
0.2× median
99177Normal range

$6K

36K claims · 0.0%

Your Cost: $0.17/claim|Median: $3.74
0.0× median
99417Top 5%

$6K

35 claims · 0.0%

Your Cost: $162.19/claim|Median: $34.90
4.6× median
94664Normal range

$6K

553 claims · 0.0%

Your Cost: $9.99/claim|Median: $8.88
1.1× median
80061Top 25%

Lipid panel

$4K

285 claims · 0.0%

Your Cost: $15.56/claim|Median: $8.41
1.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$4K

223 claims · 0.0%

Your Cost: $19.77/claim|Median: $12.93
1.5× median
G9919Top 25%

$3K

99 claims · 0.0%

Your Cost: $26.14/claim|Median: $8.66
3.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$2K

25 claims · 0.0%

Your Cost: $79.05/claim|Median: $81.92
1.0× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

43 claims · 0.0%

Your Cost: $38.13/claim|Median: $30.04
1.3× median
94010Normal range

$2K

70 claims · 0.0%

Your Cost: $22.82/claim|Median: $18.11
1.3× median

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Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

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