Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rutgers Health-Rwj Scleroderma Program

Rutgers Health-Rwj Scleroderma Program was paid $244K by Medicaid between Feb 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
NEW BRUNSWICK, NJ 08901
33aNPI1023055738assigned 06/01/2006
28Total paid$244K
24GClaims1,601
24DCodes billed8
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New Jersey

Rank by total paid#26 of 56
Median peer was paid$178K
This provider vs. median1.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LAWRENCE, BRENDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201884$17K
2019187$38K
2020139$28K
2022247$37K
2023469$77K
2024incomplete475$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 76% 841 805 $185K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 12% 90 82 $29K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 59 57 $10K
99243 3.2% 36 36 $8K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.0% 16 16 $5K
99244 Office or other outpatient consultation, moderate to high complexity 1.7% 14 14 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 186 171 $1K
81025 <1% 359 348 $1K

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 officialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
Same official

Other billing entities under LAWRENCE, BRENDA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.