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 $1.37M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 28% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
NEW BRUNSWICK, NJ 08901
33aNPI1114943743assigned 07/15/2006
33bProvider typeNephrology Physician
28Total paid$1.37M
24GClaims14,027
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#3 of 117
Median peer was paid$38K
This provider vs. median36×

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$20K$40K$60K2018201920202021202220232024
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
20181,062$85K
20191,386$103K
20201,750$150K
20211,045$97K
20221,976$175K
20233,392$383K
2024incomplete3,416$376K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 28% 6,159 2,526 $387K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 20% 1,623 1,476 $272K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 18% 2,805 1,147 $248K
90961 17% 1,732 1,585 $238K
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 14% 1,391 1,342 $188K
90962 <1% 92 89 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 73 71 $8K
99223 Prolong inpt eval add15 m <1% 52 50 $7K
99222 Initial hospital care, per day, moderate complexity <1% 67 61 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 13 12 $3K
90935 Hemodialysis procedure with single evaluation by a physician <1% 20 12 $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

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