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

Rutgers Health-Rwj Pediatric Critical Care

Rutgers Health-Rwj Pediatric Critical Care was paid $641K by Medicaid between Mar 2018 and Sep 2024, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 75% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
NEW BRUNSWICK, NJ 08901
33aNPI1164510400assigned 10/11/2006
28Total paid$641K
24GClaims3,641
24DCodes billed10
24AFirst – last monthMar 2018 – Sep 2024
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
2018145$21K
2019215$38K
202050$7K
2021144$23K
2022856$77K
20231,579$337K
2024incomplete652$137K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 75% 1,324 454 $480K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 20% 823 538 $128K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 3.2% 58 18 $21K
99223 Prolong inpt eval add15 m <1% 16 13 $5K
99292 <1% 69 24 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 26 12 $2K
80053 Comprehensive metabolic panel <1% 425 194 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 499 257 $733.58
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 155 129 $45.80
36415 Collection of venous blood by venipuncture 0% 246 121 $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 officialBRADY, NANCY (SR DIRECTOR OF REVENUE CYCLE)
Same official

Other billing entities under BRADY, NANCY

Full network →
ProviderLocationPaid
Rutgers Health-Rwj Primary Medicine GroupNew Brunswick, NJ$27K

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