Rutgers Health-Rwj Scleroderma Program
Rutgers Health-Rwj Scleroderma Program was paid $470K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 34% of everything it billed.
NEW BRUNSWICK, NJ 08901
Next to other Gastroenterology Physician providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 584 | $87K | |
| 2019 | 202 | $29K | |
| 2020 | 198 | $28K | |
| 2021 | 355 | $49K | |
| 2022 | 371 | $49K | |
| 2023 | 622 | $102K | |
| 2024incomplete | 839 | $127K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 34% | 736 | 719 | $160K |
| 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 | 26% | 797 | 774 | $124K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 851 | 490 | $60K |
| 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 | 11% | 238 | 224 | $51K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 180 | 113 | $16K |
| 99254 | 2.4% | 53 | 53 | $11K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.1% | 24 | 24 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 92 | 85 | $9K |
| 43264 | 1.4% | 13 | 12 | $6K | |
| 99205 | Prolong outpt/office vis | 1.0% | 14 | 14 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 15 | 15 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 26 | $4K |
7 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $1K |
| 74328 | <1% | 12 | $1K | |
| 91200 | <1% | 25 | $861.41 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | $353.37 |
| 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% | 36 | $272.78 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.