Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1265504849 · NEW BRUNSWICK, NJ 08901 · Gastroenterology Physician · NPI assigned 11/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, BRENDA controls 20+ related entities in our dataset. Read more

$470K
Total Medicaid Paid
3,171
Total Claims
2,675
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date11/15/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, BRENDA

ProviderCityStateTotal Paid
RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ $8.10M
RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ $7.33M
RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NJ $5.67M
RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ $5.40M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $4.82M
RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NJ $4.67M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM SOMERSET NJ $2.99M
RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NJ $2.67M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $2.55M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $2.12M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.88M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.84M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.80M
RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ $1.68M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.63M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM SOMERVILLE NJ $1.60M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.56M
RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ $1.40M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.37M
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.32M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 584 $87K
2019 202 $29K
2020 198 $28K
2021 355 $49K
2022 371 $49K
2023 622 $102K
2024 839 $127K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 736 719 $160K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 797 774 $124K
99232 Subsequent hospital care, per day, moderate complexity 851 490 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 238 224 $51K
99233 Prolong inpt eval add15 m 180 113 $16K
99254 53 53 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 24 24 $10K
99222 Initial hospital care, per day, moderate complexity 92 85 $9K
43264 13 12 $6K
99205 Prolong outpt/office vis 14 14 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 15 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $4K
99223 Prolong inpt eval add15 m 14 13 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $1K
74328 12 12 $1K
91200 25 25 $861.41
99231 Subsequent hospital care, per day, straightforward or low complexity 18 14 $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) 36 35 $272.78