Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1275563611 · NEW BRUNSWICK, NJ 08901 · Pulmonary Disease Physician · NPI assigned 07/03/2006

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

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

$736K
Total Medicaid Paid
6,853
Total Claims
4,692
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date07/03/2006

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 753 $69K
2019 956 $84K
2020 584 $60K
2021 574 $57K
2022 1,197 $133K
2023 1,667 $174K
2024 1,122 $160K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,514 1,440 $232K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 882 433 $162K
99233 Prolong inpt eval add15 m 1,451 649 $124K
99232 Subsequent hospital care, per day, moderate complexity 1,395 594 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 475 472 $53K
99223 Prolong inpt eval add15 m 158 151 $26K
99215 Prolong outpt/office vis 36 36 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters 27 24 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $5K
95806 27 27 $5K
94729 336 334 $4K
94010 180 175 $4K
94726 186 186 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $2K
94060 54 53 $2K
99221 14 13 $1K
99292 24 12 $1K
95800 13 13 $906.92
94727 42 42 $709.60