Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1275615650 · NEW BRUNSWICK, NJ 08901 · Clinical Genetics (M.D.) Physician · NPI assigned 10/19/2006

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

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

$181K
Total Medicaid Paid
648
Total Claims
621
Beneficiaries
8
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date10/19/2006

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 26 $8K
2019 58 $17K
2020 116 $11K
2022 105 $30K
2023 199 $62K
2024 144 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 313 292 $117K
99244 Office or other outpatient consultation, moderate to high complexity 114 114 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80 76 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $4K
99215 Prolong outpt/office vis 12 12 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 86 86 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 12 12 $1K
99417 Prolong home eval add 15m 19 17 $66.70