Physician
Rutgers Health-Rwj Pediatric Critical Care
Rutgers Health-Rwj Pediatric Critical Care was paid $716K by Medicaid between Feb 2018 and Oct 2024, across 15 billing codes.
Its largest line is 99480 , Subsequent intensive care, per day, low birth weight infant — 32% of everything it billed.
33 Billing provider infoRUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
33a NPI1295741858 assigned 08/01/2006
28 Total paid$716K
24G Claims7,074
24D Codes billed15
24A First – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in New Jersey
Rank by total paid #8 of 21
Median peer was paid $316K
This provider vs. median 2.3×
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 .
Entity Proliferation Authorized official LAWRENCE, BRENDA controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $50K $100K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2018 653 $96K 2019 437 $51K 2020 652 $90K 2021 222 $25K 2022 1,340 $102K 2023 1,957 $176K 2024incomplete 1,813 $177K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
99480 Subsequent intensive care, per day, low birth weight infant
32% 1,994
738
$227K
99479 Subsequent intensive care, per day, very low birth weight infant
25% 1,538
562
$181K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger
13% 276
107
$96K
99238 Hospital discharge day management, 30 minutes or less
11% 888
788
$76K
99460 7.7% 624
562
$55K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity
3.7% 394
138
$27K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m
3.4% 516
167
$24K
99462 2.9% 522
418
$21K
99464 1.5% 142
134
$11K
36416 <1% 21
13
$32.65
86901 0% 23
16
$0.00
86850 0% 12
12
$0.00
3 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count
0%
55
$0.00
80053 Comprehensive metabolic panel
0%
46
$0.00
86900 0%
23
$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
Same official Other billing entities under LAWRENCE, BRENDA Full network →
Provider Location 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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.