Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE

NPI: 1295741858 · NEW BRUNSWICK, NJ 08901 · Neonatal-Perinatal Medicine Physician · NPI assigned 08/01/2006

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

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

$716K
Total Medicaid Paid
7,074
Total Claims
3,714
Beneficiaries
15
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date08/01/2006

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 653 $96K
2019 437 $51K
2020 652 $90K
2021 222 $25K
2022 1,340 $102K
2023 1,957 $176K
2024 1,813 $177K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99480 Subsequent intensive care, per day, low birth weight infant 1,994 738 $227K
99479 Subsequent intensive care, per day, very low birth weight infant 1,538 562 $181K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 276 107 $96K
99238 Hospital discharge day management, 30 minutes or less 888 788 $76K
99460 624 562 $55K
99232 Subsequent hospital care, per day, moderate complexity 394 138 $27K
99233 Prolong inpt eval add15 m 516 167 $24K
99462 522 418 $21K
99464 142 134 $11K
36416 21 13 $32.65
86901 23 16 $0.00
86850 12 12 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55 23 $0.00
80053 Comprehensive metabolic panel 46 20 $0.00
86900 23 16 $0.00