Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rutgers Health-Rwj Scleroderma Program

Rutgers Health-Rwj Scleroderma Program was paid $103K by Medicaid between Jan 2018 and Jan 2023, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 28% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
PISCATAWAY, NJ 08854
33aNPI1316222664assigned 10/19/2011
33bProvider typePsychiatry Physician
28Total paid$103K
24GClaims1,939
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Psychiatry Physician providers in New Jersey

Rank by total paid#45 of 130
Median peer was paid$19K
This provider vs. median5.5×

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 ProliferationAuthorized official LAWRENCE, BRENDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018750$31K
2019421$20K
2020235$17K
2021261$15K
2022183$14K
202389$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 28% 499 441 $29K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 21% 360 241 $22K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 21% 387 234 $21K
90836 7.4% 147 78 $8K
99222 Initial hospital care, per day, moderate complexity 6.7% 51 45 $7K
99223 Prolong inpt eval add15 m 5.7% 116 115 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.5% 277 146 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.3% 39 38 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.7% 51 28 $2K
96121 <1% 12 12 $454.39

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

Authorized officialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
Same official

Other billing entities under LAWRENCE, BRENDA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.