Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › New Brunswick › NPI 1366487183
Physician

Rutgers Health-Rwj Scleroderma Program

Rutgers Health-Rwj Scleroderma Program was paid $762K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 31% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
NEW BRUNSWICK, NJ 08901
33aNPI1366487183assigned 06/17/2006
33bProvider typeNeurology Physician
28Total paid$762K
24GClaims4,170
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Neurology Physician providers in New Jersey

Rank by total paid#9 of 112
Median peer was paid$12K
This provider vs. median63×

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$20K$40K$60K2018201920202021202220232024
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
2018588$127K
2019592$112K
2020329$47K
2021327$64K
2022766$119K
2023952$177K
2024incomplete616$117K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 31% 1,080 1,060 $233K
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 19% 900 877 $148K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 19% 587 150 $147K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 478 463 $67K
95720 6.8% 354 175 $52K
64615 4.6% 140 137 $35K
99205 Prolong outpt/office vis 4.5% 119 117 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 221 215 $22K
99223 Prolong inpt eval add15 m <1% 19 19 $6K
95718 <1% 43 27 $4K
95886 <1% 24 24 $4K
99221 <1% 60 50 $4K
5 more codes
95951 <1% 22 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 33 $3K
95816 <1% 16 $786.45
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $706.76
99072 0% 60 $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

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

Other billing entities under LAWRENCE, BRENDA

Full network →

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