Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NEW BRUNSWICK › CHILDREN'S SPECIALIZED HOSPITAL

CHILDREN'S SPECIALIZED HOSPITAL

NPI: 1396886297 · NEW BRUNSWICK, NJ 08901 · Pediatrics Physician · NPI assigned 02/12/2007

$199.94M
Total Medicaid Paid
1,071,305
Total Claims
548,846
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSWENARTON, GERIANN (VP & SITE FINANCIAL OFFICER)
Parent OrganizationRWJ BARNABAS HEALTH INC
NPI Enumeration Date02/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141,151 $27.24M
2019 144,611 $29.39M
2020 139,293 $28.76M
2021 152,975 $28.89M
2022 166,375 $29.93M
2023 182,518 $33.94M
2024 144,382 $21.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 238,599 78,352 $41.92M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 180,416 61,384 $40.45M
90834 Psychotherapy, 45 minutes with patient 84,009 35,577 $15.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61,119 59,660 $14.71M
99215 Prolong outpt/office vis 35,337 34,339 $10.39M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 102,605 32,524 $9.63M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 78,525 27,620 $6.33M
92523 20,043 19,683 $6.17M
99205 Prolong outpt/office vis 10,430 10,068 $4.84M
90791 Psychiatric diagnostic evaluation 11,548 11,268 $4.20M
96137 4,560 3,952 $3.85M
92526 15,892 6,118 $3.46M
97535 Self-care/home management training, each 15 minutes 21,207 10,892 $2.88M
97165 9,664 9,517 $2.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,287 14,406 $2.74M
97166 7,915 7,758 $2.26M
97161 7,889 7,727 $2.14M
90792 Psychiatric diagnostic evaluation with medical services 3,074 3,014 $1.98M
97116 16,689 7,225 $1.50M
96130 6,286 4,956 $1.46M
96131 3,496 3,437 $1.30M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 14,589 5,540 $1.29M
90853 Group psychotherapy (other than of a multiple-family group) 9,292 3,702 $1.20M
99417 Prolong home eval add 15m 7,316 6,946 $1.17M
92610 3,217 3,145 $1.05M
90785 2,945 1,268 $1.01M
96136 4,494 3,884 $992K
97162 3,621 3,525 $932K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,788 1,771 $796K
92579 3,085 3,045 $754K
92557 2,561 2,538 $748K
90837 Psychotherapy, 53 minutes with patient 2,770 1,760 $706K
90832 Psychotherapy, 30 minutes with patient 4,732 3,584 $620K
92587 4,059 4,010 $616K
96101 647 640 $594K
97129 2,557 573 $486K
97802 3,411 3,103 $472K
97542 3,161 3,020 $465K
92567 5,445 5,352 $458K
97803 4,786 4,608 $455K
99354 1,754 1,732 $339K
97168 1,065 974 $311K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,365 638 $307K
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) 2,632 2,554 $282K
97139 1,876 738 $274K
29405 2,821 954 $263K
92620 1,222 1,211 $227K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,278 1,234 $218K
97127 979 326 $192K
97164 652 609 $177K
Q4040 Cast supplies, short leg cast, pediatric (0-10 years), fiberglass 2,958 1,065 $171K
92621 1,207 1,196 $171K
97113 993 416 $163K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,712 7,484 $97K
OP960 911 753 $90K
92550 1,268 1,259 $88K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 537 530 $74K
97130 2,556 572 $72K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 414 413 $69K
92552 526 516 $66K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 398 382 $63K
96116 149 88 $54K
92555 718 710 $34K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 164 54 $33K
76942 109 107 $33K
97755 176 169 $30K
90472 Immunization administration, each additional vaccine (list separately) 1,575 1,537 $30K
96132 200 105 $24K
96111 58 58 $24K
97750 287 226 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 62 62 $20K
97032 402 169 $19K
29125 118 100 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 589 553 $15K
92556 216 207 $11K
99000 727 639 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 586 297 $11K
99443 204 200 $9K
92551 85 85 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 218 185 $7K
90658 3,234 3,150 $6K
L3260 Surgical boot/shoe, each 309 270 $4K
94760 368 342 $4K
99173 92 92 $3K
97167 12 12 $3K
99222 Initial hospital care, per day, moderate complexity 46 41 $3K
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 117 104 $3K
92608 12 12 $2K
90887 19 17 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 12 $2K
99239 Hospital discharge day management, more than 30 minutes 12 12 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $1K
99177 329 318 $1K
92558 283 276 $903.04
96127 1,075 1,054 $710.00
OP940 47 47 $608.38
99238 Hospital discharge day management, 30 minutes or less 12 12 $435.13
99442 12 12 $433.52
92607 12 12 $327.64
90656 343 343 $275.46
95873 12 12 $216.18
90715 13 12 $173.91
90734 30 27 $148.87
90716 19 17 $146.40
90651 36 29 $23.00