Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1457372104 · NEW BRUNSWICK, NJ 08901 · Pediatric Endocrinology Physician · NPI assigned 07/21/2006

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

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

$1.63M
Total Medicaid Paid
8,180
Total Claims
7,959
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date07/21/2006

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 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
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ $1.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 793 $194K
2019 725 $172K
2020 546 $114K
2021 815 $195K
2022 1,150 $241K
2023 1,326 $337K
2024 2,825 $371K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,814 3,750 $835K
99215 Prolong outpt/office vis 1,790 1,769 $538K
99244 Office or other outpatient consultation, moderate to high complexity 391 391 $118K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 431 419 $107K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,377 1,332 $11K
99205 Prolong outpt/office vis 47 40 $8K
99245 16 16 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 16 $3K
83036 Hemoglobin; glycosylated (A1C) 136 74 $330.53
36415 Collection of venous blood by venipuncture 32 28 $42.24
3008F 33 29 $10.00
3074F 13 13 $0.00
99072 40 40 $0.00
1159F 16 15 $0.00
1160F 16 15 $0.00
3078F 12 12 $0.00