Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY

NPI: 1487736146 · NEW BRUNSWICK, NJ 08901 · Pediatric Surgery Physician · NPI assigned 10/20/2006

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

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

$4.67M
Total Medicaid Paid
23,735
Total Claims
23,069
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date10/20/2006

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,233 $654K
2019 2,738 $558K
2020 1,923 $329K
2021 1,982 $372K
2022 2,989 $611K
2023 4,705 $1.03M
2024 6,165 $1.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,741 7,596 $1.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,661 4,584 $749K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,105 2,071 $655K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,996 2,969 $648K
99244 Office or other outpatient consultation, moderate to high complexity 1,475 1,475 $446K
99243 716 716 $157K
42820 Tonsillectomy and adenoidectomy; younger than age 12 296 286 $114K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 331 316 $88K
69210 1,432 1,379 $70K
99215 Prolong outpt/office vis 207 203 $65K
99222 Initial hospital care, per day, moderate complexity 103 98 $18K
99232 Subsequent hospital care, per day, moderate complexity 152 89 $15K
99233 Prolong inpt eval add15 m 25 12 $4K
42830 15 15 $3K
97803 13 12 $3K
31575 14 14 $2K
92567 39 39 $713.71
3008F 83 83 $130.00
1159F 79 79 $0.00
99072 147 142 $0.00
1160F 79 79 $0.00
3078F 22 22 $0.00
99024 982 768 $0.00
3074F 22 22 $0.00