Physician
Rutgers Health-Rwj Primary Medicine Group
Rutgers Health-Rwj Primary Medicine Group was paid $2.73M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoRUTGERS HEALTH-RWJ PRIMARY MEDICINE GROUP
SOMERSET, NJ 08873
SOMERSET, NJ 08873
33aNPI1497867410assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$2.73M
24GClaims37,777
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#50 of 549
Median peer was paid$154K
This provider vs. median18×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,049 | $305K | |
| 2019 | 4,297 | $353K | |
| 2020 | 3,912 | $337K | |
| 2021 | 5,763 | $392K | |
| 2022 | 8,105 | $371K | |
| 2023 | 6,601 | $487K | |
| 2024incomplete | 5,050 | $481K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 13,637 | 12,987 | $1.52M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 10,427 | 7,198 | $286K |
| 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 | 7.0% | 1,220 | 1,188 | $191K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 1,185 | 1,176 | $179K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 1,005 | 1,001 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 2,012 | 1,914 | $121K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 597 | 573 | $85K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 431 | 431 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 1,172 | 1,150 | $48K |
| 90461 | 1.2% | 1,070 | 986 | $32K | |
| 90686 | <1% | 1,328 | 1,159 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 242 | 238 | $8K |
26 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 119 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 248 | $4K |
| 90656 | <1% | 264 | $3K | |
| 90685 | <1% | 1,010 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 56 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 754 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $1K |
| 90670 | <1% | 146 | $895.62 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $546.76 |
| 99173 | <1% | 124 | $512.79 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $494.77 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $436.42 |
| 96127 | <1% | 39 | $421.68 | |
| 90723 | <1% | 12 | $222.10 | |
| 90633 | <1% | 38 | $73.32 | |
| 3008F | <1% | 43 | $30.00 | |
| 90658 | <1% | 22 | $28.82 | |
| 90647 | <1% | 41 | $26.23 | |
| 90660 | <1% | 12 | $25.69 | |
| 90677 | <1% | 19 | $7.00 | |
| 99072 | 0% | 198 | $0.00 | |
| 1159F | 0% | 67 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 25 | $0.00 |
| 1160F | 0% | 67 | $0.00 | |
| 90672 | 0% | 18 | $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 officialANDERSON, RURIC (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| RWJBH Emergency Medicine Associates, LLC | Somerset, NJ | $117.96M |
| RWJBH Observation Associates LLC | Livingston, NJ | $15.93M |
| Trinitas Physicians Practice, LLC | Elizabeth, NJ | $6.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.