Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › New Brunswick › NPI 1518901768
Physician

Rutgers Health-Rwj Pediatric Critical Care

Rutgers Health-Rwj Pediatric Critical Care was paid $1.68M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
NEW BRUNSWICK, NJ 08901
33aNPI1518901768assigned 06/16/2006
33bProvider typePediatrics Physician
28Total paid$1.68M
24GClaims16,260
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#76 of 549
Median peer was paid$154K
This provider vs. median11×

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$25K$50K$75K2018201920202021202220232024
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
20181,925$187K
20191,810$200K
20201,289$145K
20212,134$233K
20222,758$284K
20233,678$369K
2024incomplete2,666$263K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 34% 5,665 2,587 $571K
99238 Hospital discharge day management, 30 minutes or less 27% 4,627 4,486 $451K
99460 20% 3,286 3,177 $330K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.9% 678 334 $99K
99239 Hospital discharge day management, more than 30 minutes 5.8% 742 712 $98K
99222 Initial hospital care, per day, moderate complexity 4.4% 392 371 $73K
99223 Prolong inpt eval add15 m 1.6% 96 89 $26K
99462 1.1% 589 485 $18K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 163 82 $10K
99221 <1% 22 13 $2K

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.