Physician
Rutgers Health-Rwj Pediatric Critical Care
Rutgers Health-Rwj Pediatric Critical Care was paid $5.40M by Medicaid between Jan 2018 and Nov 2024, across 82 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 75% of everything it billed.
33Billing provider infoRUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
33aNPI1538173539assigned 07/28/2006
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$5.40M
24GClaims142,521
24DCodes billed82
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in New Jersey
Rank by total paid#2 of 46
Median peer was paid$65K
This provider vs. median83×
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
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 | 13,432 | $308K | |
| 2019 | 11,314 | $704K | |
| 2020 | 7,404 | $502K | |
| 2021 | 12,601 | $954K | |
| 2022 | 48,193 | $902K | |
| 2023 | 35,168 | $1.11M | |
| 2024incomplete | 14,409 | $923K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 75% | 36,687 | 34,355 | $4.03M |
| 88307 | 11% | 5,413 | 5,217 | $614K | |
| 88304 | 3.2% | 5,515 | 5,394 | $173K | |
| 88342 | 2.5% | 4,158 | 3,890 | $134K | |
| 88341 | 1.5% | 519 | 461 | $80K | |
| 88291 | <1% | 1,671 | 1,270 | $43K | |
| G0452 | Molecular pathology procedure; physician interpretation and report | <1% | 2,326 | 1,900 | $35K |
| 88313 | <1% | 893 | 816 | $32K | |
| 88312 | <1% | 1,075 | 1,059 | $30K | |
| 86334 | <1% | 4,795 | 3,723 | $25K | |
| 83020 | <1% | 3,797 | 3,227 | $24K | |
| 88189 | <1% | 221 | 193 | $22K |
70 more codes
| 88173 | <1% | 449 | $22K | |
| 84165 | <1% | 3,743 | $18K | |
| 88112 | <1% | 541 | $17K | |
| 88300 | <1% | 1,151 | $15K | |
| 88108 | <1% | 787 | $13K | |
| 85060 | <1% | 773 | $11K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,261 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 7,946 | $9K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,667 | $7K |
| 88302 | <1% | 206 | $5K | |
| 88346 | <1% | 77 | $5K | |
| 85027 | <1% | 2,515 | $3K | |
| 84484 | <1% | 1,903 | $3K | |
| 84166 | <1% | 233 | $3K | |
| 83735 | <1% | 3,657 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 800 | $2K |
| 86335 | <1% | 134 | $2K | |
| 82962 | <1% | 7,169 | $2K | |
| 85610 | <1% | 2,174 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 691 | $1K |
| 80061 | Lipid panel | <1% | 575 | $1K |
| 83690 | <1% | 908 | $1K | |
| 86850 | <1% | 1,055 | $1K | |
| 88311 | <1% | 98 | $1K | |
| 85730 | <1% | 1,719 | $798.07 | |
| 85007 | <1% | 870 | $745.78 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 171 | $682.58 |
| 88321 | <1% | 26 | $622.87 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,706 | $613.09 |
| 86900 | <1% | 1,244 | $581.94 | |
| 86901 | <1% | 1,240 | $574.12 | |
| 84100 | <1% | 2,090 | $537.36 | |
| 87040 | <1% | 582 | $526.83 | |
| 83605 | <1% | 425 | $481.59 | |
| 88141 | <1% | 14 | $187.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 470 | $174.71 |
| 80076 | <1% | 17 | $165.00 | |
| 87205 | <1% | 263 | $163.40 | |
| 82542 | <1% | 15 | $150.00 | |
| 87150 | <1% | 12 | $122.94 | |
| 36416 | <1% | 20 | $42.24 | |
| 81001 | <1% | 361 | $34.38 | |
| 87340 | <1% | 71 | $20.66 | |
| 85652 | <1% | 83 | $16.50 | |
| 82607 | <1% | 175 | $12.50 | |
| 86140 | <1% | 144 | $8.20 | |
| 82248 | <1% | 155 | $5.02 | |
| 80320 | <1% | 301 | $1.50 | |
| 84439 | 0% | 77 | $0.00 | |
| 87186 | 0% | 177 | $0.00 | |
| 83540 | 0% | 205 | $0.00 | |
| 82570 | 0% | 33 | $0.00 | |
| 81025 | 0% | 14 | $0.00 | |
| 85045 | 0% | 27 | $0.00 | |
| 87070 | 0% | 119 | $0.00 | |
| 83880 | 0% | 871 | $0.00 | |
| 86592 | 0% | 166 | $0.00 | |
| 86880 | 0% | 77 | $0.00 | |
| 83550 | 0% | 200 | $0.00 | |
| 82746 | 0% | 79 | $0.00 | |
| 84703 | 0% | 119 | $0.00 | |
| 87088 | 0% | 45 | $0.00 | |
| 82728 | 0% | 200 | $0.00 | |
| 83615 | 0% | 152 | $0.00 | |
| 87081 | 0% | 44 | $0.00 | |
| 86920 | 0% | 33 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 13 | $0.00 |
| 82803 | 0% | 86 | $0.00 | |
| 86706 | 0% | 15 | $0.00 | |
| 87077 | 0% | 12 | $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 officialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.