Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rutgers Health-Rwj Scleroderma Program

Rutgers Health-Rwj Scleroderma Program was paid $661K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 33% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
NEW BRUNSWICK, NJ 08901
33aNPI1619059011assigned 10/19/2006
28Total paid$661K
24GClaims3,224
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in New Jersey

Rank by total paid#13 of 51
Median peer was paid$208K
This provider vs. median3.2×

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$10K$20K$30K2018201920202021202220232024
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
2018728$125K
2019786$140K
2020149$25K
2022228$57K
2023445$110K
2024incomplete888$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 33% 908 893 $218K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 805 786 $110K
99243 15% 446 445 $96K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14% 294 290 $92K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 325 321 $72K
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 8.6% 264 254 $57K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 28 28 $10K
99222 Initial hospital care, per day, moderate complexity 1.0% 25 25 $7K
3008F <1% 30 29 $60.00
1160F 0% 29 27 $0.00
3078F 0% 20 18 $0.00
1159F 0% 29 27 $0.00
1 more codes
3074F 0% 21 $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)
Same official

Other billing entities under LAWRENCE, BRENDA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.