Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1659311132 · NEW BRUNSWICK, NJ 08901 · Pediatric Pulmonology Physician · NPI assigned 06/07/2006

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

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

$2.12M
Total Medicaid Paid
14,583
Total Claims
14,361
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date06/07/2006

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 NEUROSURGERY FACULTY NEW BRUNSWICK NJ $4.67M
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 $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 2,509 $383K
2019 2,377 $330K
2020 1,112 $149K
2021 1,276 $163K
2022 2,023 $198K
2023 2,571 $417K
2024 2,715 $482K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,236 5,188 $736K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,115 3,089 $635K
94010 3,248 3,211 $192K
99205 Prolong outpt/office vis 276 269 $116K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 358 357 $114K
94060 734 703 $107K
99244 Office or other outpatient consultation, moderate to high complexity 274 274 $80K
95810 Polysomnography; sleep staging with 4 or more additional parameters 270 263 $76K
95782 119 118 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 219 216 $24K
94728 179 131 $6K
94664 309 299 $6K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 16 15 $799.37
3008F 43 43 $80.00
1160F 41 41 $0.00
3078F 33 32 $0.00
99072 39 39 $0.00
1159F 41 41 $0.00
3074F 33 32 $0.00