Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1720113616 · NEW BRUNSWICK, NJ 08901 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 02/22/2007

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

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

$1.88M
Total Medicaid Paid
12,815
Total Claims
10,456
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date02/22/2007

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 $2.12M
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 1,299 $190K
2019 1,386 $200K
2020 861 $139K
2021 990 $168K
2022 1,632 $197K
2023 3,443 $471K
2024 3,204 $516K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,477 7,241 $1.29M
99215 Prolong outpt/office vis 1,248 1,189 $266K
99232 Subsequent hospital care, per day, moderate complexity 3,051 1,084 $213K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 265 258 $66K
95251 504 478 $19K
99233 Prolong inpt eval add15 m 81 26 $9K
99244 Office or other outpatient consultation, moderate to high complexity 27 27 $8K
99222 Initial hospital care, per day, moderate complexity 55 53 $8K
99223 Prolong inpt eval add15 m 28 28 $3K
77080 13 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 16 12 $1K
82962 13 12 $63.00
3008F 13 12 $0.00
99072 24 23 $0.00