Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1750453346 · SOMERVILLE, NJ 08876 · Maternal & Fetal Medicine Physician · NPI assigned 11/15/2006

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

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

$1.60M
Total Medicaid Paid
12,636
Total Claims
10,374
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR REVENUE CYCLE)
NPI Enumeration Date11/15/2006

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 $2.12M
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 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 1,835 $265K
2019 1,501 $240K
2020 1,246 $213K
2021 1,383 $232K
2022 1,928 $204K
2023 2,715 $256K
2024 2,028 $190K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76819 Fetal biophysical profile; without non-stress testing 5,406 3,975 $726K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,058 974 $386K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,249 3,839 $345K
76801 369 363 $49K
76813 219 208 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 126 126 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 187 93 $13K
59025 Fetal non-stress test 238 160 $10K
96040 470 423 $8K
99232 Subsequent hospital care, per day, moderate complexity 74 42 $7K
76820 119 67 $5K
76821 31 15 $3K
99238 Hospital discharge day management, 30 minutes or less 12 12 $1K
36416 51 51 $121.56
0502F 13 12 $0.00
99072 14 14 $0.00