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 $1.60M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 45% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
SOMERVILLE, NJ 08876
33aNPI1750453346assigned 11/15/2006
28Total paid$1.60M
24GClaims12,636
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in New Jersey

Rank by total paid#3 of 22
Median peer was paid$394K
This provider vs. median4.1×

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$20K$40K2018201920202021202220232024
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
20181,835$265K
20191,501$240K
20201,246$213K
20211,383$232K
20221,928$204K
20232,715$256K
2024incomplete2,028$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76819 Fetal biophysical profile; without non-stress testing 45% 5,406 3,975 $726K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 24% 1,058 974 $386K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 22% 4,249 3,839 $345K
76801 3.0% 369 363 $49K
76813 2.0% 219 208 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 126 126 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 187 93 $13K
59025 Fetal non-stress test <1% 238 160 $10K
96040 <1% 470 423 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 74 42 $7K
76820 <1% 119 67 $5K
76821 <1% 31 15 $3K
4 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 12 $1K
36416 <1% 51 $121.56
0502F 0% 13 $0.00
99072 0% 14 $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 REVENUE CYCLE)
Same official

Other billing entities under LAWRENCE, BRENDA

Full network →

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