Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › New Brunswick › NPI 1780766527
Physician

Rutgers Health-Rwj Pediatric Critical Care

Rutgers Health-Rwj Pediatric Critical Care was paid $1.40M by Medicaid between Jan 2018 and Jul 2023, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 48% of everything it billed.

33Billing provider infoRUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
NEW BRUNSWICK, NJ 08901
33aNPI1780766527assigned 10/20/2006
28Total paid$1.40M
24GClaims17,467
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#21 of 414
Median peer was paid$28K
This provider vs. median50×

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$40K$60K2018201920202021202220232024
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
20183,061$243K
20192,633$176K
20202,161$182K
20212,688$232K
20223,967$336K
20232,957$230K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 48% 7,427 2,808 $674K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 39% 8,380 3,155 $546K
99239 Hospital discharge day management, more than 30 minutes 9.8% 1,289 1,226 $137K
99223 Prolong inpt eval add15 m 1.4% 91 91 $20K
99222 Initial hospital care, per day, moderate complexity 1.1% 112 107 $16K
99238 Hospital discharge day management, 30 minutes or less <1% 74 70 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 78 25 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 0% 16 15 $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

Full network →

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