Medicaid Provider Spending

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

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI: 1841372224 · NEW BRUNSWICK, NJ 08901 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 10/19/2006

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

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

$1.03M
Total Medicaid Paid
4,302
Total Claims
3,989
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, BRENDA (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date10/19/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 647 $163K
2019 524 $133K
2020 547 $115K
2021 364 $76K
2022 299 $75K
2023 775 $204K
2024 1,146 $262K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,863 1,836 $514K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 906 895 $188K
95720 593 385 $160K
99205 Prolong outpt/office vis 295 290 $90K
95951 61 39 $21K
99245 46 46 $13K
99244 Office or other outpatient consultation, moderate to high complexity 49 49 $13K
99232 Subsequent hospital care, per day, moderate complexity 89 52 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68 68 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $5K
99222 Initial hospital care, per day, moderate complexity 15 14 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 211 211 $1K
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) 14 13 $860.87
3008F 27 26 $50.00
1160F 12 12 $0.00
1159F 12 12 $0.00
99072 28 28 $0.00