Physician
Rutgers Health-Rwj Scleroderma Program
Rutgers Health-Rwj Scleroderma Program was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 50% of everything it billed.
33Billing provider infoRUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
33aNPI1841372224assigned 10/19/2006
28Total paid$1.03M
24GClaims4,302
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in New Jersey
Rank by total paid#3 of 11
Median peer was paid$20K
This provider vs. median52×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 647 | $163K | |
| 2019 | 524 | $133K | |
| 2020 | 547 | $115K | |
| 2021 | 364 | $76K | |
| 2022 | 299 | $75K | |
| 2023 | 775 | $204K | |
| 2024incomplete | 1,146 | $262K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 50% | 1,863 | 1,836 | $514K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 906 | 895 | $188K |
| 95720 | 16% | 593 | 385 | $160K | |
| 99205 | Prolong outpt/office vis | 8.7% | 295 | 290 | $90K |
| 95951 | 2.0% | 61 | 39 | $21K | |
| 99245 | 1.3% | 46 | 46 | $13K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.2% | 49 | 49 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 89 | 52 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 68 | 68 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 13 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 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) | <1% | 211 | 211 | $1K |
5 more codes
| 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) | <1% | 14 | $860.87 |
| 3008F | <1% | 27 | $50.00 | |
| 1160F | 0% | 12 | $0.00 | |
| 1159F | 0% | 12 | $0.00 | |
| 99072 | 0% | 28 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.