Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rutgers Health-Pcc Monument Square

Rutgers Health-Pcc Monument Square was paid $3.74M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoRUTGERS HEALTH-PCC MONUMENT SQUARE
NEW BRUNSWICK, NJ 08901
33aNPI1912089731assigned 10/20/2006
28Total paid$3.74M
24GClaims33,217
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#10 of 414
Median peer was paid$28K
This provider vs. median133×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20185,215$382K
20194,621$348K
20202,858$243K
20213,837$476K
20225,006$625K
20236,846$957K
2024incomplete4,834$711K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 15,203 14,270 $2.28M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 12,740 12,159 $1.25M
99350 Prolong home eval add 15m 4.1% 3,730 3,462 $155K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 525 512 $23K
90686 <1% 317 301 $12K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 15 15 $6K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 59 26 $4K
90674 <1% 111 97 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 36 36 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 13 13 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 14 $999.36
9 more codes
90461 <1% 13 $559.35
96127 <1% 15 $122.59
S9470 Nutritional counseling, dietitian visit <1% 12 $112.00
99441 <1% 37 $92.20
3008F <1% 99 $30.00
3074F 0% 39 $0.00
1159F 0% 85 $0.00
99072 0% 108 $0.00
1160F 0% 34 $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 officialWALTER, BARBARA (PROVIDER ENROLLMENT MANAGER)