Medicaid Provider Spending

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

DACOSTA, NOSHIR

NPI: 1154300622 · SMITHTOWN, NY 11787 · 207RH0003X

$13K

Total Medicaid Paid

1,293

Total Claims

1,177

Beneficiaries

10

Codes Billed

2019-10

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	91	$1K
2020	286	$2K
2021	389	$4K
2022	152	$720.41
2023	164	$2K
2024	211	$3K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99214		434	409	$11K
99490	Ccm add 20min	203	203	$905.92
85025		379	314	$437.16
80053		75	72	$222.74
84153		13	13	$192.17
82728		16	15	$122.76
83550		15	14	$78.66
83540		15	14	$58.23
83615		13	13	$30.20
36415		130	110	$1.45