Dacosta Medical Group LLC

Dacosta Medical Group LLC was paid $308K by Medicaid between Oct 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoDACOSTA MEDICAL GROUP LLC
ORANGE, NJ 07050

33aNPI1346461282assigned 05/01/2007

33bProvider typeGastroenterology Physician

28Total paid$308K

24GClaims3,732

24DCodes billed8

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#23 of 150

Median peer was paid$27K

This provider vs. median12×

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

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	95	$2K
2019	135	$9K
2020	410	$28K
2021	577	$47K
2022	955	$94K
2023	986	$87K
2024incomplete	574	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	1,864	1,742	$118K
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	33%	1,271	1,207	$103K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	13%	188	180	$41K
99243		5.6%	176	176	$17K
45380	Colonoscopy, flexible; with biopsy, single or multiple	3.6%	39	37	$11K
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	2.8%	71	68	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	104	93	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	19	13	$1K

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 officialDACOSTA, THEODORE (PHYSICIAN)