Medicaid Provider Spending

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

DACOSTA MEDICAL GROUP LLC

NPI: 1346461282 · ORANGE, NJ 07050 · Gastroenterology Physician · NPI assigned 05/01/2007

$308K
Total Medicaid Paid
3,732
Total Claims
3,516
Beneficiaries
8
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDACOSTA, THEODORE (PHYSICIAN)
NPI Enumeration Date05/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95 $2K
2019 135 $9K
2020 410 $28K
2021 577 $47K
2022 955 $94K
2023 986 $87K
2024 574 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,864 1,742 $118K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,271 1,207 $103K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 188 180 $41K
99243 176 176 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 39 37 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 71 68 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 104 93 $8K
99232 Subsequent hospital care, per day, moderate complexity 19 13 $1K