Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › ORANGE › DACOSTA, THEODORE

DACOSTA, THEODORE

NPI: 1558395673 · ORANGE, NJ 07050 · 207R00000X

$148K
Total Medicaid Paid
2,961
Total Claims
2,820
Beneficiaries
11
Codes Billed
2018-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 220 $12K
2019 1,350 $76K
2020 547 $24K
2021 632 $29K
2022 60 $2K
2024 152 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 1,412 1,308 $51K
99214 978 945 $49K
99243 219 217 $16K
43239 181 180 $13K
95004 40 39 $8K
45378 43 43 $4K
45380 25 25 $2K
45385 12 12 $2K
99203 25 25 $1K
76700 14 14 $954.72
76705 12 12 $712.92