Medicaid Provider Spending

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

DACOSTA, THEODORE

NPI: 1558395673 · ORANGE, NJ 07050 · Internal Medicine Physician · NPI assigned 07/11/2006

$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 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,412 1,308 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 978 945 $49K
99243 219 217 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 181 180 $13K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 40 39 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 43 43 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 25 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $954.72
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $712.92