Physician
Dacosta, Theodore
Dacosta, Theodore was paid $148K by Medicaid between Oct 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoDACOSTA, THEODORE
ORANGE, NJ 07050
ORANGE, NJ 07050
33aNPI1558395673assigned 07/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$148K
24GClaims2,961
24DCodes billed11
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#285 of 1,027
Median peer was paid$30K
This provider vs. median5.0×
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 | 220 | $12K | |
| 2019 | 1,350 | $76K | |
| 2020 | 547 | $24K | |
| 2021 | 632 | $29K | |
| 2022 | 60 | $2K | |
| 2024incomplete | 152 | $5K |
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 | 35% | 1,412 | 1,308 | $51K |
| 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% | 978 | 945 | $49K |
| 99243 | 11% | 219 | 217 | $16K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.9% | 181 | 180 | $13K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 5.3% | 40 | 39 | $8K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.9% | 43 | 43 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.6% | 25 | 25 | $2K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.2% | 12 | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 25 | 25 | $1K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | 14 | $954.72 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 12 | 12 | $712.92 |
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.