Physician
Carol Da Costa MD PA
Carol Da Costa MD PA was paid $1.20M by Medicaid between Nov 2019 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoCAROL DA COSTA MD PA
MIAMI, FL 33196
MIAMI, FL 33196
33aNPI1730267055assigned 11/02/2006
33bProvider typePediatrics Physician
28Total paid$1.20M
24GClaims60,702
24DCodes billed84
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#235 of 971
Median peer was paid$238K
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 | |
|---|---|---|---|
| 2019 | 14 | $601.91 | |
| 2020 | 6,941 | $114K | |
| 2021 | 8,878 | $181K | |
| 2022 | 13,660 | $300K | |
| 2023 | 18,146 | $334K | |
| 2024incomplete | 13,063 | $268K |
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 | 32% | 7,541 | 6,314 | $385K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 1,320 | 1,268 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 1,342 | 1,314 | $119K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 3,943 | 3,650 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 984 | 946 | $87K |
| 99401 | 4.6% | 3,536 | 3,133 | $56K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 1,677 | 1,572 | $55K |
| 97802 | 3.7% | 4,184 | 3,943 | $44K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 446 | 417 | $27K |
| 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 | 2.2% | 300 | 271 | $26K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 1,117 | 751 | $21K |
| 92587 | 1.4% | 1,329 | 1,270 | $16K |
72 more codes
| 90461 | 1.1% | 970 | $13K | |
| 96136 | <1% | 458 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 712 | $7K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 315 | $7K |
| 90670 | <1% | 341 | $7K | |
| 90651 | <1% | 480 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 81 | $7K |
| H0049 | Alcohol and/or drug screening | <1% | 506 | $6K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,583 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 414 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $4K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,873 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,412 | $3K |
| 97803 | <1% | 141 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 901 | $3K |
| 90619 | <1% | 74 | $3K | |
| 0071A | <1% | 104 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 396 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 103 | $2K |
| 99383 | <1% | 24 | $2K | |
| 0072A | <1% | 69 | $2K | |
| 90716 | <1% | 264 | $2K | |
| 91300 | <1% | 120 | $2K | |
| 99188 | <1% | 204 | $2K | |
| 90633 | <1% | 555 | $1K | |
| 0002A | <1% | 57 | $1K | |
| 90707 | <1% | 62 | $1K | |
| D1330 | <1% | 767 | $1K | |
| 99384 | <1% | 13 | $1K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 377 | $1K |
| 90671 | <1% | 38 | $886.45 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,477 | $767.53 |
| 90734 | <1% | 187 | $708.56 | |
| 90686 | <1% | 1,978 | $688.19 | |
| 0001A | <1% | 52 | $567.44 | |
| 99050 | <1% | 183 | $557.72 | |
| 86328 | <1% | 133 | $520.12 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 74 | $509.28 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 385 | $491.70 |
| 0003A | <1% | 21 | $484.98 | |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 60 | $420.00 |
| 90713 | <1% | 631 | $413.17 | |
| 90656 | <1% | 239 | $366.56 | |
| 92567 | <1% | 119 | $313.99 | |
| 92558 | <1% | 115 | $299.54 | |
| 90648 | <1% | 380 | $256.54 | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 44 | $230.00 |
| 99173 | <1% | 3,353 | $215.87 | |
| 90700 | <1% | 727 | $150.94 | |
| 92557 | <1% | 20 | $150.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,068 | $150.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 204 | $140.00 |
| 90621 | <1% | 27 | $130.11 | |
| 99058 | <1% | 31 | $126.84 | |
| 92551 | <1% | 2,103 | $108.63 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 112 | $80.00 |
| 99000 | <1% | 1,812 | $40.00 | |
| 90680 | <1% | 55 | $10.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 485 | $0.00 |
| 99072 | 0% | 176 | $0.00 | |
| S9449 | Weight management classes, non-physician provider, per session | 0% | 42 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 344 | $0.00 |
| 90715 | 0% | 34 | $0.00 | |
| D1310 | 0% | 755 | $0.00 | |
| 96127 | 0% | 1,543 | $0.00 | |
| 91307 | 0% | 162 | $0.00 | |
| 95117 | 0% | 274 | $0.00 | |
| 90744 | 0% | 44 | $0.00 | |
| 99484 | 0% | 15 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 34 | $0.00 |
| 94760 | 0% | 16 | $0.00 |
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 officialDA COSTA GOMEZ, CAROL (PRESIDENT)