Based on public Medicaid payment data.
Theodore A Dacosta
Medicaid Provider in Orange, NJ
Type
Individual Provider
Address
85 S Jefferson Street
Orange, NJ 07050
Phone
9736748866
NPI
1558395673
Procedures
5
Total Claims
7.9K
Patients Served
7.5K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Office Visit | $59.35 | 7,257 | 6,856 |
| Upper Endoscopy (EGD) | $140.36 | 424 | 415 |
| Colonoscopy | $152.58 | 160 | 158 |
| Allergy Testing | $196.16 | 40 | 39 |
| Ultrasound | $64.14 | 26 | 26 |
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