Providers
All 10 in NJ
RICHARD C COSTA, D.O.
NPI 1982693511, individual, Berlin, NJ, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since July 20, 2022.
- Medicaid still paid claims in 1 later month, $3,802 in total.
score 94 of 100, rank 338, $4K at stake
Public list actions
Medicare revocation effective July 20, 2022, barred from re-enrolling until July 20, 2032
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Family Practice, NJ
OIG exclusion August 20, 2023 under section 1128a1
Physician (MD, DO), Family Practice, Cherry Hill, NJ
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Jul 20, 2022 | Jul 20, 2032 | 1 | Aug 2022 | Aug 2022 | $4K | $180K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RICHARD C COSTA, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | October 17, 2005, last updated December 19, 2013 |
| Practice location | 339 N ROUTE 73, SUITE 1, Berlin, NJ 08009-9707, 856-767-8228 |
| Mailing address | 40 LAKE CTR, 401 ROUTE 73 NORTH SUITE 201A, Marlton, NJ 08053-3425 |
| Specialties | Family Medicine (207Q00000X, primary, license MB48420 NJ) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $507K | 79% | $85 | $60 (top 5% from $133) | 75th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $106K | 16% | $66 | $44 (top 5% from $110) | 78th percentile | |
| 95165 | Professional service for preparation and provision of 1 or more antigens | $29K | 5% | $1K | $187 (top 5% from $1K) | too few months to rank | |
| 80305 | Testing for presence of drug, read by direct observation | $2K | 0% | $8.83 | $9.23 (top 5% from $22) | 47th percentile | |
| 90471 | Administration of vaccine | $489 | 0% | $20 | $10 (top 5% from $23) | too few months to rank |
In this area
10 providers in Camden County, NJ carry an indicator in the public record, with $2.1M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 3. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | GOLDIS GERIATRICS P.C. Stratford, NJ, ranked 274 | $12K |
|
| 1 | MICHAEL GOLDIS Stratford, NJ, ranked 353 | $3K |
|
| 3 | JEFFHOME NJ, LLC. Voorhees, NJ, ranked 2405 | $0 |
|
| 3 | HOLY REDEEMER HOSPICE INC. Runnemede, NJ, ranked 3252 | $0 |
|
| 3 | HOLY REDEEMER HOME CARE, INC. Runnemede, NJ, ranked 6701 | $0 |
|
| 4 | ISIAKA BOLARINWA Gloucester City, NJ, ranked 8791 | $1.7M |
|
| 5 | STEPHEN COHEN Camden, NJ, ranked 10359 | $251K |
|
| 5 | MARK SOTTO Voorhees, NJ, ranked 11597 | $120K |
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJul 29, 2026
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
DOJIndictedJul 29, 2026
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
DOJChargedJul 9, 2026
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
DOJPleaded guiltyJun 24, 2026
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
DOJSentencedMay 21, 2026
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.