Dr. Theodore A Dacosta JR.

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Theodore A Dacosta JR.
Gender:	M
Provider License Number If Given:	25MA05600200

NPI Information:

NPI:	1558395673
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/11/2006
Last Update Date:	7/8/2007
Reputation Report:

Provider Business Mailing Address:

Address:	85 S JEFFERSON STREET Orange, NJ 07050
Phone Number:	9736748866
Fax Number:	9736729299

Provider Business Practice Location Address:

Address:	85 S JEFFERSON STREET Orange, NJ 07050
Phone Number:	9736748866
Fax Number:	9736729299

Provider Taxonomy:

Primary:	207R00000X
Secondary (if any):	207RG0100X
State:	NJ

Top Doctors in NJ

About Dr. Theodore A Dacosta JR.

Dr. Theodore A Dacosta JR.(DR. THEODORE A DACOSTA JR.) is A Internal Medicine Physician in Orange, NJ. The NPI Number for Dr. Theodore A Dacosta JR. is 1558395673.

The current location address for Dr. Theodore A Dacosta JR. is 85 S JEFFERSON STREET Orange, NJ 07050 and the contact number is 9736748866 and fax number is 9736729299. The mailing address for Dr. Theodore A Dacosta JR. is 85 S JEFFERSON STREET Orange, NJ 07050- 9736748866 (mailing address contact number - 9736748866).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Theodore A Dacosta JR.?

Answer: The NPI Number for Dr. Theodore A Dacosta JR. is 1558395673

Where is Dr. Theodore A Dacosta JR. located?

Answer: Dr. Theodore A Dacosta JR. is located at 85 S JEFFERSON STREET Orange, NJ 07050.

What is the specialty for Dr. Theodore A Dacosta JR.?

Answer: The Specialty of Dr. Theodore A Dacosta JR. is A Internal Medicine Physician.

Are there any online reviews for Dr. Theodore A Dacosta JR.?

Answer: Yes! Check It Now.

Are there any other health care providers in Orange, NJ?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Theodore A Dacosta JR.

Number of HCPCS	26
Number of Medicare Beneficiaries	235
Number of Services	530
Total Submitted Charge Amount	199038.04
Total Medicare Allowed Amount	69746.96
Total Medicare Payment Amount	55027.62
Total Medicare Standardized Payment Amount	48894.47
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	3
Number of Medicare Beneficiaries With Drug Services	11
Number of Drug Services	11
Total Drug Submitted Charge Amount	775
Total Drug Medicare Allowed Amount	630.79
Total Drug Medicare Payment Amount	630.79
Total Drug Medicare Standardized Payment Amount	618.16
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	23
Number of Medicare Beneficiaries With Medical	235
Number of Medical Services	519
Total Medical Submitted Charge Amount	198263.04
Total Medical Medicare Allowed Amount	69116.17
Total Medical Medicare Payment Amount	54396.83
Total Medical Medicare Standardized Payment Amount	48276.31
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65	57
Number of Beneficiaries Age 65 to 74	98
Number of Beneficiaries Age 75 to 84	56
Number of Beneficiaries Age Greater 84	24
Number of Female Beneficiaries	148
Number of Male Beneficiaries	87
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries	137
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	50
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	98
Number of Beneficiaries With Medicare Only Entitlement	137
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.18
Percent (%) of Beneficiaries Identified With Asthma	0.18
Percent (%) of Beneficiaries Identified With Cancer	0.11
Percent (%) of Beneficiaries Identified With Heart Failure	0.32
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.49
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.22
Percent (%) of Beneficiaries Identified With Depression	0.23
Percent (%) of Beneficiaries Identified With Diabetes	0.5
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.69
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.54
Percent (%) of Beneficiaries Identified With Osteoporosis	0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.06
Percent (%) of Beneficiaries Identified With Stroke	0.11
Average HCC Risk Score of Beneficiaries	1.7764

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Gastroenterology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	3204
Number of Standardized 30-Day Fills	5471.5666667
Aggregate Cost Paid for All Claims	421094.87
Number of Day's Supply for All Claims	152526
Number of Medicare Beneficiaries	495
Number of Claims, Including Refills, for Beneficiaries Age 65+	2420
Including Refills, for Beneficiaries Age 65+	4297.0333333
Beneficiaries Age 65+	329679.52
Number of Day's Supply for All Claims for Beneficaries Age 65+	120324
Number of Medicare Beneficiaries Age 65+	376
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	656
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2483
Aggregate Cost Paid for Generic Drugs	57379.57
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	65
Aggregate Cost Paid for Other Drugs	2847.77
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1801
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	219049.64
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1403
Aggregate Cost Paid for Claims Filled by	202045.23
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1698
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	207172.46
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1506
by Low-Income Subsidy	213922.41
Total Claims of Opioid Drugs, Including	16
Aggregate Cost Paid for Opioid Drugs	149.76
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	0.4993757803
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	80
Aggregate Cost Paid for Antibiotic Drugs	9485.13
Antibiotic Claims	48
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	20
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	5863.93
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	69.214141414
Number of Beneficiaries Age Less Than 65	119
Number of Beneficiaries Age 65 to 74	245
Number of Beneficiaries Age 75 to 84	105
Number of Female Beneficiaries	327
Number of Male Beneficiaries	168
Number of Non-Hispanic White	34
Number of Black or African American	323
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	130
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	291
Average Hierarchical Condition Category	1.5229178393

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