Theodore B. Pastrana JR.

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NPI Number Detailed Information

Provider Information:

Name:	Theodore B. Pastrana JR.
Gender:	M
Provider License Number If Given:	G75374

NPI Information:

NPI:	1992747653
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/10/2006
Last Update Date:	4/25/2014
Reputation Report:

Provider Business Mailing Address:

Address:	100 E VALENCIA MESA DR #100 Fullerton, CA 92835
Phone Number:	7145254185
Fax Number:	7142527321

Provider Business Practice Location Address:

Address:	100 E VALENCIA MESA DR STE 100 Fullerton, CA 92835
Phone Number:	7145254185
Fax Number:	7145257321

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):
State:	CA

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About Theodore B. Pastrana JR.

Theodore B. Pastrana JR.( THEODORE B. PASTRANA JR.) is Family Family Medicine Physician in Fullerton, CA. The NPI Number for Theodore B. Pastrana JR. is 1992747653.

The current location address for Theodore B. Pastrana JR. is 100 E VALENCIA MESA DR STE 100 Fullerton, CA 92835 and the contact number is 7145254185 and fax number is 7142527321. The mailing address for Theodore B. Pastrana JR. is 100 E VALENCIA MESA DR #100 Fullerton, CA 92835- 7145254185 (mailing address contact number - 7145254185).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Theodore B. Pastrana JR.?

Answer: The NPI Number for Theodore B. Pastrana JR. is 1992747653

Where is Theodore B. Pastrana JR. located?

Answer: Theodore B. Pastrana JR. is located at 100 E VALENCIA MESA DR STE 100 Fullerton, CA 92835.

What is the specialty for Theodore B. Pastrana JR.?

Answer: The Specialty of Theodore B. Pastrana JR. is Family Family Medicine Physician.

Are there any online reviews for Theodore B. Pastrana JR.?

Answer: Yes! Check It Now.

Are there any other health care providers in Fullerton, CA?

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 Theodore B. Pastrana JR.

Number of HCPCS	13
Number of Medicare Beneficiaries	51
Number of Services	215
Total Submitted Charge Amount	30480
Total Medicare Allowed Amount	21666.87
Total Medicare Payment Amount	14069.23
Total Medicare Standardized Payment Amount	12774.58
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	3
Number of Medicare Beneficiaries With Drug Services	15
Number of Drug Services	19
Total Drug Submitted Charge Amount	2080
Total Drug Medicare Allowed Amount	1437.85
Total Drug Medicare Payment Amount	1437.85
Total Drug Medicare Standardized Payment Amount	1409.02
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	10
Number of Medicare Beneficiaries With Medical	51
Number of Medical Services	196
Total Medical Submitted Charge Amount	28400
Total Medical Medicare Allowed Amount	20229.02
Total Medical Medicare Payment Amount	12631.38
Total Medical Medicare Standardized Payment Amount	11365.56
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	24
Number of Beneficiaries Age 75 to 84	14
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	24
Number of Male Beneficiaries	27
Number of Non-Hispanic White Beneficiaries	16
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	24
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	32
Number of Beneficiaries With Medicare Only Entitlement	19
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.49
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.22
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.1108

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	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1810
Number of Standardized 30-Day Fills	4350.3666667
Aggregate Cost Paid for All Claims	96723.53
Number of Day's Supply for All Claims	128161
Number of Medicare Beneficiaries	161
Number of Claims, Including Refills, for Beneficiaries Age 65+	1678
Including Refills, for Beneficiaries Age 65+	4059.3666667
Beneficiaries Age 65+	89000.18
Number of Day's Supply for All Claims for Beneficaries Age 65+	119683
Number of Medicare Beneficiaries Age 65+	145
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	125
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1672
Aggregate Cost Paid for Generic Drugs	25196.71
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	13
Aggregate Cost Paid for Other Drugs	597.81
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1247
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	67281
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	563
Aggregate Cost Paid for Claims Filled by	29442.53
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	911
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	38948.09
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	899
by Low-Income Subsidy	57775.44
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	44
Aggregate Cost Paid for Antibiotic Drugs	343.93
Antibiotic Claims	34
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	70.906832298
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	97
Number of Beneficiaries Age 75 to 84	38
Number of Female Beneficiaries	77
Number of Male Beneficiaries	84
Number of Non-Hispanic White	51
Number of Black or African American
Number of Asian Pacific Islander	32
Number of Hispanic Beneficiaries	64
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not	13
Only Entitlement	94
Average Hierarchical Condition Category	0.954324931

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