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Thor Tejada

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NPI Number Detailed Information

Provider Information:

Name: Thor Tejada
Gender: M
Provider License Number If Given: R3604

NPI Information:

NPI: 1376701565
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/26/2008

Last Update Date: 2/8/2022

Reputation Report:

Provider Business Mailing Address:

Address: 4411 MEDICAL DR STE 300
San Antonio, TX 78229
Phone Number: 2106145400
Fax Number: 2106144244

Provider Business Practice Location Address:

Address: 12709 TOEPPERWEIN RD STE 306
Live Oak, TX 78233
Phone Number: 2109670096
Fax Number: 2109670383

Provider Taxonomy:

Primary: 207RC0001X
Secondary (if any):
State: TX

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About Thor Tejada

Thor Tejada ( THOR TEJADA ) is A Internal Medicine Physician in Live Oak, TX. The NPI Number for Thor Tejada is 1376701565.
The current location address for Thor Tejada is 12709 TOEPPERWEIN RD STE 306 Live Oak, TX 78233 and the contact number is 2106145400 and fax number is 2106144244. The mailing address for Thor Tejada is 4411 MEDICAL DR STE 300 San Antonio, TX 78229- 2109670096 (mailing address contact number - 2106145400).
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Provider Business Location on Map

FAQs:

What is the NPI Number for Thor Tejada ?


Answer: The NPI Number for Thor Tejada is 1376701565

Where is Thor Tejada located?


Answer: Thor Tejada is located at 12709 TOEPPERWEIN RD STE 306 Live Oak, TX 78233.

What is the specialty for Thor Tejada ?


Answer: The Specialty of Thor Tejada is A Internal Medicine Physician.

Are there any online reviews for Thor Tejada ?


Answer: Yes! Check It Now.

Are there any other health care providers in Live Oak, TX?


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 Thor Tejada

Number of HCPCS 90
Number of Medicare Beneficiaries 1362
Number of Services 5681
Total Submitted Charge Amount 1041409
Total Medicare Allowed Amount 395926.4
Total Medicare Payment Amount 308325.08
Total Medicare Standardized Payment Amount 313557.08
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 90
Number of Medicare Beneficiaries With Medical 1362
Number of Medical Services 5681
Total Medical Submitted Charge Amount 1041409
Total Medical Medicare Allowed Amount 395926.4
Total Medical Medicare Payment Amount 308325.08
Total Medical Medicare Standardized Payment Amount 313557.08
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 114
Number of Beneficiaries Age 65 to 74 483
Number of Beneficiaries Age 75 to 84 520
Number of Beneficiaries Age Greater 84 245
Number of Female Beneficiaries 649
Number of Male Beneficiaries 713
Number of Non-Hispanic White Beneficiaries 1028
Number of Black or African American Beneficiaries 104
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 188
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 21
Number of Beneficiaries With Medicare & Medicaid Entitlement 139
Number of Beneficiaries With Medicare Only Entitlement 1223
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.46
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.26
Percent (%) of Beneficiaries Identified With Asthma 0.11
Percent (%) of Beneficiaries Identified With Cancer 0.15
Percent (%) of Beneficiaries Identified With Heart Failure 0.45
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.57
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.22
Percent (%) of Beneficiaries Identified With Depression 0.31
Percent (%) of Beneficiaries Identified With Diabetes 0.43
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.62
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.03
Percent (%) of Beneficiaries Identified With Stroke 0.14
Average HCC Risk Score of Beneficiaries 2.1512

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 Clinical Cardiac Electrophysiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2089
Number of Standardized 30-Day Fills 4519.4
Aggregate Cost Paid for All Claims 841993.03
Number of Day's Supply for All Claims 134459
Number of Medicare Beneficiaries 367
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1998
Including Refills, for Beneficiaries Age 65+ 4352.4
Beneficiaries Age 65+ 821253.21
Number of Day's Supply for All Claims for Beneficaries Age 65+ 129483
Number of Medicare Beneficiaries Age 65+ 347
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 776
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1313
Aggregate Cost Paid for Generic Drugs 54032.92
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 752
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 305828.71
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1337
Aggregate Cost Paid for Claims Filled by 536164.32
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 196
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 92259.9
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1893
by Low-Income Subsidy 749733.13
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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 75.490463215
Number of Beneficiaries Age Less Than 65 20
Number of Beneficiaries Age 65 to 74 149
Number of Beneficiaries Age 75 to 84 147
Number of Female Beneficiaries 163
Number of Male Beneficiaries 204
Number of Non-Hispanic White 295
Number of Black or African American 12
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 47
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 334
Average Hierarchical Condition Category 1.7409169012

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