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Mr. Andre Anthony Blake

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NPI Number Detailed Information

Provider Information:

Name: Mr. Andre Anthony Blake
Gender: M
Provider License Number If Given: PA16708

NPI Information:

NPI: 1588655682
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/31/2005

Last Update Date: 2/3/2020

Provider Business Mailing Address:

Address: PO BOX 10069
San Bernardino, CA 92423
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 2 W FERN AVE
Redlands, CA 92373
Phone Number: 9097933311
Fax Number: 9093354190

Provider Taxonomy:

Primary: 363AS0400X
Secondary (if any):
State: CA

Top Doctors in CA

 

About Mr. Andre Anthony Blake

Mr. Andre Anthony Blake (MR. ANDRE ANTHONY BLAKE ) is Definition Physician Assistant Physician in Redlands, CA. The NPI Number for Mr. Andre Anthony Blake is 1588655682.
The current location address for Mr. Andre Anthony Blake is 2 W FERN AVE Redlands, CA 92373 and the contact number is and fax number is . The mailing address for Mr. Andre Anthony Blake is PO BOX 10069 San Bernardino, CA 92423- 9097933311 (mailing address contact number - ).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Andre Anthony Blake ?


Answer: The NPI Number for Mr. Andre Anthony Blake is 1588655682

Where is Mr. Andre Anthony Blake located?


Answer: Mr. Andre Anthony Blake is located at 2 W FERN AVE Redlands, CA 92373.

What is the specialty for Mr. Andre Anthony Blake ?


Answer: The Specialty of Mr. Andre Anthony Blake is Definition Physician Assistant Physician.

Are there any online reviews for Mr. Andre Anthony Blake ?


Answer: Not yet!

Are there any other health care providers in Redlands, 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 Mr. Andre Anthony Blake

Number of HCPCS 23
Number of Medicare Beneficiaries 101
Number of Services 465
Total Submitted Charge Amount 15249
Total Medicare Allowed Amount 12557.7
Total Medicare Payment Amount 8655.93
Total Medicare Standardized Payment Amount 8111.26
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 30
Number of Drug Services 264
Total Drug Submitted Charge Amount 834
Total Drug Medicare Allowed Amount 786.66
Total Drug Medicare Payment Amount 468.4
Total Drug Medicare Standardized Payment Amount 459.15
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 21
Number of Medicare Beneficiaries With Medical 101
Number of Medical Services 201
Total Medical Submitted Charge Amount 14415
Total Medical Medicare Allowed Amount 11771.04
Total Medical Medicare Payment Amount 8187.53
Total Medical Medicare Standardized Payment Amount 7652.11
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 40
Number of Beneficiaries Age 75 to 84 33
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 60
Number of Male Beneficiaries 41
Number of Non-Hispanic White Beneficiaries 73
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 15
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 15
Number of Beneficiaries With Medicare Only Entitlement 86
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 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.14
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.68
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9945

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 Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 146
Number of Standardized 30-Day Fills 150.66666667
Aggregate Cost Paid for All Claims 1681.66
Number of Day's Supply for All Claims 2241
Number of Medicare Beneficiaries 103
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 142
Aggregate Cost Paid for Generic Drugs 1175.76
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 129
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1574.95
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 17
Aggregate Cost Paid for Claims Filled by 106.71
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 33
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 409.05
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 113
by Low-Income Subsidy 1272.61
Total Claims of Opioid Drugs, Including 67
Aggregate Cost Paid for Opioid Drugs 422.33
Opioid Claims 61
Opioid_Tot_Clms divided by the Tot_Clms 45.890410959
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 0
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+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.572815534
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 66
Number of Male Beneficiaries 37
Number of Non-Hispanic White 62
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 29
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 88
Average Hierarchical Condition Category 1.0632912621

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Mr. Andre Anthony Blake in Other Directories

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