Medicare Facts for Dr. Michael T. Blake, DO


National Provider Identifier [NPI]: 1588855803
Last Name Of The Provider BLAKE
First Name Of The Provider MICHAEL
Middle Initial Of The Provider T
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 250 HOSPITAL PLACE
Street Address 2 Of The Provider CENTRAL PENINSULA HOSPITAL
City Of The Provider SOLDOTNA
Zip Code Of The Provider 99669
State Code Of The Provider AK
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 657
Number Of Medicare Beneficiaries 359
Total Submitted Charge Amount 290921.87
Total Medicare Allowed Amount 78052.3
Total Medicare Payment Amount 58021.35
Total Medicare Standardized Payment Amount 41055.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 657
Number Of Medicare Beneficiaries With Medical Services 359
Total Medical Submitted Charge Amount 290921.87
Total Medical Medicare Allowed Amount 78052.3
Total Medical Medicare Payment Amount 58021.35
Total Medical Medicare Standardized Payment Amount 41055.03
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 99
Number Of Beneficiaries Age 65 to 74 140
Number Of Beneficiaries Age 75 to 84 74
Number Of Beneficiaries Age Greater 84 46
Number Of Female Beneficiaries 205
Number Of Male Beneficiaries 154
Number Of Non Hispanic White Beneficiaries 321
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 24
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 217
Number Of Beneficiaries With Medicare Medicaid Entitlement 142
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 10
Percent Of With Cancer 12
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 29
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5659

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