Active NPI 1588655682 Individual Practitioner Male Practitioner

Andre Anthony Blake , PA

Physician Assistant - Surgical • Redlands, CA

Professional Overview & Biography Verified Profile Summary

Andre Blake, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Redlands, CA. Practice services are available at 2 W FERN AVE under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 W Fern Ave

Redlands, CA 923735916

Telephone 9097933311

Fax 9093354190

Associated Practice Facility / Clinic

🏢 Beaver Medical Group, Lp Facility NPI 1831133768

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Redlands, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.0 Yrs

State Avg: 14.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Redlands, CA (1088 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	20	$1.06	$0.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$59.67	$49.35
20610 Aspiration and/or injection of fluid from large joint	21	19	$90.55	$60.84
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$74.50	$63.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	288	50	$1.08	$1.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	84	$58.41	$50.89
20610 Aspiration and/or injection of fluid from large joint	61	41	$97.81	$63.19
99213 Established patient office or other outpatient visit, typically 15 minutes	61	59	$92.65	$80.85
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$75.45	$65.04
20550 Injection into tendon or ligament	13	13	$66.77	$54.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	362	50	$1.12	$1.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	82	$60.18	$50.82
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$77.30	$65.46
20610 Aspiration and/or injection of fluid from large joint	71	47	$101.43	$65.25
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$95.95	$81.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	216	29	$1.41	$1.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	47	$57.99	$50.83
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$75.11	$65.95
20610 Aspiration and/or injection of fluid from large joint	39	26	$97.20	$64.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	216	32	$1.56	$1.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	35	$48.19	$41.36
20610 Aspiration and/or injection of fluid from large joint	37	24	$81.54	$60.66
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$78.81	$67.57
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$80.36	$68.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	224	42	$1.69	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	65	46	$79.19	$66.32
20610 Aspiration and/or injection of fluid from large joint	41	34	$66.87	$56.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$47.67	$40.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$113.35	$96.46
27447 Replacement of knee joint, both sides of knee	15	15	$268.61	$92.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$114.06	$96.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	130	28	$1.90	$1.83
99213 Established patient office or other outpatient visit, typically 15 minutes	55	35	$76.79	$64.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	42	$113.24	$94.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$113.07	$94.95
20610 Aspiration and/or injection of fluid from large joint	21	19	$69.33	$56.83
27447 Replacement of knee joint, both sides of knee	12	11	$261.57	$178.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	117	26	$1.80	$1.75
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$76.72	$64.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$112.87	$94.62
20610 Aspiration and/or injection of fluid from large joint	19	19	$68.07	$56.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$112.75	$94.31

Medical Specialties & State Licenses

CMS Verified: 2020-02-03

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License CA PA16708

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Nurse Practitioner - Acute Care

NPI 1003512088

Adult-Gerontology Acute Care Nurse Practitioner

Robert Thomas

Radiology - Diagnostic Radiology

NPI 1003845496

Lisa Anderson , NP

Nurse Practitioner

NPI 1003851593

Nurse Practitioner

Dr. Luis Sanchez , DO

Anesthesiology

NPI 1003860032

Doctor of Osteopathic Medicine (D.O.)

Dr. Bradley Basinger , MD

Surgery

NPI 1023053592

Doctor of Medicine (M.D.)

Dr. John Mortensen , MD

Radiology - Diagnostic Radiology

NPI 1023057130

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active June 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2017

Registered at 2 W FERN AVE, REDLANDS, CA 923735916 (Tel: 9097860725)

📍

Updated Business Mailing Address June 24, 2017

Registered at PO BOX 10069, SAN BERNARDINO, CA 924230069

👤

Provider Name / Credentials Updated June 24, 2017

Recorded as ANDRE BLAKE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2017

Physician Assistant (License #PA16708 in CA)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 39000 BOB HOPE DR, LAKEVIEW BUILDING, RANCHO MIRAGE, CA 922703221 (Tel: 7605682684)

📍

Updated Business Mailing Address July 09, 2007

Registered at PO BOX 10375, MORENO VALLEY, CA 925520375

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as ANDRE BLAKE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #PA16708 in CA)

🟢

Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588655682

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2005

Last Update: February 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 10069

San Bernardino, CA 924230069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.