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Tina Malm

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NPI Number Detailed Information

Provider Information:

Name: Tina Malm
Gender: F
Provider License Number If Given: 110002949

NPI Information:

NPI: 1003041898
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/21/2009

Last Update Date: 9/22/2021

Provider Business Mailing Address:

Address: PO BOX 3360
Portland, OR 97208
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1668 US-51 N
Ponchatoula, LA 70454
Phone Number: 9854014022
Fax Number: 9854014023

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any): 363A00000X
State: LA

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About Tina Malm

Tina Malm ( TINA MALM ) is Definition Physician Assistant Physician in Ponchatoula, LA. The NPI Number for Tina Malm is 1003041898.
The current location address for Tina Malm is 1668 US-51 N Ponchatoula, LA 70454 and the contact number is and fax number is . The mailing address for Tina Malm is PO BOX 3360 Portland, OR 97208- 9854014022 (mailing address contact number - ).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Tina Malm ?


Answer: The NPI Number for Tina Malm is 1003041898

Where is Tina Malm located?


Answer: Tina Malm is located at 1668 US-51 N Ponchatoula, LA 70454.

What is the specialty for Tina Malm ?


Answer: The Specialty of Tina Malm is Definition Physician Assistant Physician.

Are there any online reviews for Tina Malm ?


Answer: Not yet!

Are there any other health care providers in Ponchatoula, LA?


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 Tina Malm

Number of HCPCS 26
Number of Medicare Beneficiaries 61
Number of Services 324
Total Submitted Charge Amount 30477
Total Medicare Allowed Amount 12625.57
Total Medicare Payment Amount 10856.99
Total Medicare Standardized Payment Amount 10926.03
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 9
Number of Medicare Beneficiaries With Drug Services 23
Number of Drug Services 162
Total Drug Submitted Charge Amount 970
Total Drug Medicare Allowed Amount 56.54
Total Drug Medicare Payment Amount 42.76
Total Drug Medicare Standardized Payment Amount 41.86
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 17
Number of Medicare Beneficiaries With Medical 61
Number of Medical Services 162
Total Medical Submitted Charge Amount 29507
Total Medical Medicare Allowed Amount 12569.03
Total Medical Medicare Payment Amount 10814.23
Total Medical Medicare Standardized Payment Amount 10884.17
Average Age of Beneficiaries 64
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 28
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 36
Number of Male Beneficiaries 25
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 29
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 17
Number of Beneficiaries With Medicare Only Entitlement 44
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 0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.23
Percent (%) of Beneficiaries Identified With Diabetes 0.41
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.21
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.0198

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 246
Number of Standardized 30-Day Fills 256.23333333
Aggregate Cost Paid for All Claims 6877.17
Number of Day's Supply for All Claims 2619
Number of Medicare Beneficiaries 130
Number of Claims, Including Refills, for Beneficiaries Age 65+ 189
Including Refills, for Beneficiaries Age 65+ 197.23333333
Beneficiaries Age 65+ 6017.41
Number of Day's Supply for All Claims for Beneficaries Age 65+ 2024
Number of Medicare Beneficiaries Age 65+ 105
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 24
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 222
Aggregate Cost Paid for Generic Drugs 2238.43
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 192
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 2789.98
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 54
Aggregate Cost Paid for Claims Filled by 4087.19
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 84
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1871.7
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 162
by Low-Income Subsidy 5005.47
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 103
Aggregate Cost Paid for Antibiotic Drugs 785.77
Antibiotic Claims 88
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 69.330769231
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 68
Number of Beneficiaries Age 75 to 84 33
Number of Female Beneficiaries 86
Number of Male Beneficiaries 44
Number of Non-Hispanic White 69
Number of Black or African American 54
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 90
Average Hierarchical Condition Category 1.0800820513

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Address: 1668 US-51 N Ponchatoula, LA 70454 , Phone: 9854014022
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Tina Malm in Other Directories

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