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Charles Dewayne Black

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NPI Number Detailed Information

Provider Information:

Name: Charles Dewayne Black
Gender: M
Provider License Number If Given: 3023

NPI Information:

NPI: 1891757860
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/5/2006

Last Update Date: 11/9/2007

Reputation Report:

Provider Business Mailing Address:

Address: 4401 W MEMORIAL RD SUITE 121
Oklahoma City, OK 73134
Phone Number: 4057514664
Fax Number: 4057494561

Provider Business Practice Location Address:

Address: 1011 14TH AVE NW ER DEPT.
Ardmore, OK 73401
Phone Number: 5802206415
Fax Number: 4057494561

Provider Taxonomy:

Primary: 207PE0004X
Secondary (if any):
State: OK

Top Doctors in OK

 

About Charles Dewayne Black

Charles Dewayne Black ( CHARLES DEWAYNE BLACK ) is An Emergency Medicine Physician in Ardmore, OK. The NPI Number for Charles Dewayne Black is 1891757860.
The current location address for Charles Dewayne Black is 1011 14TH AVE NW ER DEPT. Ardmore, OK 73401 and the contact number is 4057514664 and fax number is 4057494561. The mailing address for Charles Dewayne Black is 4401 W MEMORIAL RD SUITE 121 Oklahoma City, OK 73134- 5802206415 (mailing address contact number - 4057514664).
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider Business Location on Map

FAQs:

What is the NPI Number for Charles Dewayne Black ?


Answer: The NPI Number for Charles Dewayne Black is 1891757860

Where is Charles Dewayne Black located?


Answer: Charles Dewayne Black is located at 1011 14TH AVE NW ER DEPT. Ardmore, OK 73401.

What is the specialty for Charles Dewayne Black ?


Answer: The Specialty of Charles Dewayne Black is An Emergency Medicine Physician.

Are there any online reviews for Charles Dewayne Black ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ardmore, OK?


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 Charles Dewayne Black

Number of HCPCS 20
Number of Medicare Beneficiaries 239
Number of Services 440
Total Submitted Charge Amount 577577
Total Medicare Allowed Amount 49041.4
Total Medicare Payment Amount 40192.91
Total Medicare Standardized Payment Amount 40344.94
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 20
Number of Medicare Beneficiaries With Medical 239
Number of Medical Services 440
Total Medical Submitted Charge Amount 577577
Total Medical Medicare Allowed Amount 49041.4
Total Medical Medicare Payment Amount 40192.91
Total Medical Medicare Standardized Payment Amount 40344.94
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65 60
Number of Beneficiaries Age 65 to 74 79
Number of Beneficiaries Age 75 to 84 71
Number of Beneficiaries Age Greater 84 29
Number of Female Beneficiaries 128
Number of Male Beneficiaries 111
Number of Non-Hispanic White Beneficiaries 207
Number of Black or African American Beneficiaries
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 86
Number of Beneficiaries With Medicare Only Entitlement 153
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.19
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.28
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.46
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.37
Percent (%) of Beneficiaries Identified With Depression 0.4
Percent (%) of Beneficiaries Identified With Diabetes 0.35
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.57
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.54
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke 0.09
Average HCC Risk Score of Beneficiaries 1.5437

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 Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 189
Number of Standardized 30-Day Fills 237.86666667
Aggregate Cost Paid for All Claims 3015.41
Number of Day's Supply for All Claims 4116
Number of Medicare Beneficiaries 96
Number of Claims, Including Refills, for Beneficiaries Age 65+ 128
Including Refills, for Beneficiaries Age 65+ 176.86666667
Beneficiaries Age 65+ 2423.63
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3440
Number of Medicare Beneficiaries Age 65+ 64
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 183
Aggregate Cost Paid for Generic Drugs 2365.32
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 48
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 314.42
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 141
Aggregate Cost Paid for Claims Filled by 2700.99
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 88
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 922.17
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 101
by Low-Income Subsidy 2093.24
Total Claims of Opioid Drugs, Including 17
Aggregate Cost Paid for Opioid Drugs 103.65
Opioid Claims 17
Opioid_Tot_Clms divided by the Tot_Clms 8.9947089947
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 51
Aggregate Cost Paid for Antibiotic Drugs 504.85
Antibiotic Claims 44
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 66.916666667
Number of Beneficiaries Age Less Than 65 32
Number of Beneficiaries Age 65 to 74 36
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 53
Number of Male Beneficiaries 43
Number of Non-Hispanic White 84
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 0
Only Entitlement 52
Average Hierarchical Condition Category 1.1991104167

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