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Connie Marie Wilson

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NPI Number Detailed Information

Provider Information:

Name: Connie Marie Wilson
Gender: F
Provider License Number If Given: 3394

NPI Information:

NPI: 1235192881
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/6/2006

Last Update Date: 1/24/2020

Reputation Report:

Provider Business Mailing Address:

Address: 1921 STONECIPHER BLVD
Ada, OK 74820
Phone Number: 5804214570
Fax Number:

Provider Business Practice Location Address:

Address: 1921 STONECIPHER BLVD
Ada, OK 74820
Phone Number: 5804214570
Fax Number:

Provider Taxonomy:

Primary: 207PE0004X
Secondary (if any): 207R00000X
State: OK

Top Doctors in OK

 

About Connie Marie Wilson

Connie Marie Wilson ( CONNIE MARIE WILSON ) is An Emergency Medicine Physician in Ada, OK. The NPI Number for Connie Marie Wilson is 1235192881.
The current location address for Connie Marie Wilson is 1921 STONECIPHER BLVD Ada, OK 74820 and the contact number is 5804214570 and fax number is . The mailing address for Connie Marie Wilson is 1921 STONECIPHER BLVD Ada, OK 74820- 5804214570 (mailing address contact number - 5804214570).
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 Connie Marie Wilson ?


Answer: The NPI Number for Connie Marie Wilson is 1235192881

Where is Connie Marie Wilson located?


Answer: Connie Marie Wilson is located at 1921 STONECIPHER BLVD Ada, OK 74820.

What is the specialty for Connie Marie Wilson ?


Answer: The Specialty of Connie Marie Wilson is An Emergency Medicine Physician.

Are there any online reviews for Connie Marie Wilson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ada, 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 Connie Marie Wilson

Number of HCPCS 12
Number of Medicare Beneficiaries 158
Number of Services 489
Total Submitted Charge Amount 93673.05
Total Medicare Allowed Amount 36132.5
Total Medicare Payment Amount 26422.81
Total Medicare Standardized Payment Amount 27246.04
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 12
Number of Medicare Beneficiaries With Medical 158
Number of Medical Services 489
Total Medical Submitted Charge Amount 93673.05
Total Medical Medicare Allowed Amount 36132.5
Total Medical Medicare Payment Amount 26422.81
Total Medical Medicare Standardized Payment Amount 27246.04
Average Age of Beneficiaries 66
Number of Beneficiaries Age Less 65 56
Number of Beneficiaries Age 65 to 74 64
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 93
Number of Male Beneficiaries 65
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 126
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 47
Number of Beneficiaries With Medicare Only Entitlement 111
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.18
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.44
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.56
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.51
Percent (%) of Beneficiaries Identified With Hypertension 0.73
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.53
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.3206

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 7895
Number of Standardized 30-Day Fills 8004.4333333
Aggregate Cost Paid for All Claims 903591.69
Number of Day's Supply for All Claims 231536
Number of Medicare Beneficiaries 179
Number of Claims, Including Refills, for Beneficiaries Age 65+ 4932
Including Refills, for Beneficiaries Age 65+ 5015.4
Beneficiaries Age 65+ 582623.17
Number of Day's Supply for All Claims for Beneficaries Age 65+ 145043
Number of Medicare Beneficiaries Age 65+ 125
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 2165
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 5593
Aggregate Cost Paid for Generic Drugs 375101.01
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 137
Aggregate Cost Paid for Other Drugs 3469.8
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1513
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 138808.01
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 6382
Aggregate Cost Paid for Claims Filled by 764783.68
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2842
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 291142.11
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5053
by Low-Income Subsidy 612449.58
Total Claims of Opioid Drugs, Including 164
Aggregate Cost Paid for Opioid Drugs 8349.47
Opioid Claims 27
Opioid_Tot_Clms divided by the Tot_Clms 2.0772640912
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 72
Aggregate Cost Paid for Antibiotic Drugs 17366.56
Antibiotic Claims 48
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 67.318435754
Number of Beneficiaries Age Less Than 65 54
Number of Beneficiaries Age 65 to 74 81
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 108
Number of Male Beneficiaries 71
Number of Non-Hispanic White 38
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 134
Number of Beneficiaries with Race Not
Only Entitlement 118
Average Hierarchical Condition Category 1.3707672686

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