Physician

Robert Henry Blackwell, MD

According to 2025 Medicare claims, Robert Blackwell, MD (NPI: 1346569480) practices urology in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is SIU PHYSICIANS & SURGEONS, INC (NPI: 1558385989; TIN: 36-4143823) and primary practice location at 62526-4163. Blackwell is affiliated with the IRCCO (ACO ID: A2619), SSM IL ACO, LLC (ACO ID: A4832), and SBL accountable care organization (ACO ID: A5147), participating under the MSSP model.

Blackwell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 527 traditional Medicare patients, billed 1,968 HCPCS/CPT codes, and received $146,270 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 1,178 prescription claims across 431 beneficiaries totaling $53,188 in drug costs, led by Gemtesa (Vibegron). DME data shows 141 claims. Open Payments data shows 18 records totaling $546. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $3,233 to $53,188. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	88	255	$32,181
2018	436	3,923	$162,844
2019	641	2,221	$212,612
2020	635	1,852	$228,147
2021	765	2,087	$226,636
2022	666	1,466	$179,281
2023	518	2,488	$147,020
2024	527	1,968	$146,270

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	39	57	$3,233
2016	42	86	$2,816
2017	44	110	$2,620
2018	192	505	$20,016
2019	315	1,024	$61,375
2020	445	1,330	$64,140
2021	567	1,543	$76,011
2022	517	1,330	$59,225
2023	476	1,166	$58,598
2024	431	1,178	$53,188

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	11	$10,270
2019	N/R	30	$20,259
2020	N/R	143	$42,829
2021	11	191	$39,187
2022	N/R	144	$27,146
2023	N/R	135	$32,560
2024	N/R	141	$40,206

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
52000	Diagnostic exam of bladder and urethra using an endoscope	72	101	$153
55700	Biopsy of prostate gland	77	77	$93
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	167	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	77	78	$61
74420	Imaging of urinary tract following injection of a contrast agent	73	96	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	20	1,500	$24,295
Tamsulosin Hcl	Tamsulosin Hcl	366	28,544	$5,911
Finasteride	Finasteride	147	11,463	$1,304
Potassium Citrate Er	Potassium Citrate	12	1,080	$885
Oxybutynin Chloride Er	Oxybutynin Chloride	41	3,045	$769

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	41	$29,009
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	16	$4,924
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	14	$2,865
A4432	Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each	N	N/R	32	$2,552
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	26	$573

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$546	Cook Medical LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Robert Henry Blackwell, MD?

Tedicare shows public-source Medicare data for Robert Henry Blackwell, MD (NPI 1346569480), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert Henry Blackwell, MD have ACO affiliation data?

Robert Henry Blackwell, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), SSM IL ACO, LLC (MSSP, ACO ID A4832), and SBL accountable care organization (MSSP, ACO ID A5147).

What billing organization is linked to Robert Henry Blackwell, MD?

Robert Henry Blackwell, MD is linked to SIU PHYSICIANS & SURGEONS, INC (billing NPI 1558385989) in the available physician profile data.

Does Robert Henry Blackwell, MD have Open Payments data?

Robert Henry Blackwell, MD has 18 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.