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NPI: 1578094462
Type: Organization
Provider Type: Ambulatory Surgical Center
Xmerican Xccess Xare Xf Xacksonville Xsc Xlc
2416 Xunn Xve
Jacksonville, FL 32218
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2022 Medicare Services Submitted*
| HCPCS Code △ ▽ |
Line Service
Count
△ ▽ |
Unique Beneficiary
Count
△ ▽ |
Average Submitted
Charge Amount
△ ▽ |
Average Medicare
Payment Amount
△ ▽ |
Total Medicare
Payment
△ ▽ |
|
XXXXX
|
Insertion of tunneled central venous tube for infusion (5 years or older) |
XX
|
14 |
$4503.00 |
$974.06 |
$
XX,XXX.XX
|
|
XXXXX
|
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist |
XX
|
16 |
$35089.00 |
$7857.41 |
$
XXX,XXX.XX
|
|
XXXXX
|
Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and in |
XX
|
18 |
$30292.00 |
$6781.99 |
$
XXX,XXX.XX
|
|
XXXXX
|
Balloon dilation of vein with review by radiologist, initial vein |
XX
|
19 |
$7107.00 |
$1251.18 |
$
XX,XXX.XX
|
|
XXXXX
|
Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist |
XX
|
27 |
$21207.00 |
$4748.93 |
$
XXX,XXX.XX
|
|
XXXXX
|
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube |
XX
|
34 |
$18253.00 |
$4100.91 |
$
XXX,XXX.XX
|
|
XXXXX
|
Replacement of tunneled central venous tube |
XX
|
58 |
$5948.00 |
$809.10 |
$
XX,XXX.XX
|
|
XXXXX
|
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist |
XX
|
61 |
$1797.00 |
$392.85 |
$
XX,XXX.XX
|
|
XXXXX
|
Removal of tunneled central venous tube |
XX
|
64 |
$901.00 |
$199.53 |
$
XX,XXX.XX
|
|
XXXXX
|
Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment |
XX
|
74 |
$21523.00 |
$4815.55 |
$
XXX,XXX.XX
|
|
XXXXX
|
Mechanical removal of obstructive material from central venous tube |
XXX
|
83 |
$5846.00 |
$654.39 |
$
XX,XXX.XX
|
|
XXXXX
|
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist |
XXX
|
182 |
$7107.00 |
$1582.28 |
$
XXX,XXX.XX
|
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Total Medicare Payments: |
$XXXXXXX.XX
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* Source:
2022 Medicare Provider Utilization and Payment Data: Physician and Other Supplier
Medicare Referring Provider DMEPOS PUF, CY2022
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