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NPI: 1467492421
Type: Organization
Provider Type: Portable X-Ray Supplier
Xt Xlizabeth Xedical Xenter, Xnc
1 Xedical Xillage Xr
Edgewood, KY 41017
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
|
Set-up portable x-ray equipment |
XXX
|
239 |
$ 22.14 |
$ 15.05 |
$
X,XXX.XX
|
|
XXXXX
|
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
XXX
|
102 |
$ 49.27 |
$ 35.55 |
$
X,XXX.XX
|
|
XXXXX
|
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
XXX
|
198 |
$113.51 |
$ 80.84 |
$
XX,XXX.XX
|
|
XXXXX
|
X-ray of chest, 1 view |
XXX
|
170 |
$231.90 |
$ 17.38 |
$
X,XXX.XX
|
|
XXXXX
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X-ray of shoulder, minimum of 2 views |
XX
|
16 |
$231.90 |
$ 25.07 |
$
XXX.XX
|
|
XXXXX
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X-ray of hand, minimum of 3 views |
XX
|
11 |
$231.90 |
$ 20.42 |
$
XXX.XX
|
|
XXXXX
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X-ray of hip, 2-3 views |
XX
|
32 |
$231.90 |
$ 31.16 |
$
X,XXX.XX
|
|
XXXXX
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X-ray of thigh bone, minimum 2 views |
XX
|
12 |
$231.90 |
$ 25.50 |
$
XXX.XX
|
|
XXXXX
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X-ray of knee, 1-2 views |
XX
|
19 |
$231.90 |
$ 24.56 |
$
XXX.XX
|
|
XXXXX
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X-ray of abdomen, 1 view |
XX
|
30 |
$231.90 |
$ 20.84 |
$
XXX.XX
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Total Medicare Payments: |
$XXXXX.XXXXXXX
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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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