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NPI Detail
NPI: 1073500419
Type: Organization
Taxonomy Code: 284300000X
Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Hospitals/Special(ty) Hospital
10109 X 79XX XXXXXX XXXXX
TULSA, OK 74133
Mailing and Business location phone:
(XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1073500419*
OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)
Top Level I HCPC Procedures
| Procedure | Description | Number Submitted | Medicare Payment |
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXX
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$XXX.XX
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| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
|
$XXX.XX
|
| 96367
|
TX/PROPH/DG ADDL SEQ IV INF
|
XXXX
|
$XXXXX.XX
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| 36415
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ROUTINE VENIPUNCTURE
|
XXXX
|
$XXX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J1453
|
Fosaprepitant injection
|
XXXXX
|
$XXXXX.XX
|
| J9263
|
Oxaliplatin
|
XXXXX
|
-
|
| J9271
|
Inj pembrolizumab
|
XXXXX
|
$XXXXXXX.XX
|
| J9299
|
Injection, nivolumab
|
XXXXX
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$XXXXXX.XX
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| J9267
|
Paclitaxel injection
|
XXXXX
|
-
|
| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
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| J0897
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Denosumab injection
|
XXXXX
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$XXXXXX.XX
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| J1439
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Inj ferric carboxymaltos 1mg
|
XXXXX
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$XXXX.XX
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| J9264
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Paclitaxel protein bound
|
XXXX
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$XXXXXX.XX
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| J9306
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Injection, pertuzumab, 1 mg
|
XXXX
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$XXXXX.XX
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| J1100
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Dexamethasone sodium phos
|
XXXX
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-
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| J9025
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Azacitidine injection
|
XXXX
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$XXXX.XX
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| J9171
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Docetaxel injection
|
XXXX
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-
|
| J0881
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Darbepoetin alfa, non-esrd
|
XXXX
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$XXXXX.XX
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| J9022
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Inj, atezolizumab,10 mg
|
XXXX
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$XXXXXX.XX
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| J9354
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Inj, ado-trastuzumab emt 1mg
|
XXXX
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$XXXXXX.XX
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| J9305
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Inj. pemetrexed nos 10mg
|
XXXX
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$XXXXXX.XX
|
| J2469
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Palonosetron hcl
|
XXXX
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-
|
| J1930
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Lanreotide injection
|
XXXX
|
$XXXXXX.XX
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| J9033
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Inj., treanda 1 mg
|
XXXX
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$XXXXX.XX
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| J0461
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Atropine sulfate injection
|
XXXX
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-
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| J9177
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Inj enfort vedo-ejfv 0.25mg
|
XXXX
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$XXXXX.XX
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| J9047
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Injection, carfilzomib, 1 mg
|
XXXX
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$XXXXX.XX
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| J0640
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Leucovorin calcium injection
|
XXXX
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-
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| J9144
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Daratumumab, hyaluronidase
|
XXXX
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$XXXXX.XX
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| J9173
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Inj., durvalumab, 10 mg
|
XXXX
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$XXXXXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXX
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-
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| J9358
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Inj fam-trastu deru-nxki 1mg
|
XXXX
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$XXXXX.XX
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
|
XXXX
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$XXXXXX.X
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* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
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