|
|
.
NPI Detail
NPI: 1083617005
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical
4050 X XXXXXXXX XX
OKLAHOMA CITY, OK 731208382
Mailing and Business location phone:
(XXX) XXX-XXXX
|
Click here for new NPI search.
|
2021 OPPS Part A Medicare Services Submitted NPI-1083617005*
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 |
| 93005
|
ELECTROCARDIOGRAM TRACING
|
XXXXX
|
$XXXXX.XX
|
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXXX
|
$XXXXX.XX
|
| 93296
|
REM INTERROG EVL PM/IDS
|
XXXXX
|
$XXXXXX.XX
|
| 93306
|
TTE W/DOPPLER COMPLETE
|
XXXXX
|
$XXXXXXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXXX
|
$XXXXX.XX
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXXX
|
$XXXXX.XX
|
| 85610
|
PROTHROMBIN TIME
|
XXXX
|
$XXXX.XX
|
| 80061
|
LIPID PANEL
|
XXXX
|
$XXXXX.XX
|
| 93017
|
CARDIOVASCULAR STRESS TEST
|
XXXX
|
$XXXXX.XX
|
| 78452
|
HT MUSCLE IMAGE SPECT MULT
|
XXXX
|
$XXXXXXX.XX
|
| 93880
|
EXTRACRANIAL BILAT STUDY
|
XXXX
|
$XXXXXX.XX
|
| 84484
|
ASSAY OF TROPONIN QUANT
|
XXXX
|
$XXX.XX
|
| 71045
|
X-RAY EXAM CHEST 1 VIEW
|
XXXX
|
$XXXXXX.XX
|
| 99152
|
MOD SED SAME PHYS/QHP 5/>YRS
|
XXXX
|
-
|
| 99285
|
EMERGENCY DEPT VISIT HI MDM
|
XXXX
|
$XXXXXXX.XX
|
| 99153
|
MOD SED SAME PHYS/QHP EA
|
XXXX
|
-
|
| 83880
|
ASSAY OF NATRIURETIC PEPTIDE
|
XXXX
|
$XXXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXX
|
$XXXXX.XX
|
Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J1644
|
Inj heparin sodium per 1000u
|
XXXXX
|
-
|
| J1439
|
Inj ferric carboxymaltos 1mg
|
XXXXX
|
$XXXXX.XX
|
| J2250
|
Inj midazolam hydrochloride
|
XXXXX
|
-
|
| J2785
|
Regadenoson injection
|
XXXXX
|
-
|
| J0461
|
Atropine sulfate injection
|
XXXX
|
-
|
| J1100
|
Dexamethasone sodium phos
|
XXXX
|
-
|
| J2720
|
Inj protamine sulfate/10 mg
|
XXXX
|
-
|
| J3010
|
Fentanyl citrate injection
|
XXXX
|
-
|
| J7168
|
Prothrombin complex kcentra
|
XXXX
|
$XXXX.XX
|
| J2001
|
Lidocaine injection
|
XXXX
|
-
|
| J2405
|
Ondansetron hcl injection
|
XXXX
|
-
|
Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
|
Hospital outpt clinic visit
|
XXXXX
|
$XXXXXXX.XX
|
| G0378
|
Hospital observation per hr
|
XXXXX
|
-
|
| G0422
|
Intens cardiac rehab w/exerc
|
XXXX
|
$XXXXXX.XX
|
| G2066
|
Inter devc remote 30d
|
XXXX
|
$XXXXXX.XX
|
| G0423
|
Intens cardiac rehab no exer
|
XXXX
|
$XXXXXX.XX
|
* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
|
