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NPI Detail
NPI: 1114025491
Type: Organization
Taxonomy Code: 273R00000X
Hospital-Psychiatric Unit
Hospital Units/Psychiatric Unit
1034 X 500 X
PROVO, UT 846043380
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1114025491*
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 |
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
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$XXXXX.XX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXX
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$XXXXX.XX
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| 80048
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METABOLIC PANEL TOTAL CA
|
XXXX
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$XXXX.XX
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| 88305
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TISSUE EXAM BY PATHOLOGIST
|
XXXX
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$XXXXX.XX
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| 93005
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ELECTROCARDIOGRAM TRACING
|
XXXX
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$XXXX.XX
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| 97110
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THERAPEUTIC EXERCISES
|
XXXX
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$XXXXX.XX
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| 81001
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URINALYSIS AUTO W/SCOPE
|
XXXX
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$XXXX.XX
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| 84484
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ASSAY OF TROPONIN QUANT
|
XXXX
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$XXXX.XX
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| 85610
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PROTHROMBIN TIME
|
XXXX
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$XXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0878
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Daptomycin injection
|
XXXXXX
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-
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| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
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| J1756
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Iron sucrose injection
|
XXXXX
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-
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| J1561
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Gamunex-c/gammaked
|
XXXXX
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$XXXXXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXX
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-
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| J0256
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Alpha 1 proteinase inhibitor
|
XXXX
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$XXXXX.XX
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| J1644
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Inj heparin sodium per 1000u
|
XXXX
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-
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| J1100
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Dexamethasone sodium phos
|
XXXX
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-
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| J0690
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Cefazolin sodium injection
|
XXXX
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-
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| J1439
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Inj ferric carboxymaltos 1mg
|
XXXX
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$XXXX.XX
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| J0131
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Inj, acetaminophen (nos)
|
XXXX
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-
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| J2795
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Ropivacaine hcl injection
|
XXXX
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-
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| J2250
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Inj midazolam hydrochloride
|
XXXX
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-
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| J3262
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Tocilizumab injection
|
XXXX
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$XXXXX.XX
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| J1815
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Insulin injection
|
XXXX
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-
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| J0696
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Ceftriaxone sodium injection
|
XXXX
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-
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| J1453
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Fosaprepitant injection
|
XXXX
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$XXX.XX
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| J3010
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Fentanyl citrate injection
|
XXXX
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-
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| J0897
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Denosumab injection
|
XXXX
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$XXXXX.XX
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| J1447
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Inj tbo filgrastim 1 microg
|
XXXX
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$XXX.XX
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| J2248
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Micafungin sodium injection
|
XXXX
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$XXXX.XX
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| J0485
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Belatacept injection
|
XXXX
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$XXXX.XX
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| J0153
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Adenosine inj 1mg
|
XXXX
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-
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| J3473
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Hyaluronidase recombinant
|
XXXX
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-
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0378
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Hospital observation per hr
|
XXXX
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-
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| G0277
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Hbot, full body chamber, 30m
|
XXXX
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$XXXXXX.XX
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| G0463
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Hospital outpt clinic visit
|
XXXX
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$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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