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NPI Detail
NPI: 1184639973
Type: Organization
Taxonomy Code: 2084P0800X
Physician/Psychiatry
Allopathic & Osteopathic Physicians/Psychiatry
130 XXXXXXXX XX
DERBY, CT 064181326
Mailing and Business location phone:
(XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1184639973*
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 |
| 91300
|
SARSCOV2 VAC 30MCG/0.3ML IM
|
XXXXX
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$X.XX
|
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXXX
|
$XXXXX
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
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$XXXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXX
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$XXXXX.XX
|
| 97110
|
THERAPEUTIC EXERCISES
|
XXXX
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$XXXXX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXX
|
$XXXXX.XX
|
| 91301
|
SARSCOV2 VAC 100MCG/0.5ML IM
|
XXXX
|
-
|
| 80061
|
LIPID PANEL
|
XXXX
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$XXXXX.XX
|
| 84443
|
ASSAY THYROID STIM HORMONE
|
XXXX
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$XXXXX.XX
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| 91306
|
SARSCOV2 VAC 50MCG/0.25ML IM
|
XXXX
|
-
|
| 85610
|
PROTHROMBIN TIME
|
XXXX
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$XXXX.XX
|
| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
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$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0878
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Daptomycin injection
|
XXXXX
|
-
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| J0257
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Glassia injection
|
XXXXX
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$XXXXX.XX
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| J2323
|
Natalizumab injection
|
XXXXX
|
$XXXXXX.XX
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| J1561
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Gamunex-c/gammaked
|
XXXXX
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$XXXXXX.XX
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| J0897
|
Denosumab injection
|
XXXX
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$XXXXXX.XX
|
| J1756
|
Iron sucrose injection
|
XXXX
|
-
|
| J9312
|
Inj., rituximab, 10 mg
|
XXXX
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$XXXXXX.XX
|
| J7168
|
Prothrombin complex kcentra
|
XXXX
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$XXXX.XX
|
| J3111
|
Inj. romosozumab-aqqg 1 mg
|
XXXX
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$XXXXX.XX
|
| J2182
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Injection, mepolizumab, 1mg
|
XXXX
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$XXXXX.XX
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| J2795
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Ropivacaine hcl injection
|
XXXX
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-
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| J2786
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Injection, reslizumab, 1mg
|
XXXX
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$XXXXX.XX
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| J3380
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Injection, vedolizumab
|
XXXX
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$XXXXX.XX
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| J2357
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Omalizumab injection
|
XXXX
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$XXXXX.XX
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| J2350
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Injection, ocrelizumab, 1 mg
|
XXXX
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$XXXXXX.XX
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| U0003
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Cov-19 amp prb hgh thruput
|
XXXXX
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$XXXXXXX.XX
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| U0005
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Infec agen detec ampli probe
|
XXXXX
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$XXXXXX.XX
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| G0378
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Hospital observation per hr
|
XXXXX
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-
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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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