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NPI Detail
NPI: 1194749580
Type: Organization
Taxonomy Code: 273R00000X
Hospital-Psychiatric Unit
Hospital Units/Psychiatric Unit


4401 XXXXXXXX XXXX
OGDEN, UT 844033195
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
Click here for new NPI search.


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2021 OPPS Part A Medicare Services Submitted NPI-1194749580*

OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)

Top Level I HCPC Procedures
ProcedureDescriptionNumber SubmittedMedicare Payment
85025 COMPLETE CBC W/AUTO DIFF WBC XXXXX $XXXXX.XX
80053 COMPREHEN METABOLIC PANEL XXXXX $XXXXX.XX
97110 THERAPEUTIC EXERCISES XXXXX $XXXXXX
85610 PROTHROMBIN TIME XXXX $XXXX.XX

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment
J1447 Inj tbo filgrastim 1 microg XXXXX $XXXXX.XX
J1756 Iron sucrose injection XXXXX -
J2704 Inj, propofol, 10 mg XXXXX -
J0878 Daptomycin injection XXXXX -
J3380 Injection, vedolizumab XXXXX $XXXXXX.XX
J0881 Darbepoetin alfa, non-esrd XXXXX $XXXXX.XX
J0256 Alpha 1 proteinase inhibitor XXXXX $XXXXX.XX
J1561 Gamunex-c/gammaked XXXXX $XXXXXX.XX
J0897 Denosumab injection XXXXX $XXXXXX.XX
J3111 Inj. romosozumab-aqqg 1 mg XXXXX $XXXXXX.XX
J1439 Inj ferric carboxymaltos 1mg XXXXX $XXXX.XX
J1100 Dexamethasone sodium phos XXXXX -
J9306 Injection, pertuzumab, 1 mg XXXXX $XXXXXX.XX
J1453 Fosaprepitant injection XXXXX $XXXX.XX
J9263 Oxaliplatin XXXXX -
J0583 Bivalirudin XXXXX -
J7195 Factor ix recombinant nos XXXXX $XXXX.XX
J2182 Injection, mepolizumab, 1mg XXXXX $XXXXXX.XX
J2405 Ondansetron hcl injection XXXX -
J9299 Injection, nivolumab XXXX $XXXXXX.XX
J2357 Omalizumab injection XXXX $XXXXXX.XX
J2323 Natalizumab injection XXXX $XXXXX.XX
J9271 Inj pembrolizumab XXXX $XXXXXX.XX
J9145 Injection, daratumumab 10 mg XXXX $XXXXXX.XX
J1944 Aripiprazole lauroxil 1 mg XXXX $XXXXX.XX
J1644 Inj heparin sodium per 1000u XXXX -
J0131 Inj, acetaminophen (nos) XXXX -
J0690 Cefazolin sodium injection XXXX -
J2426 Inj, invega sustenna, 1 mg XXXX $XXXXX.XX
J0485 Belatacept injection XXXX $XXXX.XX
J9035 Bevacizumab injection XXXX $XXXXXX.XX

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0378 Hospital observation per hr XXXXX -


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


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