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NPI Detail
NPI: 1205900370
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical
1504 XXXX XXXX
HOUSTON, TX 770301608
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1205900370*
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
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXX
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$XXXXX.XX
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| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
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$XXXXX.XX
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| 82947
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ASSAY GLUCOSE BLOOD QUANT
|
XXXX
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$XXXXX.XX
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| 80061
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LIPID PANEL
|
XXXX
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$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J9299
|
Injection, nivolumab
|
XXXXX
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$XXXXXX.XX
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| J9271
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Inj pembrolizumab
|
XXXXX
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$XXXXXXX.XX
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| J1453
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Fosaprepitant injection
|
XXXXX
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$XXXX.XX
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| J0881
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Darbepoetin alfa, non-esrd
|
XXXXX
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$XXXXX.XX
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| J9267
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Paclitaxel injection
|
XXXXX
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-
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| J0585
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Injection,onabotulinumtoxina
|
XXXXX
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$XXXXX.XX
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| J2426
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Inj, invega sustenna, 1 mg
|
XXXXX
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$XXXXX.XX
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| J2323
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Natalizumab injection
|
XXXXX
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$XXXXXX.XX
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| J1953
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Levetiracetam injection
|
XXXX
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-
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| J9263
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Oxaliplatin
|
XXXX
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-
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| J9306
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Injection, pertuzumab, 1 mg
|
XXXX
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$XXXXX.XX
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| J1642
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Inj heparin sodium per 10 u
|
XXXX
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-
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| J2704
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Inj, propofol, 10 mg
|
XXXX
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-
|
| J1071
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Inj testosterone cypionate
|
XXXX
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-
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| J9145
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Injection, daratumumab 10 mg
|
XXXX
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$XXXXXX.XX
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| J1644
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Inj heparin sodium per 1000u
|
XXXX
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-
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| J1756
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Iron sucrose injection
|
XXXX
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-
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| J9171
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Docetaxel injection
|
XXXX
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-
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| J7512
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Prednisone ir or dr oral 1mg
|
XXXX
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-
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| J9358
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Inj fam-trastu deru-nxki 1mg
|
XXXX
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$XXXXX.XX
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| J2001
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Lidocaine injection
|
XXXX
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-
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| J0401
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Inj aripiprazole ext rel 1mg
|
XXXX
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$XXXXX.XX
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| J3490
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Drugs unclassified injection
|
XXXX
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-
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| J1815
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Insulin injection
|
XXXX
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-
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| J0131
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Inj, acetaminophen (nos)
|
XXXX
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-
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| J0461
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Atropine sulfate injection
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XXXX
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-
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| J1050
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Medroxyprogesterone acetate
|
XXXX
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-
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0378
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Hospital observation per hr
|
XXXXX
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-
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| G0463
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Hospital outpt clinic visit
|
XXXXX
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$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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