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NPI Detail
NPI: 1255317590
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
701 X 1XX XX
MAB 528
SPRINGFIELD, IL 627810001
Mailing and Business location phone:
(XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1255317590*
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 |
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXXX
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$XXXXX
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| 85025
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COMPLETE CBC W/AUTO DIFF WBC
|
XXXXX
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$XXXXXX.XX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXXX
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$XXXXXX.XX
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| 97110
|
THERAPEUTIC EXERCISES
|
XXXXX
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$XXXXXX.XX
|
| 80061
|
LIPID PANEL
|
XXXX
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$XXXXXX.XX
|
| 80048
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METABOLIC PANEL TOTAL CA
|
XXXX
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$XXXXX.XX
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| 85610
|
PROTHROMBIN TIME
|
XXXX
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$XXXXX.XX
|
| 81001
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URINALYSIS AUTO W/SCOPE
|
XXXX
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$XXXXX.XX
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| 84443
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ASSAY THYROID STIM HORMONE
|
XXXX
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$XXXXXX.XX
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| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
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$XXXXX.XX
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| 87086
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URINE CULTURE/COLONY COUNT
|
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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| 88305
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TISSUE EXAM BY PATHOLOGIST
|
XXXX
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$XXXXX.XX
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| 82962
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GLUCOSE BLOOD TEST
|
XXXX
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$XXXX.XX
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| 88341
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IMHCHEM/IMCYTCHM EA ADD ANTB
|
XXXX
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-
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| 85027
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COMPLETE CBC AUTOMATED
|
XXXX
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$XXXXX.XX
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| 88185
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FLOWCYTOMETRY/TC ADD-ON
|
XXXX
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-
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| 83735
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ASSAY OF MAGNESIUM
|
XXXX
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$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0485
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Belatacept injection
|
XXXXX
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$XXXXXX.XX
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| J0256
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Alpha 1 proteinase inhibitor
|
XXXXX
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$XXXXXX.XX
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| J2795
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Ropivacaine hcl injection
|
XXXXX
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-
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| J1100
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Dexamethasone sodium phos
|
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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| J1459
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Inj ivig privigen 500 mg
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XXXXX
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$XXXXXX.XX
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| J9271
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Inj pembrolizumab
|
XXXXX
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$XXXXXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXXX
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-
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| J2278
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Ziconotide injection
|
XXXX
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$XXXXX.XX
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| J9299
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Injection, nivolumab
|
XXXX
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$XXXXXX.XX
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| J0185
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Inj., aprepitant, 1 mg
|
XXXX
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$XXXX.XX
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| J3380
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Injection, vedolizumab
|
XXXX
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$XXXXXX.XX
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| J9119
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Inj., cemiplimab-rwlc, 1 mg
|
XXXX
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$XXXXXX.XX
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| J7512
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Prednisone ir or dr oral 1mg
|
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
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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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