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NPI Detail
NPI: 1275697195
Type: Organization
Taxonomy Code: 261QM0850X
140 XXX XXXXXXXXXX XX
ORANGEBURG, NY 109621157
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1275697195*
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 |
| 90833
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PSYTX W PT W E/M 30 MIN
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XXXX
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-
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| 90832
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PSYTX W PT 30 MINUTES
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XXXX
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$XXXXXX.XX
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| 90834
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PSYTX W PT 45 MINUTES
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XXXX
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$XXXXXX.XX
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| 90836
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PSYTX W PT W E/M 45 MIN
|
XXX
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-
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| 96372
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THER/PROPH/DIAG INJ SC/IM
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XXX
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$XXXXX.XX
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| 90837
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PSYTX W PT 60 MINUTES
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XXX
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$XXXXX.XX
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| 90853
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GROUP PSYCHOTHERAPY
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XXX
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$XXXXX.XX
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| 90791
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PSYCH DIAGNOSTIC EVALUATION
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XX
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$XXXXX.XX
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| 90838
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PSYTX W PT W E/M 60 MIN
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XX
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-
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| 90847
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FAMILY PSYTX W/PT 50 MIN
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XX
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$XXXX.XX
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| 90846
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FAMILY PSYTX W/O PT 50 MIN
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XX
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$XXXX.XX
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| 90792
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PSYCH DIAG EVAL W/MED SRVCS
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XX
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$XXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J2426
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Inj, invega sustenna, 1 mg
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XXXX
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$XXXXX.XX
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| J2794
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Inj risperdal consta, 0.5 mg
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XXXX
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$XXXXX.XX
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| J0401
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Inj aripiprazole ext rel 1mg
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XXXX
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$XXXX.XX
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| J2358
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Olanzapine long-acting inj
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XXX
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$XXX.XX
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
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XXXX
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$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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