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NPI Detail
NPI: 1295071520
Type: Organization
Taxonomy Code: 207PE0004X
Physician/Emergency Medicine
Allopathic & Osteopathic Physicians/Emergency Medicine, Emergency Medical Services


820 X XXXXXX XXX
WENATCHEE, WA 988012028
Mailing and Business location phone: (XXX) XXX-XXXX
Click here for new NPI search.


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2021 OPPS Part A Medicare Services Submitted NPI-1295071520*

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
17003 DESTRUCT PREMALG LES 2-14 XXXXX -
85610 PROTHROMBIN TIME XXXX $XXXXX.XX
36416 COLLJ CAPILLARY BLOOD SPEC XXXX -
88305 TISSUE EXAM BY PATHOLOGIST XXXX $XXX.XX
17000 DESTRUCT PREMALG LESION XXXX $XXXXX.XX
81001 URINALYSIS AUTO W/SCOPE XXXX $XXXX.XX
85025 COMPLETE CBC W/AUTO DIFF WBC XXXX $XXXX.XX
99153 MOD SED SAME PHYS/QHP EA XXXX -
11102 TANGNTL BX SKIN SINGLE LES XXXX $XXXXXX.XX
36415 ROUTINE VENIPUNCTURE XXXX $XXXX
95004 PERCUT ALLERGY SKIN TESTS XXXX $XXXX.XX
82962 GLUCOSE BLOOD TEST XXXX $XXX.XX

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment
J2704 Inj, propofol, 10 mg XXXXX -
J2250 Inj midazolam hydrochloride XXXXX -
J0585 Injection,onabotulinumtoxina XXXXX $XXXX.XX
J7192 Factor viii recombinant nos XXXXX $XXXXX.XX
J3473 Hyaluronidase recombinant XXXX -
J7190 Factor viii XXXX $XXXX.XX
J1100 Dexamethasone sodium phos XXXX -
J0878 Daptomycin injection XXXX -
J1447 Inj tbo filgrastim 1 microg XXXX $XXXX.XX
J2001 Lidocaine injection XXXX -
J3010 Fentanyl citrate injection XXXX -
J0690 Cefazolin sodium injection XXXX -
J7187 Humate-p, inj XXXX $XXXX.XX
J2405 Ondansetron hcl injection XXXX -
J3301 Triamcinolone acet inj nos XXXX -
J1642 Inj heparin sodium per 10 u XXXX -
J7030 Normal saline solution infus XXXX -
J7120 Ringers lactate infusion XXXX -
J3490 Drugs unclassified injection XXXX -
J0171 Adrenalin epinephrine inject XXXX -

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0463 Hospital outpt clinic visit XXXXX $XXXXXXX.XX
G1004 Cdsm ndsc XXXX -
G0500 Mod sedat endo service >5yrs XXXX -


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


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