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NPI Detail
NPI: 1467492421
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
1 XXXXXXX XXXXXXX XX
EDGEWOOD, KY 410173403
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 Part B Medicare Services Submitted*
| HCPCS Code △ ▽ |
Line Service
Count
△ ▽ |
Unique Beneficiary
Count
△ ▽ |
Average Submitted
Charge Amount
△ ▽ |
Average Medicare
Payment Amount
△ ▽ |
Total Medicare
Payment
△ ▽ |
|
XXXXX
|
X-ray of chest, 1 view |
XXX
|
133 |
$227.43 |
$ 18.12 |
$
X,XXX.XX
|
|
XXXXX
|
X-ray of lower and sacral spine, 2 or 3 views |
XX
|
11 |
$319.38 |
$ 26.51 |
$
XXX.XX
|
|
XXXXX
|
X-ray of shoulder, minimum of 2 views |
XX
|
14 |
$227.43 |
$ 24.90 |
$
XXX.XX
|
|
XXXXX
|
X-ray of wrist, minimum of 3 views |
XX
|
12 |
$227.43 |
$ 26.79 |
$
XXX.XX
|
|
XXXXX
|
X-ray of hip with pelvis, 2-3 views |
XX
|
23 |
$227.43 |
$ 30.40 |
$
XXX.XX
|
|
XXXXX
|
X-ray of knee, 1 or 2 views |
XX
|
26 |
$227.43 |
$ 24.82 |
$
XXX.XX
|
|
XXXXX
|
X-ray of ankle, minimum of 3 views |
XX
|
13 |
$227.43 |
$ 26.55 |
$
XXX.XX
|
|
XXXXX
|
X-ray of foot, minimum of 3 views |
XX
|
20 |
$227.43 |
$ 24.10 |
$
XXX.XX
|
|
XXXXX
|
X-ray of abdomen, 1 view |
XX
|
28 |
$227.43 |
$ 20.32 |
$
XXX.XX
|
|
XXXXX
|
Set-up portable x-ray equipment |
XXX
|
219 |
$ 22.14 |
$ 15.47 |
$
X,XXX.XX
|
|
XXXXX
|
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
XXX
|
181 |
$113.51 |
$ 86.11 |
$
XX,XXX.XX
|
|
XXXXX
|
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
XXX
|
86 |
$ 52.31 |
$ 38.13 |
$
X,XXX.XX
|
|
Total Medicare Payments: |
$XXXXX.XXXXXXX
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* Source:
2021 Medicare Provider Utilization and Payment Data: Physician and Other Supplier
Medicare Referring Provider DMEPOS PUF, CY2021
2021 OPPS Part A Medicare Services Submitted NPI-1467492421*
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
|
$XXXXXX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXXX
|
$XXXXXX.X
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXXX
|
$XXXXXX.X
|
| 80061
|
LIPID PANEL
|
XXXXX
|
$XXXXXX.XX
|
| 84443
|
ASSAY THYROID STIM HORMONE
|
XXXXX
|
$XXXXXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXXX
|
$XXXXXX.XX
|
| 83036
|
HEMOGLOBIN GLYCOSYLATED A1C
|
XXXXX
|
$XXXXXX.XX
|
| 85027
|
COMPLETE CBC AUTOMATED
|
XXXXX
|
$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J1642
|
Inj heparin sodium per 10 u
|
XXXXXX
|
-
|
| J1439
|
Inj ferric carboxymaltos 1mg
|
XXXXXX
|
$XXXXXX.XX
|
| J9271
|
Inj pembrolizumab
|
XXXXX
|
$XXXXXXX.XX
|
| J9267
|
Paclitaxel injection
|
XXXXX
|
-
|
| J2795
|
Ropivacaine hcl injection
|
XXXXX
|
-
|
| J0897
|
Denosumab injection
|
XXXXX
|
$XXXXXX.XX
|
| J0185
|
Inj., aprepitant, 1 mg
|
XXXXX
|
$XXXXX.XX
|
| J9263
|
Oxaliplatin
|
XXXXX
|
-
|
| J9299
|
Injection, nivolumab
|
XXXXX
|
$XXXXXX.XX
|
| J1756
|
Iron sucrose injection
|
XXXXX
|
-
|
| J3473
|
Hyaluronidase recombinant
|
XXXXX
|
-
|
| J3380
|
Injection, vedolizumab
|
XXXXX
|
$XXXXXX.XX
|
| J1100
|
Dexamethasone sodium phos
|
XXXXX
|
-
|
| J3111
|
Inj. romosozumab-aqqg 1 mg
|
XXXXX
|
$XXXXXX.XX
|
| J0485
|
Belatacept injection
|
XXXXX
|
$XXXXX.XX
|
| J0171
|
Adrenalin epinephrine inject
|
XXXXX
|
-
|
| J1569
|
Gammagard liquid injection
|
XXXXX
|
$XXXXXX.XX
|
| J0256
|
Alpha 1 proteinase inhibitor
|
XXXXX
|
$XXXXX.XX
|
| J2405
|
Ondansetron hcl injection
|
XXXXX
|
-
|
| J9144
|
Daratumumab, hyaluronidase
|
XXXXX
|
$XXXXXX.XX
|
| J0131
|
Inj, acetaminophen (nos)
|
XXXXX
|
-
|
| J8540
|
Oral dexamethasone
|
XXXXX
|
-
|
| J9312
|
Inj., rituximab, 10 mg
|
XXXXX
|
$XXXXXX.XX
|
| J9264
|
Paclitaxel protein bound
|
XXXXX
|
$XXXXXX.XX
|
| J7512
|
Prednisone ir or dr oral 1mg
|
XXXXX
|
-
|
| J1644
|
Inj heparin sodium per 1000u
|
XXXXX
|
-
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0378
|
Hospital observation per hr
|
XXXXX
|
-
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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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