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NPI Detail
NPI: 1528501939
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical
6766 X XXXXXXX XXXX
SUITE 100
PLANTATION, FL 333136072
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
|
Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation |
XX
|
11 |
$1868.00 |
$330.44 |
$
X,XXX.XX
|
|
XXXXX
|
Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation |
XX
|
70 |
$7387.00 |
$1609.05 |
$
XXX,XXX.XX
|
|
Total Medicare Payments: |
$XXXXXX.XXXXXX
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* Source:
2021 Medicare Provider Utilization and Payment Data: Physician and Other Supplier
Medicare Referring Provider DMEPOS PUF, CY2021
2021 OPPS Part A Medicare Services Submitted NPI-1528501939*
OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)
Top Level I HCPC Procedures
| Procedure | Description | Number Submitted | Medicare Payment |
| 36902
|
INTRO CATH DIALYSIS CIRCUIT
|
XXX
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$XXXXXXX.XX
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| 36901
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INTRO CATH DIALYSIS CIRCUIT
|
XXX
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$XXXXXX.XX
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| 36907
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BALO ANGIOP CTR DIALYSIS SEG
|
XXX
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-
|
| 36905
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THRMBC/NFS DIALYSIS CIRCUIT
|
XX
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$XXXXXX.XX
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| 75710
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ARTERY X-RAYS ARM/LEG
|
XX
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$XXXX.XX
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| 36589
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REMOVAL TUNNELED CV CATH
|
XX
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$XXXXX.XX
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| 36906
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THRMBC/NFS DIALYSIS CIRCUIT
|
XX
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$XXXXXX.XX
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| 36581
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REPLACE TUNNELED CV CATH
|
XX
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$XXXXX.XX
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| 36903
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INTRO CATH DIALYSIS CIRCUIT
|
XX
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$XXXXXX.XX
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| 37248
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TRLUML BALO ANGIOP 1ST VEIN
|
XX
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$XXXXX.XX
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| 36558
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INSERT TUNNELED CV CATH
|
XX
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$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
|
XX
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$XXXX.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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