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NPI Detail
NPI: 1568465144
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
194 XXXX XXXX XXXXXX
FORT KENT, ME 047431428
Mailing and Business location phone:
(XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1568465144*
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
|
XXXX
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$XXXXX
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| 80048
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METABOLIC PANEL TOTAL CA
|
XXXX
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$XXXXX.XX
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| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
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$XXXXX.XX
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| 80076
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HEPATIC FUNCTION PANEL
|
XXXX
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$XXXXX.XX
|
| 80061
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LIPID PANEL
|
XXXX
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$XXXXX.XX
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| 84443
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ASSAY THYROID STIM HORMONE
|
XXXX
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$XXXXX.XX
|
| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
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$XXXXX.XX
|
| 85610
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PROTHROMBIN TIME
|
XXXX
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$XXXX.XX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXX
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$XXXX.X
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0257
|
Glassia injection
|
XXXXX
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$XXXXX.XX
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| J1439
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Inj ferric carboxymaltos 1mg
|
XXXXX
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$XXXXX.XX
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| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
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| J0131
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Inj, acetaminophen (nos)
|
XXXX
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-
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| J1642
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Inj heparin sodium per 10 u
|
XXXX
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-
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| J0897
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Denosumab injection
|
XXXX
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$XXXXXX.XX
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| J3380
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Injection, vedolizumab
|
XXXX
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$XXXXXX.XX
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| J9025
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Azacitidine injection
|
XXXX
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$XXXX.XX
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| J3262
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Tocilizumab injection
|
XXXX
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$XXXXX.XX
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| J0881
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Darbepoetin alfa, non-esrd
|
XXXX
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$XXXX.XX
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| J2001
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Lidocaine injection
|
XXXX
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-
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| J1322
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Elosulfase alfa, injection
|
XXXX
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$XXXXXX.XX
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| J1756
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Iron sucrose injection
|
XXXX
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-
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| J1745
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Infliximab not biosimil 10mg
|
XXXX
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$XXXXX.XX
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| J9047
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Injection, carfilzomib, 1 mg
|
XXXX
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$XXXXX.XX
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| J7318
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Inj, durolane 1 mg
|
XXXX
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$XXXXX.XX
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| J9271
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Inj pembrolizumab
|
XXXX
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$XXXXX.XX
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| J0129
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Abatacept injection
|
XXXX
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$XXXXX.XX
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| J2357
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Omalizumab injection
|
XXXX
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$XXXXX.XX
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| J1930
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Lanreotide injection
|
XXXX
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$XXXXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXX
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-
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| J9312
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Inj., rituximab, 10 mg
|
XXXX
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$XXXXX.XX
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| J7040
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Normal saline solution infus
|
XXXX
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-
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| J2795
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Ropivacaine hcl injection
|
XXXX
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-
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
|
XXXX
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$XXXXXX.XX
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| U0004
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Cov-19 test non-cdc hgh thru
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XXXX
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$XXXXXX.XX
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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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