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NPI Detail
NPI: 1609039056
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical
401 X XXXXXXX XXX XXX X
COTTONWOOD, AZ 863264165
Mailing and Business location phone:
(XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1609039056*
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 |
| 66984
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XCAPSL CTRC RMVL W/O ECP
|
XXX
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$XXXXXX.XX
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| 66821
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AFTER CATARACT LASER SURGERY
|
XXX
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$XXXXXX.XX
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| 43239
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EGD BIOPSY SINGLE/MULTIPLE
|
XX
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$XXXXX.XX
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| 45380
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COLONOSCOPY AND BIOPSY
|
XX
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$XXXXX.XX
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| 45385
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COLONOSCOPY W/LESION REMOVAL
|
XX
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$XXXXX.XX
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| 67904
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REPAIR EYELID DEFECT
|
XX
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$XXXXX.XX
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| 67028
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INJECTION EYE DRUG
|
XX
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$XXXX.XX
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| 66982
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XCAPSL CTRC RMVL CPLX WO ECP
|
XX
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$XXXXX.XX
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| 67900
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REPAIR BROW DEFECT
|
XX
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$XXXXX.XX
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| 43249
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ESOPH EGD DILATION <30 MM
|
XX
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$XXXXX.XX
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| 45378
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DIAGNOSTIC COLONOSCOPY
|
XX
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$XXXXX.XX
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| 66030
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INJECTION TREATMENT OF EYE
|
XX
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$XXXXX.XX
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| 28285
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REPAIR OF HAMMERTOE
|
XX
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$XXXXX.XX
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| 65855
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TRABECULOPLASTY LASER SURG
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XX
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$XXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J1095
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Injection, dexamethasone 9%
|
XXXXX
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$XXXXX.XX
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| J1097
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Phenylep ketorolac opth soln
|
XXX
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-
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| J7351
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Inj bimatoprost itc imp1mcg
|
XXX
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$XXXXX.XX
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0105
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Colorectal scrn; hi risk ind
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XX
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$XXXXX.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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