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NPI Detail
NPI: 1619115383
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical
6001 XXXX XXXX
KYLE, TX 786406112
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1619115383*
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 |
| 96361
|
HYDRATE IV INFUSION ADD-ON
|
XXXX
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$XXXXX.XX
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| 85025
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COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
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$XXX.XX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXX
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$XXX.X
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| 93005
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ELECTROCARDIOGRAM TRACING
|
XXXX
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$XXX.XX
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| 84484
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ASSAY OF TROPONIN QUANT
|
XXXX
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$XXX.XX
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| 93798
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CARDIAC REHAB/MONITOR
|
XXXX
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$XXXXXX.XX
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| 82962
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GLUCOSE BLOOD TEST
|
XXXX
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$XXX.XX
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| 71045
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X-RAY EXAM CHEST 1 VIEW
|
XXXX
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$XXXXX.XX
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| 97110
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THERAPEUTIC EXERCISES
|
XXXX
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$XXXXX.XX
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| 80048
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METABOLIC PANEL TOTAL CA
|
XXXX
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$XXX.XX
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| 99285
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EMERGENCY DEPT VISIT HI MDM
|
XXXX
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$XXXXXXX.XX
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| 99284
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EMERGENCY DEPT VISIT MOD MDM
|
XXXX
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$XXXXXX.XX
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| 85610
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PROTHROMBIN TIME
|
XXXX
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$XX.XX
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| 81001
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URINALYSIS AUTO W/SCOPE
|
XXXX
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$XX.XX
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| 96374
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THER/PROPH/DIAG INJ IV PUSH
|
XXXX
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$XXXXXX.XX
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| 96366
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THER/PROPH/DIAG IV INF ADDON
|
XXXX
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$XXXXX.XX
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| 96375
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TX/PRO/DX INJ NEW DRUG ADDON
|
XXXX
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$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J2795
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Ropivacaine hcl injection
|
XXXXX
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-
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| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
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| J2001
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Lidocaine injection
|
XXXX
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-
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| J1644
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Inj heparin sodium per 1000u
|
XXXX
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-
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| J1953
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Levetiracetam injection
|
XXXX
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-
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| J2405
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Ondansetron hcl injection
|
XXXX
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-
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| J0690
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Cefazolin sodium injection
|
XXXX
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-
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| J7030
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Normal saline solution infus
|
XXXX
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-
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| J1100
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Dexamethasone sodium phos
|
XXXX
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-
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| J1650
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Inj enoxaparin sodium
|
XXXX
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-
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| J2370
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Phenylephrine hcl injection
|
XXXX
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-
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| J1642
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Inj heparin sodium per 10 u
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XXXX
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-
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| J3010
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Fentanyl citrate injection
|
XXXX
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-
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| J2250
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Inj midazolam hydrochloride
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XXXX
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-
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| J0153
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Adenosine inj 1mg
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XXXX
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-
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| J3480
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Inj potassium chloride
|
XXXX
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-
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| J0171
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Adrenalin epinephrine inject
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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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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0378
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Hospital observation per hr
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XXXXX
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-
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| U0002
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Covid-19 lab test non-cdc
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XXXX
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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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