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NPI Detail
NPI: 1639140015
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
190 XXXXXXXXX XX
EVANSTON, WY 829309266
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1639140015*
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 |
| 97110
|
THERAPEUTIC EXERCISES
|
XXXX
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$XXXXX.XX
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| 85025
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COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
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$XXXXX.XX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXX
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$XXXXX.XX
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| 36415
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ROUTINE VENIPUNCTURE
|
XXXX
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$XXXX
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| 97140
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MANUAL THERAPY 1/> REGIONS
|
XXXX
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$XXXXX.XX
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| 90935
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HEMODIALYSIS ONE EVALUATION
|
XXXX
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$XXXXXX.XX
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| 80061
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LIPID PANEL
|
XXXX
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$XXXXX.XX
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| 84443
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ASSAY THYROID STIM HORMONE
|
XXX
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$XXXXX.XX
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| 87636
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SARSCOV2 & INF A&B AMP PRB
|
XXX
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$XXXXXX.XX
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| 97113
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AQUATIC THERAPY/EXERCISES
|
XXX
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$XXXXX.XX
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| 93005
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ELECTROCARDIOGRAM TRACING
|
XXX
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$XXXX.XX
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| 99285
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EMERGENCY DEPT VISIT HI MDM
|
XXX
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$XXXXXX.XX
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| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXX
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$XXXX.XX
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| 84439
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ASSAY OF FREE THYROXINE
|
XXX
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$XXXX.XX
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| 84484
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ASSAY OF TROPONIN QUANT
|
XXX
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$XX.XX
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| 85610
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PROTHROMBIN TIME
|
XXX
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$XXXX.XX
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| 82306
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VITAMIN D 25 HYDROXY
|
XXX
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$XXXXX.XX
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| 80048
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METABOLIC PANEL TOTAL CA
|
XXX
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$XXXX.XX
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| 87086
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URINE CULTURE/COLONY COUNT
|
XXX
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$XXXX.XX
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| 71045
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X-RAY EXAM CHEST 1 VIEW
|
XXX
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$XXXXX.XX
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| 81001
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URINALYSIS AUTO W/SCOPE
|
XXX
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$XXX.XX
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| 96375
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TX/PRO/DX INJ NEW DRUG ADDON
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XXX
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$XXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0878
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Daptomycin injection
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XXXXX
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-
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| J2704
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Inj, propofol, 10 mg
|
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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| J1756
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Iron sucrose injection
|
XXXX
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-
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| J7512
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Prednisone ir or dr oral 1mg
|
XXXX
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-
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| J1447
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Inj tbo filgrastim 1 microg
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XXXX
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$XXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXX
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-
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| J0131
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Inj, acetaminophen (nos)
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XXXX
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-
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| J1953
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Levetiracetam injection
|
XXX
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-
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| J0129
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Abatacept injection
|
XXX
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$XXXXX.XX
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| J0690
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Cefazolin sodium injection
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XXX
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-
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| J0171
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Adrenalin epinephrine inject
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XXX
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-
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| J0461
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Atropine sulfate injection
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XXX
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-
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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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XXXX
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-
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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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