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NPI Detail
NPI: 1679578439
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical
800 X XXXXXX XX
TYLER, TX 757012036
Mailing and Business location phone:
(XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1679578439*
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
|
XXXXX
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$XXXXX
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| 85025
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COMPLETE CBC W/AUTO DIFF WBC
|
XXXXX
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$XXXXX.XX
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| 97110
|
THERAPEUTIC EXERCISES
|
XXXXX
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$XXXXXX.X
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXXX
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$XXXXXX.XX
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| 93005
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ELECTROCARDIOGRAM TRACING
|
XXXXX
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$XXXXX.XX
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| 80048
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METABOLIC PANEL TOTAL CA
|
XXXXX
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$XXXXX.XX
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| 80061
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LIPID PANEL
|
XXXXX
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$XXXXXX.XX
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| 84443
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ASSAY THYROID STIM HORMONE
|
XXXXX
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$XXXXXX.XX
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| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXXX
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$XXXXX.XX
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| 81001
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URINALYSIS AUTO W/SCOPE
|
XXXXX
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$XXXXX.XX
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| 82962
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GLUCOSE BLOOD TEST
|
XXXXX
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$XXX.XX
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| 85610
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PROTHROMBIN TIME
|
XXXX
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$XXXXX.XX
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| 99284
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EMERGENCY DEPT VISIT MOD MDM
|
XXXX
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$XXXXXXX.XX
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| 87086
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URINE CULTURE/COLONY COUNT
|
XXXX
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$XXXXX.XX
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| 81003
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URINALYSIS AUTO W/O SCOPE
|
XXXX
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$XXXX.XX
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| 84460
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ALANINE AMINO (ALT) (SGPT)
|
XXXX
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$XXXXX.XX
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| 84484
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ASSAY OF TROPONIN QUANT
|
XXXX
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$XXX.XX
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| 88305
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TISSUE EXAM BY PATHOLOGIST
|
XXXX
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$XXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0717
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Certolizumab pegol inj 1mg
|
XXXXXX
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$XXXXXX.XX
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| J3262
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Tocilizumab injection
|
XXXXX
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$XXXXXX.XX
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| J0897
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Denosumab injection
|
XXXXX
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$XXXXXX.XX
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| J0585
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Injection,onabotulinumtoxina
|
XXXXX
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$XXXXXX.XX
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| J3380
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Injection, vedolizumab
|
XXXXX
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$XXXXXX.XX
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| J2795
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Ropivacaine hcl injection
|
XXXXX
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-
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| J1602
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Golimumab for iv use 1mg
|
XXXXX
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$XXXXXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXXX
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-
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| J1568
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Octagam injection
|
XXXXX
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$XXXXXX.XX
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| J0129
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Abatacept injection
|
XXXXX
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$XXXXXX.XX
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| J0878
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Daptomycin injection
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XXXXX
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-
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| J1745
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Infliximab not biosimil 10mg
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XXXXX
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$XXXXXX.XX
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| J7325
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Synvisc or synvisc-one
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XXXXX
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$XXXXX.XX
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| J2785
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Regadenoson injection
|
XXXX
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-
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| J7168
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Prothrombin complex kcentra
|
XXXX
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$XXXX.XX
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
|
XXXXXX
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$XXXXXXX.XX
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| G0378
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Hospital observation per hr
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XXXXX
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-
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| G1010
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Cdsm stanson
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XXXXX
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$X.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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