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NPI Detail
NPI: 1689052862
Type: Organization
Taxonomy Code: 261QM1300X
Clinic or Group Practice
Ambulatory Health Care Facilities/Clinic/Center, Multi-Specialty
640 XXXXXXXX XX
RAPID CITY, SD 577014679
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1689052862*
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
|
$XXXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXX
|
$XXXXX.XX
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
|
$XXXXX.XX
|
| 84443
|
ASSAY THYROID STIM HORMONE
|
XXXX
|
$XXXXX.XX
|
| 83036
|
HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
|
$XXXXX.XX
|
| 82306
|
VITAMIN D 25 HYDROXY
|
XXXX
|
$XXXXX.XX
|
| 80061
|
LIPID PANEL
|
XXXX
|
$XXXXX.XX
|
| 81001
|
URINALYSIS AUTO W/SCOPE
|
XXXX
|
$XXXX.XX
|
| 82570
|
ASSAY OF URINE CREATININE
|
XXXX
|
$XXXX.XX
|
| 96372
|
THER/PROPH/DIAG INJ SC/IM
|
XXXX
|
$XXXXX.XX
|
| 77080
|
DXA BONE DENSITY AXIAL
|
XXXX
|
$XXXXXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXX
|
$XXXX.XX
|
| 83970
|
ASSAY OF PARATHORMONE
|
XXXX
|
$XXXXX.XX
|
| 83735
|
ASSAY OF MAGNESIUM
|
XXXX
|
$XXXX.XX
|
| 80069
|
RENAL FUNCTION PANEL
|
XXXX
|
$XXXX.XX
|
| 90694
|
VACC AIIV4 NO PRSRV 0.5ML IM
|
XXXX
|
$XXXXX.XX
|
| 82043
|
UR ALBUMIN QUANTITATIVE
|
XXXX
|
$XXXX.XX
|
| 86140
|
C-REACTIVE PROTEIN
|
XXXX
|
$XXXX.XX
|
| 85610
|
PROTHROMBIN TIME
|
XXXX
|
$XXXX.XX
|
| 84156
|
ASSAY OF PROTEIN URINE
|
XXXX
|
$XXXX.XX
|
| 84550
|
ASSAY OF BLOOD/URIC ACID
|
XXXX
|
$XXXX.XX
|
| 82607
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VITAMIN B-12
|
XXXX
|
$XXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J3111
|
Inj. romosozumab-aqqg 1 mg
|
XXXXX
|
$XXXXXX.XX
|
| J0897
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Denosumab injection
|
XXXXX
|
$XXXXXX.XX
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| J0717
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Certolizumab pegol inj 1mg
|
XXXXX
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$XXXXXX.XX
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| J3262
|
Tocilizumab injection
|
XXXXX
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$XXXXXX.XX
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| J1071
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Inj testosterone cypionate
|
XXXXX
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-
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| J0881
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Darbepoetin alfa, non-esrd
|
XXXX
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$XXXXX.XX
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| J1602
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Golimumab for iv use 1mg
|
XXXX
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$XXXXX.XX
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| J1745
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Infliximab not biosimil 10mg
|
XXXX
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$XXXXXX.XX
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| J1439
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Inj ferric carboxymaltos 1mg
|
XXXX
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$XXXX.XX
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| J0878
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Daptomycin injection
|
XXXX
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-
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| J9312
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Inj., rituximab, 10 mg
|
XXXX
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$XXXXXX.XX
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| J1642
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Inj heparin sodium per 10 u
|
XXXX
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-
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| J0129
|
Abatacept injection
|
XXXX
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$XXXXXX.XX
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| J0885
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Epoetin alfa, non-esrd
|
XXXX
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$XXXXX.XX
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| J3301
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Triamcinolone acet inj nos
|
XXXX
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-
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| J0875
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Injection, dalbavancin
|
XXXX
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$XXXXX.XX
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
|
XXXXX
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$XXXXXX.XX
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| G0008
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Admin influenza virus vac
|
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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