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NPI Detail
NPI: 1730246968
Type: Organization
Taxonomy Code: 261QM0850X




777 XXXXXXX XXX
STATEN ISLAND, NY 103053436
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
Click here for new NPI search.


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2021 OPPS Part A Medicare Services Submitted NPI-1730246968*

OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)

Top Level I HCPC Procedures
ProcedureDescriptionNumber SubmittedMedicare Payment
90832 PSYTX W PT 30 MINUTES XXXX $XXXXXX.XX
90834 PSYTX W PT 45 MINUTES XXXX $XXXXXX.XX
90833 PSYTX W PT W E/M 30 MIN XXXX -
90836 PSYTX W PT W E/M 45 MIN XXXX -
90837 PSYTX W PT 60 MINUTES XXX $XXXXX.XX
96372 THER/PROPH/DIAG INJ SC/IM XXX $XXXX.XX
90853 GROUP PSYCHOTHERAPY XXX $XXXX.XX
90838 PSYTX W PT W E/M 60 MIN XXX -
90846 FAMILY PSYTX W/O PT 50 MIN XX $XXXX.XX
90791 PSYCH DIAGNOSTIC EVALUATION XX $XXXX.XX
90847 FAMILY PSYTX W/PT 50 MIN XX $XXXX.XX

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0463 Hospital outpt clinic visit XXXX $XXXXXX.XX


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


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