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NPI Detail
NPI: 1750353041
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
8 XXXXXXX XXXX XX
MOUNT VERNON, IL 628646224
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1750353041*
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
|
XXXX
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$XXXX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXX
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$XXXXX.XX
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| 85025
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COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
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$XXXXX.XX
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| 97110
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THERAPEUTIC EXERCISES
|
XXXX
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$XXXXX.XX
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| 84443
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ASSAY THYROID STIM HORMONE
|
XXXX
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$XXXXX.XX
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| 80061
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LIPID PANEL
|
XXXX
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$XXXXX.XX
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| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
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$XXXXX.XX
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| 82306
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VITAMIN D 25 HYDROXY
|
XXXX
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$XXXXX.XX
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| 81001
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URINALYSIS AUTO W/SCOPE
|
XXXX
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$XXXX.XX
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| 93005
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ELECTROCARDIOGRAM TRACING
|
XXXX
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$XXXX.XX
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| 82962
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GLUCOSE BLOOD TEST
|
XXX
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$XX.XX
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| 80048
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METABOLIC PANEL TOTAL CA
|
XXX
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$XXXX.XX
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| 85610
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PROTHROMBIN TIME
|
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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| 81003
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URINALYSIS AUTO W/O SCOPE
|
XXX
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$XXX.XX
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| 99284
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EMERGENCY DEPT VISIT MOD MDM
|
XXX
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$XXXXXX.XX
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| 84484
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ASSAY OF TROPONIN QUANT
|
XXX
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$XX.XX
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| 99283
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EMERGENCY DEPT VISIT LOW MDM
|
XXX
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$XXXXXX.XX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
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| J0878
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Daptomycin injection
|
XXXXX
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-
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| J0131
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Inj, acetaminophen (nos)
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XXXXX
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-
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| J1439
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Inj ferric carboxymaltos 1mg
|
XXXX
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$XXXX.XX
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| J0585
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Injection,onabotulinumtoxina
|
XXXX
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$XXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXX
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-
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| J1100
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Dexamethasone sodium phos
|
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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| J0330
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Succinycholine chloride inj
|
XXXX
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-
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| J7512
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Prednisone ir or dr oral 1mg
|
XXX
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-
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| J0696
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Ceftriaxone 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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| J3010
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Fentanyl citrate injection
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XXX
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-
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| J1885
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Ketorolac tromethamine inj
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XXX
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-
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| J2710
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Neostigmine methylslfte inj
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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
|
XXXX
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-
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| U0003
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Cov-19 amp prb hgh thruput
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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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