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NPI Detail
NPI: 1790789147
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
489 XXXXX XX
BANGOR, ME 044016616
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1790789147*
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 |
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXXX
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$XXXXX.XX
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| 80053
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COMPREHEN METABOLIC PANEL
|
XXXXX
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$XXXXX.XX
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| 36415
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ROUTINE VENIPUNCTURE
|
XXXXX
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$XXXX
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Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J1439
|
Inj ferric carboxymaltos 1mg
|
XXXXXX
|
$XXXXX.XX
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| J9271
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Inj pembrolizumab
|
XXXXX
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$XXXXXXX.XX
|
| J0881
|
Darbepoetin alfa, non-esrd
|
XXXXX
|
$XXXXXX.XX
|
| J0585
|
Injection,onabotulinumtoxina
|
XXXXX
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$XXXXXX.XX
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| J1453
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Fosaprepitant injection
|
XXXXX
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$XXXXX.XX
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| J9299
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Injection, nivolumab
|
XXXXX
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$XXXXXXX.XX
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| J1071
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Inj testosterone cypionate
|
XXXXX
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-
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| J0131
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Inj, acetaminophen (nos)
|
XXXXX
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-
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| J9263
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Oxaliplatin
|
XXXXX
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-
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| J0897
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Denosumab injection
|
XXXXX
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$XXXXXX.XX
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| J9145
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Injection, daratumumab 10 mg
|
XXXXX
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$XXXXXXX.XX
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| J9267
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Paclitaxel injection
|
XXXXX
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-
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| J9025
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Azacitidine injection
|
XXXXX
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$XXXXX.XX
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| J0878
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Daptomycin injection
|
XXXXX
|
-
|
| J1756
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Iron sucrose injection
|
XXXXX
|
-
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| J1301
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Injection, edaravone, 1 mg
|
XXXXX
|
$XXXXXX.XX
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| J1459
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Inj ivig privigen 500 mg
|
XXXXX
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$XXXXXX.XX
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| J9312
|
Inj., rituximab, 10 mg
|
XXXXX
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$XXXXXXX.XX
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| J3380
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Injection, vedolizumab
|
XXXXX
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$XXXXXX.XX
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| J9034
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Inj., bendeka 1 mg
|
XXXXX
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$XXXXXX.XX
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| J9306
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Injection, pertuzumab, 1 mg
|
XXXXX
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$XXXXXX.XX
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| J1644
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Inj heparin sodium per 1000u
|
XXXXX
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-
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| J1642
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Inj heparin sodium per 10 u
|
XXXXX
|
-
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| J9305
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Inj. pemetrexed nos 10mg
|
XXXXX
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$XXXXXX.XX
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| J1300
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Eculizumab injection
|
XXXXX
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$XXXXXXX.XX
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| J1745
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Infliximab not biosimil 10mg
|
XXXXX
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$XXXXXX.XX
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| J3262
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Tocilizumab injection
|
XXXXX
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$XXXXX.XX
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| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
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| J9264
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Paclitaxel protein bound
|
XXXX
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$XXXXX.XX
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| J9171
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Docetaxel injection
|
XXXX
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-
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Top HCPC Level II Procedures / Professional Services
| Procedure | Description | Number Submitted | Medicare Payment |
| G0463
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Hospital outpt clinic visit
|
XXXXX
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$XXXXXXX
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| G0378
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Hospital observation per hr
|
XXXXX
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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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