CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-July
2025-April


CMS Transmittals


.

NPI Detail
NPI: 1861557753
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital


252 XXXXXXX XX
BURLINGTON, WI 53105
Mailing and Business location phone: (XXX) XXX-XXXX
Click here for new NPI search.


--


2021 OPPS Part A Medicare Services Submitted NPI-1861557753*

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
97110 THERAPEUTIC EXERCISES XXXX $XXXXXX.XX
97140 MANUAL THERAPY 1/> REGIONS XXXX $XXXXX.XX
97530 THERAPEUTIC ACTIVITIES XXXX $XXXXX.X
85025 COMPLETE CBC W/AUTO DIFF WBC XXXX $XX.XX
36415 ROUTINE VENIPUNCTURE XXXX $XX
88305 TISSUE EXAM BY PATHOLOGIST XXXX -
77067 SCR MAMMO BI INCL CAD XXXX $XXXXXX.XX
77063 BREAST TOMOSYNTHESIS BI XXXX $XXXXX.XX
82962 GLUCOSE BLOOD TEST XXXX $XX.XX
93798 CARDIAC REHAB/MONITOR XXXX $XXXXXX.XX
80053 COMPREHEN METABOLIC PANEL XXXX $XX.XX
93005 ELECTROCARDIOGRAM TRACING XXXX $XXXX.XX

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment
J2704 Inj, propofol, 10 mg XXXXX -
J0878 Daptomycin injection XXXXX -
J1642 Inj heparin sodium per 10 u XXXXX -
J2795 Ropivacaine hcl injection XXXX -
J2250 Inj midazolam hydrochloride XXXX -
J1100 Dexamethasone sodium phos XXXX -
J0171 Adrenalin epinephrine inject XXXX -
J3010 Fentanyl citrate injection XXXX -
J7120 Ringers lactate infusion XXXX -
J1644 Inj heparin sodium per 1000u XXXX -
J3243 Tigecycline injection XXXX $XXXX.XX
J7168 Prothrombin complex kcentra XXXX -
J0696 Ceftriaxone sodium injection XXXX -
J2405 Ondansetron hcl injection XXXX -
J1756 Iron sucrose injection XXXX -
J3301 Triamcinolone acet inj nos XXXX -
J7512 Prednisone ir or dr oral 1mg XXXX -
J0690 Cefazolin sodium injection XXXX -

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0378 Hospital observation per hr XXXXX -
G1004 Cdsm ndsc XXXX -
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.


CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.