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NPI Detail
NPI: 1992707228
Type: Organization
Taxonomy Code: 282N00000X
Hospital-General
Hospitals/General Acute Care Hospital
120 X XXXXXX XXX
SAN ANGELO, TX 769035904
Business phone: (XXX) XXX-XXXX
Mailing address phone: (XXX) XXX-XXXX
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2021 OPPS Part A Medicare Services Submitted NPI-1992707228*
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 |
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXXX
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$XXXXXX.XX
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| 85025
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COMPLETE CBC W/AUTO DIFF WBC
|
XXXXX
|
$XXXXXX.XX
|
| 80061
|
LIPID PANEL
|
XXXXX
|
$XXXXXX.XX
|
| 84443
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ASSAY THYROID STIM HORMONE
|
XXXXX
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$XXXXXX.XX
|
| 81001
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URINALYSIS AUTO W/SCOPE
|
XXXX
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$XXXXX.XX
|
| 83036
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HEMOGLOBIN GLYCOSYLATED A1C
|
XXXX
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$XXXXX.XX
|
Top Drugs Administered Other than Oral Method
| Procedure | Description | Number Submitted | Medicare Payment |
| J0878
|
Daptomycin injection
|
XXXXXX
|
-
|
| J1439
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Inj ferric carboxymaltos 1mg
|
XXXXXX
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$XXXXX.XX
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| J1642
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Inj heparin sodium per 10 u
|
XXXXX
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-
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| J0131
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Inj, acetaminophen (nos)
|
XXXXX
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-
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| J2704
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Inj, propofol, 10 mg
|
XXXXX
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-
|
| J1756
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Iron sucrose injection
|
XXXXX
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-
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| J0256
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Alpha 1 proteinase inhibitor
|
XXXXX
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$XXXXXX.XX
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| J9263
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Oxaliplatin
|
XXXXX
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-
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| J0583
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Bivalirudin
|
XXXXX
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-
|
| J9271
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Inj pembrolizumab
|
XXXXX
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$XXXXXXX.XX
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| J9267
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Paclitaxel injection
|
XXXXX
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-
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| J1561
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Gamunex-c/gammaked
|
XXXXX
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$XXXXXXX.XX
|
| J0881
|
Darbepoetin alfa, non-esrd
|
XXXXX
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$XXXXX.XX
|
| J2795
|
Ropivacaine hcl injection
|
XXXXX
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-
|
| J1100
|
Dexamethasone sodium phos
|
XXXXX
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-
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| J9299
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Injection, nivolumab
|
XXXXX
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$XXXXXX.XX
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| J0185
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Inj., aprepitant, 1 mg
|
XXXXX
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$XXXXX.XX
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| J2405
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Ondansetron hcl injection
|
XXXXX
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-
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| J0897
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Denosumab injection
|
XXXXX
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$XXXXXX.XX
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| J2323
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Natalizumab injection
|
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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| J9264
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Paclitaxel protein bound
|
XXXXX
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$XXXXXX.XX
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| J1644
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Inj heparin sodium per 1000u
|
XXXXX
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-
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| J3380
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Injection, vedolizumab
|
XXXXX
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$XXXXXX.XX
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| J2357
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Omalizumab injection
|
XXXXX
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$XXXXXX.XX
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| J9171
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Docetaxel injection
|
XXXX
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-
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| J9025
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Azacitidine injection
|
XXXX
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$XXXX.XX
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| J9312
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Inj., rituximab, 10 mg
|
XXXX
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$XXXXXX.XX
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| J1301
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Injection, edaravone, 1 mg
|
XXXX
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$XXXXXX.XX
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| J0696
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Ceftriaxone sodium injection
|
XXXX
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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
|
XXXXX
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-
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| G1004
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Cdsm ndsc
|
XXXX
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$X.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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