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NPI Detail
NPI: 1174582050
Type: Organization
Taxonomy Code: 261QA1903X
Ambulatory Surgical Center
Ambulatory Health Care Facilities/Clinic-Center, Ambulatory Surgical


1515 XXXXXXXX XXXX
HOUSTON, TX 770304009
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-1174582050*

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
36415 ROUTINE VENIPUNCTURE XXXXXX $XXXXX.XX
85025 COMPLETE CBC W/AUTO DIFF WBC XXXXXX $XXXXX.XX
80053 COMPREHEN METABOLIC PANEL XXXXX $XXXXXX.XX
82248 BILIRUBIN DIRECT XXXXX $XXXXX.XX
83735 ASSAY OF MAGNESIUM XXXXX $XXXXX.XX
84100 ASSAY OF PHOSPHORUS XXXXX $XXXXX.XX
83615 LACTATE (LD) (LDH) ENZYME XXXXX $XXXXX.XX
88185 FLOWCYTOMETRY/TC ADD-ON XXXXX -

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment
J9271 Inj pembrolizumab XXXXXX $XXXXXXXX.XX
J9299 Injection, nivolumab XXXXXX $XXXXXXXX.XX
J9267 Paclitaxel injection XXXXXX -
J1453 Fosaprepitant injection XXXXXX $XXXXXX.XX
J9025 Azacitidine injection XXXXXX $XXXXXX.XX
J9263 Oxaliplatin XXXXXX -
J2704 Inj, propofol, 10 mg XXXXXX -
J0897 Denosumab injection XXXXXX $XXXXXXX.XX
J9176 Injection, elotuzumab, 1mg XXXXXX $XXXXXXX.XX
J9144 Daratumumab, hyaluronidase XXXXXX $XXXXXXX.XX
J9264 Paclitaxel protein bound XXXXXX $XXXXXXX.XX
J2405 Ondansetron hcl injection XXXXXX -
J1100 Dexamethasone sodium phos XXXXXX -
J9306 Injection, pertuzumab, 1 mg XXXXXX $XXXXXXX.XX
J0131 Inj, acetaminophen (nos) XXXXXX -
J1756 Iron sucrose injection XXXXXX -
J0881 Darbepoetin alfa, non-esrd XXXXXX $XXXXXX.XX
J9171 Docetaxel injection XXXXXX -
J9047 Injection, carfilzomib, 1 mg XXXXXX $XXXXXXX.XX
J0878 Daptomycin injection XXXXXX -
J9119 Inj., cemiplimab-rwlc, 1 mg XXXXX $XXXXXXX.XX
J8540 Oral dexamethasone XXXXX -
J2001 Lidocaine injection XXXXX -
J9022 Inj, atezolizumab,10 mg XXXXX $XXXXXXX.XX
J9177 Inj enfort vedo-ejfv 0.25mg XXXXX $XXXXXXX.XX

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0463 Hospital outpt clinic visit XXXXXX $XXXXXXXX.XX
G1003 Cdsm medicalis XXXXX -


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


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