CCN: 050780 NPI: 1043632938 Organization

FOOTHILL REGIONAL MEDICAL CENTER

14662 NEWPORT AVE
TUSTIN, CA 927806064

Contact Information

Phone 7146197700
Fax 7146197724
Enumeration Date 2014-01-10
Last Updated 2022-12-22

Taxonomies

Code: 282N00000X (Primary) License State: CA License: 060000178

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.148

medicaidRatio 0.3094

uncompensatedCareAmount 203.79

vbpAdjustment 0.9986192259

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.203

medicaidRatio 0.3347

uncompensatedCareAmount 203.79

vbpAdjustment 0.9986192259

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.203

medicaidRatio 0.3347

uncompensatedCareAmount 140.86

vbpAdjustment 0.9877564251

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.203

medicaidRatio 0.3347

uncompensatedCareAmount 140.86

vbpAdjustment 0.9877564251

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.203

medicaidRatio 0.3347

uncompensatedCareAmount 70.45

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.388

uncompensatedCareAmount 70.45

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.388

uncompensatedCareAmount 70.45

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.4121

uncompensatedCareAmount 70.45

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.4121

uncompensatedCareAmount 109.6

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.4121

uncompensatedCareAmount 109.6

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.4121

uncompensatedCareAmount 109.6

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.186

medicaidRatio 0.3347

uncompensatedCareAmount 109.6

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.186

medicaidRatio 0.3347

uncompensatedCareAmount 157.77

hhrAdjustment 0.9961

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.186

medicaidRatio 0.3347

uncompensatedCareAmount 157.77

hhrAdjustment 0.9961

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.186

medicaidRatio 0.3347

uncompensatedCareAmount 157.77

hhrAdjustment 0.9961

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.3804

uncompensatedCareAmount 157.77

hhrAdjustment 0.9961

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.3804

uncompensatedCareAmount 1122.59

hhrAdjustment 0.9973

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.209

medicaidRatio 0.4354

uncompensatedCareAmount 1122.59

hhrAdjustment 0.9973

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.209

medicaidRatio 0.4354

uncompensatedCareAmount 32.84

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.4354

uncompensatedCareAmount 32.84

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.4354

uncompensatedCareAmount 36.47

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.4354

uncompensatedCareAmount 36.47

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.3148

uncompensatedCareAmount 36.47

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.3148

uncompensatedCareAmount 36.47

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.3148

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.219

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.219

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.259

medicaidRatio 0.219

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.259

medicaidRatio 0.219

censusDivision 9

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.308

medicaidRatio 0.1071

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.236

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.236

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.31

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.31

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.205

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.205

specialPaymentIndicator

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.268

specialPaymentIndicator

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.268

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.319

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.356

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.356

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.356

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.595

deviceCostToChargeRatio 0.635

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.595

deviceCostToChargeRatio 0.635

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 11244

providerType 00

operatingCostToChargeRatio 0.698

deviceCostToChargeRatio 0.413

specialPaymentIndicator Y

carrierCode 01182

localityCode 26

FOOTHILL REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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