CCN: 050782 NPI: 1952777245 Organization

CASA COLINA HOSPITAL

255 E BONITA AVE
POMONA, CA 917671923

Contact Information

Phone 9095967733
Fax 9095930153
Enumeration Date 2015-08-20
Last Updated 2016-08-10

Taxonomies

Code: 282N00000X (Primary) License State: CA License: 930000026

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.455

medicaidRatio 0.123

uncompensatedCareAmount 304.99

vbpAdjustment 1.0006880288

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.579

medicaidRatio 0.1503

uncompensatedCareAmount 304.99

vbpAdjustment 1.0006880288

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.579

medicaidRatio 0.1503

uncompensatedCareAmount 275.68

vbpAdjustment 1.0014793311

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.579

medicaidRatio 0.1503

uncompensatedCareAmount 275.68

vbpAdjustment 1.0014793311

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.408

medicaidRatio 0.075

uncompensatedCareAmount 275.68

vbpAdjustment 1.0014793311

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.408

medicaidRatio 0.075

uncompensatedCareAmount 286.83

vbpAdjustment 1.0001410415

hhrAdjustment 0.9963

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.408

medicaidRatio 0.075

uncompensatedCareAmount 286.83

vbpAdjustment 1.0001410415

hhrAdjustment 0.9963

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.339

medicaidRatio 0.0825

uncompensatedCareAmount 286.83

vbpAdjustment 1.0001410415

hhrAdjustment 0.9963

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.339

medicaidRatio 0.0825

uncompensatedCareAmount 191.68

hhrAdjustment 0.9904

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.339

medicaidRatio 0.0825

uncompensatedCareAmount 191.68

hhrAdjustment 0.9904

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.329

medicaidRatio 0.0773

uncompensatedCareAmount 191.68

hhrAdjustment 0.9904

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.329

medicaidRatio 0.0773

uncompensatedCareAmount 191.68

hhrAdjustment 0.9904

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.329

medicaidRatio 0.0773

uncompensatedCareAmount 203.7

hhrAdjustment 0.9784

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.329

medicaidRatio 0.0773

uncompensatedCareAmount 203.7

hhrAdjustment 0.9784

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.357

medicaidRatio 0.0671

uncompensatedCareAmount 203.7

hhrAdjustment 0.9784

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.357

medicaidRatio 0.0671

uncompensatedCareAmount 203.7

hhrAdjustment 0.9784

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.357

medicaidRatio 0.0671

uncompensatedCareAmount 171.32

vbpAdjustment 1.0145717915

hhrAdjustment 0.9944

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.377

medicaidRatio 0.0682

uncompensatedCareAmount 171.32

vbpAdjustment 1.0145717915

hhrAdjustment 0.9944

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.377

medicaidRatio 0.0682

vbpAdjustment 1.0093336414

hhrAdjustment 0.9962

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.377

medicaidRatio 0.0682

vbpAdjustment 1.0093336414

hhrAdjustment 0.9962

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.383

medicaidRatio 0.0682

vbpAdjustment 1.0093336414

hhrAdjustment 0.9962

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.342

medicaidRatio 0.0672

vbpAdjustment 1.0093336414

hhrAdjustment 0.9962

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.342

medicaidRatio 0.0672

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.342

medicaidRatio 0.0672

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.342

medicaidRatio 0.0672

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.0584

internsToBedsRatio 0.0441

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.0584

internsToBedsRatio 0.0441

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.0584

internsToBedsRatio 0.0441

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.0584

internsToBedsRatio 0.0441

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.256

deviceCostToChargeRatio 0.434

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.256

deviceCostToChargeRatio 0.434

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.457

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.457

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.326

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.311

deviceCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.311

deviceCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.311

deviceCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.324

deviceCostToChargeRatio 0.278

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.446

deviceCostToChargeRatio 0.755

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.446

deviceCostToChargeRatio 0.755

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.662

deviceCostToChargeRatio 0.746

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.662

deviceCostToChargeRatio 0.746

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.444

deviceCostToChargeRatio 1.555

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.444

deviceCostToChargeRatio 1.555

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.444

deviceCostToChargeRatio 0.341

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.668

deviceCostToChargeRatio 0.341

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.668

deviceCostToChargeRatio 0.018

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 1.038

deviceCostToChargeRatio 0.018

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 1.038

deviceCostToChargeRatio 0.018

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 01182

localityCode 18

CASA COLINA HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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