CCN: 100099 NPI: 1053972760 Organization

ADVENTHEALTH LAKE WALES

410 S 11TH ST
LAKE WALES, FL 338534203

Contact Information

Phone 8636761433
Fax 8632971867
Enumeration Date 2019-06-24
Last Updated 2024-01-19

Taxonomies

Code: 273R00000X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.141

medicaidRatio 0.1376

uncompensatedCareAmount 1376.77

vbpAdjustment 1.0002282948

hhrAdjustment 0.9901

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.141

medicaidRatio 0.1376

uncompensatedCareAmount 1376.77

vbpAdjustment 1.0002282948

hhrAdjustment 0.9901

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1688

uncompensatedCareAmount 1376.77

vbpAdjustment 1.0002282948

hhrAdjustment 0.9901

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1688

uncompensatedCareAmount 1376.77

vbpAdjustment 1.0002282948

hhrAdjustment 0.9901

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1688

uncompensatedCareAmount 1046.64

vbpAdjustment 1.0175888294

hhrAdjustment 0.9954

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1688

uncompensatedCareAmount 1046.64

vbpAdjustment 1.0175888294

hhrAdjustment 0.9954

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.123

medicaidRatio 0.2102

uncompensatedCareAmount 1046.64

vbpAdjustment 1.0175888294

hhrAdjustment 0.9954

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.123

medicaidRatio 0.2102

uncompensatedCareAmount 1046.64

vbpAdjustment 1.0175888294

hhrAdjustment 0.9954

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.123

medicaidRatio 0.2102

uncompensatedCareAmount 968.94

vbpAdjustment 1.0012350902

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.123

medicaidRatio 0.2102

uncompensatedCareAmount 968.94

vbpAdjustment 1.0012350902

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.132

medicaidRatio 0.1849

uncompensatedCareAmount 968.94

vbpAdjustment 1.0012350902

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.132

medicaidRatio 0.1849

uncompensatedCareAmount 862.1

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.132

medicaidRatio 0.1849

uncompensatedCareAmount 862.1

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.155

medicaidRatio 0.1001

uncompensatedCareAmount 862.1

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.155

medicaidRatio 0.1001

uncompensatedCareAmount 862.1

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.155

medicaidRatio 0.1001

uncompensatedCareAmount 862.1

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.155

medicaidRatio 0.1001

uncompensatedCareAmount 862.1

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.155

medicaidRatio 0.1001

uncompensatedCareAmount 690.11

hhrAdjustment 0.9838

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.14

medicaidRatio 0.1773

uncompensatedCareAmount 690.11

hhrAdjustment 0.9838

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.14

medicaidRatio 0.1773

uncompensatedCareAmount 690.11

hhrAdjustment 0.9838

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.14

medicaidRatio 0.1773

uncompensatedCareAmount 690.11

hhrAdjustment 0.9838

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.14

medicaidRatio 0.1773

uncompensatedCareAmount 695.49

vbpAdjustment 1.0005826903

hhrAdjustment 0.9853

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1887

uncompensatedCareAmount 695.49

vbpAdjustment 1.0005826903

hhrAdjustment 0.9853

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1887

uncompensatedCareAmount 413.83

vbpAdjustment 0.9843532372

hhrAdjustment 0.9907

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.121

medicaidRatio 0.1887

uncompensatedCareAmount 413.83

vbpAdjustment 0.9843532372

hhrAdjustment 0.9907

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.115

medicaidRatio 0.1451

uncompensatedCareAmount 413.83

vbpAdjustment 0.9843532372

hhrAdjustment 0.9907

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.115

medicaidRatio 0.1451

uncompensatedCareAmount 476.45

vbpAdjustment 0.9925148522

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.115

medicaidRatio 0.1451

uncompensatedCareAmount 476.45

vbpAdjustment 0.9925148522

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.096

medicaidRatio 0.1168

uncompensatedCareAmount 476.45

vbpAdjustment 0.9925148522

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.096

medicaidRatio 0.1168

uncompensatedCareAmount 476.45

vbpAdjustment 0.9925148522

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.096

medicaidRatio 0.1168

uncompensatedCareAmount 452.93

vbpAdjustment 0.9956589614

hhrAdjustment 0.9839

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.103

medicaidRatio 0.1104

uncompensatedCareAmount 452.93

vbpAdjustment 0.9956589614

hhrAdjustment 0.9839

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.072

deviceCostToChargeRatio 0.365

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.067

deviceCostToChargeRatio 0.378

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.067

deviceCostToChargeRatio 0.378

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.067

deviceCostToChargeRatio 0.438

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.067

deviceCostToChargeRatio 0.438

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.465

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.465

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.091

deviceCostToChargeRatio 0.46

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.091

deviceCostToChargeRatio 0.46

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.065

deviceCostToChargeRatio 0.109

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.065

deviceCostToChargeRatio 0.109

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 29460

providerType 00

operatingCostToChargeRatio 0.072

deviceCostToChargeRatio 0.142

specialPaymentIndicator

carrierCode 09102

localityCode 99

ADVENTHEALTH LAKE WALES

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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