CCN: 110101 NPI: 1568410264 Organization

SOUTHWELL MEDICAL, A CAMPUS OF TRMC

260 MJ TAYLOR RD
ADEL, GA 316203485

Contact Information

Phone 2298968159
Enumeration Date 2006-05-04
Last Updated 2022-06-24

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.373

medicaidRatio 0.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.389

medicaidRatio 0.0302

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.389

medicaidRatio 0.0302

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.389

medicaidRatio 0.0302

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.389

medicaidRatio 0.0302

uncompensatedCareAmount 3677.52

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.389

medicaidRatio 0.0302

uncompensatedCareAmount 3677.52

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.389

medicaidRatio 0.0863

uncompensatedCareAmount 3677.52

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.413

medicaidRatio 0.0863

uncompensatedCareAmount 3677.52

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.413

medicaidRatio 0.0863

uncompensatedCareAmount 3677.52

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.413

medicaidRatio 0.0863

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.413

medicaidRatio 0.0863

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.413

medicaidRatio 0.0801

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.495

medicaidRatio 0.0801

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.495

medicaidRatio 0.0801

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.495

medicaidRatio 0.0801

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.495

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.495

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.461

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.461

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.461

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.461

uncompensatedCareAmount 1707.41

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.461

medicaidRatio 0.0783

uncompensatedCareAmount 1707.41

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.461

medicaidRatio 0.0783

uncompensatedCareAmount 1707.41

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0783

uncompensatedCareAmount 1707.41

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0783

uncompensatedCareAmount 1707.41

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0783

uncompensatedCareAmount 1707.41

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0783

uncompensatedCareAmount 4500.44

hhrAdjustment 0.9997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0783

uncompensatedCareAmount 4500.44

hhrAdjustment 0.9997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0992

uncompensatedCareAmount 4500.44

hhrAdjustment 0.9997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.527

medicaidRatio 0.0992

uncompensatedCareAmount 4500.44

hhrAdjustment 0.9997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.639

medicaidRatio 0.0992

uncompensatedCareAmount 4500.44

hhrAdjustment 0.9997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.639

medicaidRatio 0.0992

uncompensatedCareAmount 10724.6

hhrAdjustment 0.9984

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.639

medicaidRatio 0.2188

uncompensatedCareAmount 10724.6

hhrAdjustment 0.9984

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.639

medicaidRatio 0.2188

uncompensatedCareAmount 10724.6

hhrAdjustment 0.9984

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.61

medicaidRatio 0.2188

uncompensatedCareAmount 10724.6

hhrAdjustment 0.9984

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.61

medicaidRatio 0.2188

uncompensatedCareAmount 10724.6

hhrAdjustment 0.9984

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.61

medicaidRatio 0.2188

uncompensatedCareAmount 5994.94

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.61

medicaidRatio 0.2188

uncompensatedCareAmount 5994.94

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.497

medicaidRatio 0.1848

uncompensatedCareAmount 5994.94

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.497

medicaidRatio 0.1505

uncompensatedCareAmount 5994.94

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.497

medicaidRatio 0.1505

uncompensatedCareAmount 2651.63

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9142

operatingCostToChargeRatio 0.497

medicaidRatio 0.1505

uncompensatedCareAmount 2651.63

hhrAdjustment 0.9978

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.269

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.269

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.269

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.269

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.279

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.279

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.306

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.306

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.37

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.37

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.412

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.412

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.412

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.192

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.192

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.191

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.191

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.212

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.212

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.186

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 10212

localityCode 99

SOUTHWELL MEDICAL, A CAMPUS OF TRMC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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