CCN: 110121 NPI: 1013961507 Organization

ARCHBOLD GRADY

1155 5TH ST SE
CAIRO, GA 398283142

Contact Information

Phone 2293771150
Fax 2293777953
Enumeration Date 2006-05-20
Last Updated 2017-03-08

Taxonomies

Code: 282N00000X (Primary) License State: GA License: 065-413

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.504

medicaidRatio 0.4125

uncompensatedCareAmount 10058.82

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.504

medicaidRatio 0.4125

uncompensatedCareAmount 10058.82

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.504

medicaidRatio 0.4125

uncompensatedCareAmount 10058.82

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.504

medicaidRatio 0.4125

uncompensatedCareAmount 7506.73

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.504

medicaidRatio 0.4217

uncompensatedCareAmount 7506.73

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.504

medicaidRatio 0.4217

uncompensatedCareAmount 7506.73

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.543

medicaidRatio 0.4217

uncompensatedCareAmount 7506.73

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.543

medicaidRatio 0.4217

uncompensatedCareAmount 7506.73

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.543

medicaidRatio 0.4217

uncompensatedCareAmount 6052.03

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.602

medicaidRatio 0.3235

uncompensatedCareAmount 6052.03

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.602

medicaidRatio 0.3235

uncompensatedCareAmount 6052.03

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.602

medicaidRatio 0.3235

uncompensatedCareAmount 6052.03

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.602

medicaidRatio 0.3235

uncompensatedCareAmount 3821.6

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.602

medicaidRatio 0.246

uncompensatedCareAmount 3821.6

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.521

medicaidRatio 0.246

uncompensatedCareAmount 3821.6

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.521

medicaidRatio 0.246

uncompensatedCareAmount 3821.6

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.521

medicaidRatio 0.246

uncompensatedCareAmount 3821.6

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.521

medicaidRatio 0.246

uncompensatedCareAmount 3821.6

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.521

medicaidRatio 0.246

uncompensatedCareAmount 3320.76

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.521

medicaidRatio 0.2748

uncompensatedCareAmount 3320.76

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.599

medicaidRatio 0.2748

uncompensatedCareAmount 3320.76

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.599

medicaidRatio 0.2748

uncompensatedCareAmount 3320.76

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.599

medicaidRatio 0.2748

uncompensatedCareAmount 3320.76

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.599

medicaidRatio 0.2748

uncompensatedCareAmount 3320.76

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.599

medicaidRatio 0.2748

uncompensatedCareAmount 3083.14

vbpAdjustment 1.0177794835

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.464

medicaidRatio 0.2169

uncompensatedCareAmount 3083.14

vbpAdjustment 1.0177794835

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.464

medicaidRatio 0.2169

uncompensatedCareAmount 3083.14

vbpAdjustment 1.0177794835

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.464

medicaidRatio 0.2169

uncompensatedCareAmount 3077.55

vbpAdjustment 1.0177794835

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.464

medicaidRatio 0.2169

uncompensatedCareAmount 2490.21

vbpAdjustment 1.0090683904

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.464

medicaidRatio 0.2268

uncompensatedCareAmount 2490.21

vbpAdjustment 1.0090683904

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.405

medicaidRatio 0.2268

uncompensatedCareAmount 2490.21

vbpAdjustment 1.0090683904

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.405

medicaidRatio 0.2268

uncompensatedCareAmount 2490.21

vbpAdjustment 1.0090683904

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.405

medicaidRatio 0.2268

uncompensatedCareAmount 2490.21

vbpAdjustment 1.0090683904

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.405

medicaidRatio 0.2268

uncompensatedCareAmount 1843.51

vbpAdjustment 0.9933681376

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.418

medicaidRatio 0.2092

uncompensatedCareAmount 1843.51

vbpAdjustment 0.9933681376

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.418

medicaidRatio 0.2092

uncompensatedCareAmount 1843.51

vbpAdjustment 0.9933681376

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.418

medicaidRatio 0.2092

uncompensatedCareAmount 1843.51

vbpAdjustment 0.9933681376

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.418

medicaidRatio 0.2092

uncompensatedCareAmount 1227.54

vbpAdjustment 1.0195087642

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.383

medicaidRatio 0.292

uncompensatedCareAmount 1227.54

vbpAdjustment 1.0195087642

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.913

operatingCostToChargeRatio 0.383

medicaidRatio 0.292

uncompensatedCareAmount 1227.54

vbpAdjustment 1.0195087642

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.438

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.438

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.438

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.441

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.441

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.504

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.504

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.482

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.482

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.457

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.457

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.441

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.441

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.441

specialPaymentIndicator

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.441

specialPaymentIndicator Y

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.495

specialPaymentIndicator Y

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.495

specialPaymentIndicator Y

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.204

specialPaymentIndicator Y

costOfLivingAdjustment 0.91

carrierCode 10212

localityCode 99

ARCHBOLD GRADY

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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