CCN: 110225 NPI: 1780643411 Organization

PIEDMONT MOUNTAINSIDE HOSPITAL INC

1266 HIGHWAY 515 S
JASPER, GA 301434872

Contact Information

Phone 7063015269
Fax 7066920939
Enumeration Date 2006-03-21
Last Updated 2024-02-26

Taxonomies

Code: 282N00000X (Primary) License State: GA License: 112-619

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.174

vbpAdjustment 1.0067220372

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.173

vbpAdjustment 1.0067220372

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.173

vbpAdjustment 1.0067220372

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.173

uncompensatedCareAmount 1231.39

vbpAdjustment 1.01468017

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.173

uncompensatedCareAmount 1231.39

vbpAdjustment 1.01468017

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.19

medicaidRatio 0.1337

uncompensatedCareAmount 1231.39

vbpAdjustment 1.01468017

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.19

medicaidRatio 0.1337

uncompensatedCareAmount 1231.39

vbpAdjustment 1.01468017

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.19

medicaidRatio 0.1337

uncompensatedCareAmount 1321.19

vbpAdjustment 1.0061780814

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.19

medicaidRatio 0.1337

uncompensatedCareAmount 1321.19

vbpAdjustment 1.0061780814

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.196

medicaidRatio 0.125

uncompensatedCareAmount 1321.19

vbpAdjustment 1.0061780814

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.196

medicaidRatio 0.125

uncompensatedCareAmount 1321.19

vbpAdjustment 1.0061780814

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.196

medicaidRatio 0.125

uncompensatedCareAmount 1542.41

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.196

medicaidRatio 0.125

uncompensatedCareAmount 1542.41

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.193

medicaidRatio 0.1147

uncompensatedCareAmount 1542.41

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.193

medicaidRatio 0.1147

uncompensatedCareAmount 1542.41

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.193

medicaidRatio 0.1147

uncompensatedCareAmount 1542.41

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.193

medicaidRatio 0.1147

uncompensatedCareAmount 1651.94

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.193

medicaidRatio 0.1147

uncompensatedCareAmount 1651.94

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.193

medicaidRatio 0.1147

uncompensatedCareAmount 1651.94

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.2

medicaidRatio 0.1147

uncompensatedCareAmount 1651.94

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.2

medicaidRatio 0.1286

uncompensatedCareAmount 1651.94

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.2

medicaidRatio 0.1286

uncompensatedCareAmount 1651.94

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.2

medicaidRatio 0.1286

uncompensatedCareAmount 967.07

vbpAdjustment 1.0205773038

hhrAdjustment 0.9936

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.2

medicaidRatio 0.1286

uncompensatedCareAmount 967.07

vbpAdjustment 1.0205773038

hhrAdjustment 0.9936

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.2

medicaidRatio 0.1753

uncompensatedCareAmount 967.07

vbpAdjustment 1.0205773038

hhrAdjustment 0.9936

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.195

medicaidRatio 0.1753

uncompensatedCareAmount 967.07

vbpAdjustment 1.0205773038

hhrAdjustment 0.9936

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.195

medicaidRatio 0.1753

uncompensatedCareAmount 1593.26

vbpAdjustment 1.0133514141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.195

medicaidRatio 0.1645

uncompensatedCareAmount 1593.26

vbpAdjustment 1.0133514141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.195

medicaidRatio 0.1645

uncompensatedCareAmount 1593.26

vbpAdjustment 1.0133514141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.1645

uncompensatedCareAmount 1593.26

vbpAdjustment 1.0133514141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.1645

uncompensatedCareAmount 1593.26

vbpAdjustment 1.0133514141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.1645

uncompensatedCareAmount 1145.63

vbpAdjustment 1.0161224144

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.1645

uncompensatedCareAmount 1145.63

vbpAdjustment 1.0161224144

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.2568

uncompensatedCareAmount 1145.63

vbpAdjustment 1.0161224144

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.2568

uncompensatedCareAmount 568.75

vbpAdjustment 1.0054397897

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.188

medicaidRatio 0.2568

uncompensatedCareAmount 568.75

vbpAdjustment 1.0054397897

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.099

deviceCostToChargeRatio 0.147

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.127

deviceCostToChargeRatio 0.125

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.127

deviceCostToChargeRatio 0.125

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.115

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.115

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.131

deviceCostToChargeRatio 0.15

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.131

deviceCostToChargeRatio 0.15

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.192

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.192

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.132

deviceCostToChargeRatio 0.211

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.132

deviceCostToChargeRatio 0.211

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.227

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.227

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.196

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.196

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.177

specialPaymentIndicator

carrierCode 10212

localityCode 99

PIEDMONT MOUNTAINSIDE HOSPITAL INC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics