CCN: 140013 NPI: 1033116876 Organization

CARLE HEALTH PROCTOR HOSPITAL

5409 N KNOXVILLE AVE
PEORIA, IL 616145016

Contact Information

Phone 3096911000
Fax 3096718265
Enumeration Date 2005-07-07
Last Updated 2015-01-23

Taxonomies

Code: 282N00000X License State: IL License: 1677264
Code: 282N00000X (Primary) License State: IL License: 0001925

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0839

vbpAdjustment 0.9837353385

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0839

vbpAdjustment 0.9837353385

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0839

vbpAdjustment 1.0126664827

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.207

medicaidRatio 0.0927

vbpAdjustment 1.0126664827

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.207

medicaidRatio 0.0927

vbpAdjustment 1.0126664827

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.207

medicaidRatio 0.0927

vbpAdjustment 1.0076016629

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.188

medicaidRatio 0.0746

vbpAdjustment 1.0076016629

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.188

medicaidRatio 0.0746

vbpAdjustment 1.0076016629

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.188

medicaidRatio 0.0746

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0754

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0754

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0754

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0754

hhrAdjustment 0.9964

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.208

medicaidRatio 0.0667

hhrAdjustment 0.9964

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.208

medicaidRatio 0.0667

hhrAdjustment 0.9964

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.208

medicaidRatio 0.0667

hhrAdjustment 0.9964

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.183

medicaidRatio 0.0568

hhrAdjustment 0.9964

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.183

medicaidRatio 0.0568

vbpAdjustment 1.017797304

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.186

medicaidRatio 0.0557

vbpAdjustment 1.017797304

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.186

medicaidRatio 0.0557

vbpAdjustment 0.9951661167

hhrAdjustment 0.982

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.186

medicaidRatio 0.0557

vbpAdjustment 0.9951661167

hhrAdjustment 0.982

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.186

medicaidRatio 0.0557

vbpAdjustment 1.0025409555

hhrAdjustment 0.9706

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.186

medicaidRatio 0.0557

vbpAdjustment 1.0025409555

hhrAdjustment 0.9706

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0668

vbpAdjustment 1.0025409555

hhrAdjustment 0.9706

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0668

vbpAdjustment 1.0025409555

hhrAdjustment 0.9706

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.174

medicaidRatio 0.0668

vbpAdjustment 0.9962853199

hhrAdjustment 0.9773

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 00

caseMixIndex 1.0468

operatingCostToChargeRatio 0.203

medicaidRatio 0.0643

vbpAdjustment 0.9962853199

hhrAdjustment 0.9773

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.287

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.287

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.223

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.223

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.214

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.214

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.209

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.209

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.255

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.255

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.371

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.371

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.422

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.422

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.399

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.399

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 37900

providerType 00

operatingCostToChargeRatio 0.15

deviceCostToChargeRatio 0.393

specialPaymentIndicator

carrierCode 06102

localityCode 99

CARLE HEALTH PROCTOR HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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