CCN: 140089 NPI: 1669420766 Organization

MC DONOUGH DISTRICT HOSPITAL

525 E GRANT ST
MACOMB, IL 614553313

Contact Information

Phone 3098334101
Fax 3098361525
Enumeration Date 2006-05-04
Last Updated 2023-06-01

Taxonomies

Code: 332B00000X
Code: 341600000X
Code: 282N00000X (Primary) License State: IL License: 0001438

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.492

medicaidRatio 0.2449

uncompensatedCareAmount 1192.35

vbpAdjustment 1.0091356406

hhrAdjustment 0.9823

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.492

medicaidRatio 0.2449

uncompensatedCareAmount 1192.35

vbpAdjustment 1.0091356406

hhrAdjustment 0.9823

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.492

medicaidRatio 0.2449

uncompensatedCareAmount 1192.35

vbpAdjustment 1.0091356406

hhrAdjustment 0.9823

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.495

medicaidRatio 0.2622

uncompensatedCareAmount 1192.35

vbpAdjustment 1.0091356406

hhrAdjustment 0.9823

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.495

medicaidRatio 0.2622

uncompensatedCareAmount 882.79

vbpAdjustment 1.001181007

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.495

medicaidRatio 0.2622

uncompensatedCareAmount 882.79

vbpAdjustment 1.001181007

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.517

medicaidRatio 0.2599

uncompensatedCareAmount 882.79

vbpAdjustment 1.001181007

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.517

medicaidRatio 0.2599

uncompensatedCareAmount 972.47

vbpAdjustment 0.9946576166

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.517

medicaidRatio 0.2599

uncompensatedCareAmount 972.47

vbpAdjustment 0.9946576166

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.437

medicaidRatio 0.2297

uncompensatedCareAmount 972.47

vbpAdjustment 0.9946576166

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.437

medicaidRatio 0.2297

uncompensatedCareAmount 922.85

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.437

medicaidRatio 0.2297

uncompensatedCareAmount 922.85

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.429

medicaidRatio 0.2021

uncompensatedCareAmount 922.85

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.429

medicaidRatio 0.2021

uncompensatedCareAmount 922.85

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.429

medicaidRatio 0.2021

uncompensatedCareAmount 833.97

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.429

medicaidRatio 0.2021

uncompensatedCareAmount 833.97

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.492

medicaidRatio 0.2208

uncompensatedCareAmount 833.97

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.492

medicaidRatio 0.2208

uncompensatedCareAmount 833.97

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.492

medicaidRatio 0.2208

uncompensatedCareAmount 1841.11

vbpAdjustment 0.9981769213

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.454

medicaidRatio 0.2282

uncompensatedCareAmount 1841.11

vbpAdjustment 0.9981769213

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.404

medicaidRatio 0.2282

uncompensatedCareAmount 1841.11

vbpAdjustment 0.9981769213

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.404

medicaidRatio 0.2282

uncompensatedCareAmount 623.49

vbpAdjustment 1.002374703

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.404

medicaidRatio 0.2282

uncompensatedCareAmount 623.49

vbpAdjustment 1.002374703

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.425

medicaidRatio 0.2121

uncompensatedCareAmount 623.49

vbpAdjustment 1.002374703

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.425

medicaidRatio 0.2121

uncompensatedCareAmount 1878.13

vbpAdjustment 1.0060726089

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.425

medicaidRatio 0.2121

uncompensatedCareAmount 1878.13

vbpAdjustment 1.0060726089

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.425

medicaidRatio 0.2121

uncompensatedCareAmount 1878.13

vbpAdjustment 1.0060726089

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.485

medicaidRatio 0.2203

uncompensatedCareAmount 1878.13

vbpAdjustment 1.0060726089

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.485

medicaidRatio 0.2203

uncompensatedCareAmount 810.98

vbpAdjustment 0.9957553243

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.485

medicaidRatio 0.2203

uncompensatedCareAmount 810.98

vbpAdjustment 0.9957553243

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.967

operatingCostToChargeRatio 0.482

medicaidRatio 0.1906

uncompensatedCareAmount 810.98

vbpAdjustment 0.9957553243

hhrAdjustment 0.9995

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.281

deviceCostToChargeRatio 0.39

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.516

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.516

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.244

deviceCostToChargeRatio 0.48

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.48

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.48

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.489

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.489

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.488

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.488

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.455

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.455

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.439

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.439

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.439

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.439

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.397

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.248

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.248

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.624

specialPaymentIndicator

costOfLivingAdjustment 0.822

carrierCode 06102

localityCode 99

MC DONOUGH DISTRICT HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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