CCN: 140166 NPI: 1326041229 Organization

ST MARYS HOSPITAL

1800 E LAKE SHORE DR
DECATUR, IL 62521

Contact Information

Phone 2174642966
Fax 2174641616
Enumeration Date 2005-05-24
Last Updated 2026-01-21

Taxonomies

Code: 282N00000X
Code: 282N00000X (Primary) License State: IL License: 0002592

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.25

medicaidRatio 0.1522

uncompensatedCareAmount 659.12

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.25

medicaidRatio 0.1522

uncompensatedCareAmount 659.12

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.238

medicaidRatio 0.114

uncompensatedCareAmount 659.12

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.238

medicaidRatio 0.114

uncompensatedCareAmount 659.12

internsToBedsRatio 0.0002

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.238

medicaidRatio 0.114

uncompensatedCareAmount 483.92

internsToBedsRatio 0.0002

vbpAdjustment 0.9935364534

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.238

medicaidRatio 0.114

uncompensatedCareAmount 483.92

internsToBedsRatio 0.0002

vbpAdjustment 0.9935364534

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.225

medicaidRatio 0.2627

uncompensatedCareAmount 483.92

internsToBedsRatio 0.0002

vbpAdjustment 0.9935364534

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.225

medicaidRatio 0.2627

uncompensatedCareAmount 483.92

vbpAdjustment 0.9935364534

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.225

medicaidRatio 0.2627

uncompensatedCareAmount 427.0

vbpAdjustment 0.9904395974

hhrAdjustment 0.9941

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.204

medicaidRatio 0.296

uncompensatedCareAmount 427.0

vbpAdjustment 0.9904395974

hhrAdjustment 0.9941

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.204

medicaidRatio 0.296

uncompensatedCareAmount 368.78

hhrAdjustment 0.9926

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.204

medicaidRatio 0.296

uncompensatedCareAmount 368.78

hhrAdjustment 0.9926

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.204

medicaidRatio 0.296

uncompensatedCareAmount 368.78

hhrAdjustment 0.9926

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.216

medicaidRatio 0.311

uncompensatedCareAmount 368.78

hhrAdjustment 0.9926

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.216

medicaidRatio 0.311

uncompensatedCareAmount 283.67

hhrAdjustment 0.9784

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.216

medicaidRatio 0.311

uncompensatedCareAmount 283.67

hhrAdjustment 0.9784

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.212

medicaidRatio 0.3051

uncompensatedCareAmount 283.67

hhrAdjustment 0.9784

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.212

medicaidRatio 0.3051

uncompensatedCareAmount 283.67

hhrAdjustment 0.9784

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.212

medicaidRatio 0.3051

uncompensatedCareAmount 226.41

vbpAdjustment 0.9983640367

hhrAdjustment 0.978

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.215

medicaidRatio 0.3006

uncompensatedCareAmount 226.41

internsToBedsRatio 0.0007

vbpAdjustment 0.9983640367

hhrAdjustment 0.978

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.215

medicaidRatio 0.3006

uncompensatedCareAmount 226.41

internsToBedsRatio 0.0007

vbpAdjustment 0.9983640367

hhrAdjustment 0.978

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.215

medicaidRatio 0.3006

uncompensatedCareAmount 249.56

internsToBedsRatio 0.0007

vbpAdjustment 1.0061194232

hhrAdjustment 0.9869

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.215

medicaidRatio 0.3006

uncompensatedCareAmount 249.56

internsToBedsRatio 0.0007

vbpAdjustment 1.0061194232

hhrAdjustment 0.9869

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.219

medicaidRatio 0.3216

uncompensatedCareAmount 249.56

internsToBedsRatio 0.0016

vbpAdjustment 1.0061194232

hhrAdjustment 0.9869

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.219

medicaidRatio 0.3216

uncompensatedCareAmount 249.56

internsToBedsRatio 0.0016

vbpAdjustment 1.0061194232

hhrAdjustment 0.9869

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.219

medicaidRatio 0.3216

uncompensatedCareAmount 481.09

internsToBedsRatio 0.0016

vbpAdjustment 1.0055985614

hhrAdjustment 0.9877

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.219

medicaidRatio 0.3216

uncompensatedCareAmount 481.09

internsToBedsRatio 0.0016

vbpAdjustment 1.0055985614

hhrAdjustment 0.9877

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.219

medicaidRatio 0.3216

uncompensatedCareAmount 481.09

internsToBedsRatio 0.002

vbpAdjustment 1.0055985614

hhrAdjustment 0.9877

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.219

medicaidRatio 0.3216

uncompensatedCareAmount 481.09

internsToBedsRatio 0.002

vbpAdjustment 1.0055985614

hhrAdjustment 0.9877

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.24

medicaidRatio 0.3312

uncompensatedCareAmount 481.09

internsToBedsRatio 0.002

vbpAdjustment 1.0055985614

hhrAdjustment 0.9877

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.242

medicaidRatio 0.3312

uncompensatedCareAmount 517.54

internsToBedsRatio 0.002

vbpAdjustment 1.0030307187

hhrAdjustment 0.9908

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.242

medicaidRatio 0.3312

uncompensatedCareAmount 517.54

internsToBedsRatio 0.0018

vbpAdjustment 1.0030307187

hhrAdjustment 0.9908

censusDivision 4

cbsaActualGeographicLocation 19500

providerType 00

caseMixIndex 1.0201

operatingCostToChargeRatio 0.242

medicaidRatio 0.3312

uncompensatedCareAmount 517.54

internsToBedsRatio 0.0018

vbpAdjustment 1.0030307187

hhrAdjustment 0.9908

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.261

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.271

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.248

specialPaymentIndicator

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.248

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.154

deviceCostToChargeRatio 0.257

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.154

deviceCostToChargeRatio 0.257

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.151

deviceCostToChargeRatio 0.304

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.151

deviceCostToChargeRatio 0.304

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.323

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.323

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.151

deviceCostToChargeRatio 0.31

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.151

deviceCostToChargeRatio 0.31

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.291

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.291

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.296

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.296

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19500

providerType 00

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.273

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

ST MARYS HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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