CCN: 140181 NPI: 1053391359 Organization

SOUTH SHORE HOSPITAL

8012 S CRANDON AVE , FINANCE DEPARTMENT
CHICAGO, IL 606171124

Contact Information

Phone 7733565312
Fax 7737688154
Enumeration Date 2006-01-20
Last Updated 2020-08-22

Taxonomies

Code: 282N00000X (Primary) License State: IL License: 1706462

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.384

medicaidRatio 0.3443

uncompensatedCareAmount 1213.22

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.384

medicaidRatio 0.3443

uncompensatedCareAmount 1213.22

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.384

medicaidRatio 0.3443

uncompensatedCareAmount 1003.71

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.4

medicaidRatio 0.3014

uncompensatedCareAmount 1003.71

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.4

medicaidRatio 0.3014

uncompensatedCareAmount 1003.71

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.4

medicaidRatio 0.3014

uncompensatedCareAmount 1072.12

vbpAdjustment 0.98

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.375

medicaidRatio 0.3691

uncompensatedCareAmount 1072.12

vbpAdjustment 0.98

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.375

medicaidRatio 0.3561

uncompensatedCareAmount 1072.12

vbpAdjustment 0.98

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.375

medicaidRatio 0.3561

uncompensatedCareAmount 1072.12

vbpAdjustment 0.98

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.375

medicaidRatio 0.3561

uncompensatedCareAmount 643.91

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.333

medicaidRatio 0.3625

uncompensatedCareAmount 643.91

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.333

medicaidRatio 0.3594

uncompensatedCareAmount 643.91

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.333

medicaidRatio 0.3594

uncompensatedCareAmount 643.91

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.333

medicaidRatio 0.3594

uncompensatedCareAmount 643.91

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.333

medicaidRatio 0.3594

uncompensatedCareAmount 663.66

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.354

medicaidRatio 0.3322

uncompensatedCareAmount 663.66

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.354

medicaidRatio 0.2947

uncompensatedCareAmount 663.66

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.354

medicaidRatio 0.2947

uncompensatedCareAmount 663.66

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.354

medicaidRatio 0.2947

uncompensatedCareAmount 663.66

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.322

medicaidRatio 0.2614

uncompensatedCareAmount 705.17

vbpAdjustment 0.9899794862

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.425

medicaidRatio 0.3196

uncompensatedCareAmount 705.17

vbpAdjustment 0.9899794862

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.425

medicaidRatio 0.3196

uncompensatedCareAmount 404.03

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.425

medicaidRatio 0.3196

uncompensatedCareAmount 404.03

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.425

medicaidRatio 0.3196

uncompensatedCareAmount 828.83

vbpAdjustment 0.9899075914

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.425

medicaidRatio 0.3196

uncompensatedCareAmount 828.83

vbpAdjustment 0.9899075914

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.426

medicaidRatio 0.3503

uncompensatedCareAmount 828.83

vbpAdjustment 0.9899075914

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.426

medicaidRatio 0.3503

uncompensatedCareAmount 828.83

vbpAdjustment 0.9899075914

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.426

medicaidRatio 0.3503

uncompensatedCareAmount 928.47

vbpAdjustment 0.9953216915

hhrAdjustment 0.9926

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0294

operatingCostToChargeRatio 0.422

medicaidRatio 0.4672

uncompensatedCareAmount 928.47

vbpAdjustment 0.9953216915

hhrAdjustment 0.9926

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 1.655

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 1.655

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.236

deviceCostToChargeRatio 1.65

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.236

deviceCostToChargeRatio 1.65

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 1.432

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 1.432

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 1.713

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 1.713

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.293

deviceCostToChargeRatio 0.156

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.293

deviceCostToChargeRatio 0.156

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.266

deviceCostToChargeRatio 0.141

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.312

deviceCostToChargeRatio 0.382

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.312

deviceCostToChargeRatio 0.382

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 1.0

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 1.0

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.295

deviceCostToChargeRatio 0.893

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

SOUTH SHORE HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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