CCN: 150076 NPI: 1174571129 Organization

SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH

1915 LAKE AVE
PLYMOUTH, IN 465639366

Contact Information

Phone 5749484000
Fax 5749485454
Enumeration Date 2006-05-04
Last Updated 2025-06-02

Taxonomies

Code: 282N00000X (Primary) License State: IN License: 05-005070-1

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.248

medicaidRatio 0.0867

vbpAdjustment 1.0027568317

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.248

medicaidRatio 0.0867

vbpAdjustment 1.0027568317

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.248

medicaidRatio 0.0867

vbpAdjustment 1.0027568317

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.254

medicaidRatio 0.0802

vbpAdjustment 1.0027568317

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.254

medicaidRatio 0.0802

uncompensatedCareAmount 1165.53

vbpAdjustment 1.0120698346

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.254

medicaidRatio 0.0802

uncompensatedCareAmount 1165.53

vbpAdjustment 1.0120698346

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.279

medicaidRatio 0.2392

uncompensatedCareAmount 1165.53

vbpAdjustment 1.0120698346

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.279

medicaidRatio 0.2392

uncompensatedCareAmount 1165.53

vbpAdjustment 1.0120698346

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.279

medicaidRatio 0.2392

uncompensatedCareAmount 1079.92

vbpAdjustment 0.9903341469

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.279

medicaidRatio 0.2392

uncompensatedCareAmount 1079.92

vbpAdjustment 0.9903341469

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.333

medicaidRatio 0.2187

uncompensatedCareAmount 1079.92

vbpAdjustment 0.9903341469

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.333

medicaidRatio 0.2187

uncompensatedCareAmount 1055.01

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.288

medicaidRatio 0.1878

uncompensatedCareAmount 1055.01

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.288

medicaidRatio 0.1878

uncompensatedCareAmount 1055.01

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.288

medicaidRatio 0.1878

uncompensatedCareAmount 1055.01

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.288

medicaidRatio 0.1878

uncompensatedCareAmount 1055.01

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.288

medicaidRatio 0.1878

uncompensatedCareAmount 1055.01

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.288

medicaidRatio 0.1878

uncompensatedCareAmount 880.19

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.344

medicaidRatio 0.2143

uncompensatedCareAmount 880.19

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.344

medicaidRatio 0.2143

uncompensatedCareAmount 880.19

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.344

medicaidRatio 0.2143

uncompensatedCareAmount 880.19

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.344

medicaidRatio 0.2143

uncompensatedCareAmount 723.33

vbpAdjustment 0.9938999987

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.294

medicaidRatio 0.2072

uncompensatedCareAmount 723.33

vbpAdjustment 0.9938999987

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.294

medicaidRatio 0.2072

uncompensatedCareAmount 1171.59

vbpAdjustment 0.9959384652

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.294

medicaidRatio 0.2072

uncompensatedCareAmount 1171.59

vbpAdjustment 0.9959384652

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.283

medicaidRatio 0.2154

uncompensatedCareAmount 1171.59

vbpAdjustment 0.9959384652

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.283

medicaidRatio 0.2154

uncompensatedCareAmount 828.58

vbpAdjustment 1.0068784895

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.283

medicaidRatio 0.2154

uncompensatedCareAmount 828.58

vbpAdjustment 1.0068784895

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.283

medicaidRatio 0.2154

uncompensatedCareAmount 828.58

vbpAdjustment 1.0068784895

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.327

medicaidRatio 0.1987

uncompensatedCareAmount 828.58

vbpAdjustment 1.0068784895

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.327

medicaidRatio 0.1987

uncompensatedCareAmount 551.59

vbpAdjustment 1.0030789001

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.327

medicaidRatio 0.1987

uncompensatedCareAmount 551.59

vbpAdjustment 1.0030789001

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.327

medicaidRatio 0.1987

uncompensatedCareAmount 551.59

vbpAdjustment 1.0030789001

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 15

providerType 00

caseMixIndex 1.113

operatingCostToChargeRatio 0.332

medicaidRatio 0.209

uncompensatedCareAmount 551.59

vbpAdjustment 1.0030789001

hhrAdjustment 0.9997

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.512

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.466

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.505

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.505

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.33

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.33

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.203

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.203

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.241

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.241

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.199

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.199

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.442

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.442

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.475

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.475

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 15

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.574

specialPaymentIndicator Y

costOfLivingAdjustment 0.906

carrierCode 08102

localityCode 00

SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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