CCN: 160033 NPI: 1972542264 Organization

MERCYONE GENESIS

1227 E RUSHOLME ST
DAVENPORT, IA 528032459

Contact Information

Phone 5634213402
Fax 5634213419
Enumeration Date 2006-06-05
Last Updated 2025-06-17

Taxonomies

Code: 276400000X
Code: 341600000X License State: IA
Code: 273Y00000X
Code: 273R00000X
Code: 282N00000X (Primary) License State: IA

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.313

medicaidRatio 0.2362

uncompensatedCareAmount 419.69

internsToBedsRatio 0.0543

vbpAdjustment 0.9916657496

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.313

medicaidRatio 0.2362

uncompensatedCareAmount 419.69

internsToBedsRatio 0.0543

vbpAdjustment 0.9916657496

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.303

medicaidRatio 0.2487

uncompensatedCareAmount 419.69

internsToBedsRatio 0.0592

vbpAdjustment 0.9916657496

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.303

medicaidRatio 0.2487

uncompensatedCareAmount 318.42

internsToBedsRatio 0.0592

vbpAdjustment 0.9899938554

hhrAdjustment 0.9933

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.295

medicaidRatio 0.2487

uncompensatedCareAmount 318.42

internsToBedsRatio 0.0483

vbpAdjustment 0.9899938554

hhrAdjustment 0.9933

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.295

medicaidRatio 0.2487

uncompensatedCareAmount 318.42

internsToBedsRatio 0.0483

vbpAdjustment 0.9899938554

hhrAdjustment 0.9933

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.316

medicaidRatio 0.2724

uncompensatedCareAmount 318.42

internsToBedsRatio 0.0497

vbpAdjustment 0.9899938554

hhrAdjustment 0.9933

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.316

medicaidRatio 0.2724

uncompensatedCareAmount 325.15

internsToBedsRatio 0.0497

vbpAdjustment 0.9982692955

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.316

medicaidRatio 0.2724

uncompensatedCareAmount 325.15

internsToBedsRatio 0.0497

vbpAdjustment 0.9982692955

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.31

medicaidRatio 0.2724

uncompensatedCareAmount 325.15

internsToBedsRatio 0.0497

vbpAdjustment 0.9982692955

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.296

medicaidRatio 0.261

uncompensatedCareAmount 325.15

internsToBedsRatio 0.0491

vbpAdjustment 0.9982692955

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.296

medicaidRatio 0.261

uncompensatedCareAmount 272.18

internsToBedsRatio 0.0491

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.266

medicaidRatio 0.2638

uncompensatedCareAmount 272.18

internsToBedsRatio 0.0526

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.266

medicaidRatio 0.2638

uncompensatedCareAmount 272.18

internsToBedsRatio 0.0526

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.266

medicaidRatio 0.2638

uncompensatedCareAmount 247.31

internsToBedsRatio 0.0526

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.266

medicaidRatio 0.2638

uncompensatedCareAmount 247.31

internsToBedsRatio 0.0509

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.266

medicaidRatio 0.2638

uncompensatedCareAmount 247.31

internsToBedsRatio 0.0509

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.2731

uncompensatedCareAmount 247.31

internsToBedsRatio 0.0457

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.2731

uncompensatedCareAmount 247.31

internsToBedsRatio 0.0457

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.2731

uncompensatedCareAmount 223.78

internsToBedsRatio 0.0457

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.2731

uncompensatedCareAmount 223.78

internsToBedsRatio 0.0457

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.2731

uncompensatedCareAmount 223.78

internsToBedsRatio 0.0457

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.259

medicaidRatio 0.247

uncompensatedCareAmount 223.78

internsToBedsRatio 0.048

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.259

medicaidRatio 0.247

uncompensatedCareAmount 216.82

internsToBedsRatio 0.048

hhrAdjustment 0.9923

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.259

medicaidRatio 0.247

uncompensatedCareAmount 216.82

internsToBedsRatio 0.048

hhrAdjustment 0.9923

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.274

medicaidRatio 0.2286

uncompensatedCareAmount 216.82

internsToBedsRatio 0.0598

hhrAdjustment 0.9923

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.274

medicaidRatio 0.2286

uncompensatedCareAmount 291.1

internsToBedsRatio 0.0598

vbpAdjustment 0.9957620772

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.274

medicaidRatio 0.2286

uncompensatedCareAmount 291.1

internsToBedsRatio 0.0598

vbpAdjustment 0.9957620772

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.274

medicaidRatio 0.2286

uncompensatedCareAmount 291.1

internsToBedsRatio 0.0598

vbpAdjustment 0.9957620772

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.287

medicaidRatio 0.1976

uncompensatedCareAmount 291.1

internsToBedsRatio 0.0538

vbpAdjustment 0.9957620772

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.287

medicaidRatio 0.1976

uncompensatedCareAmount 325.25

internsToBedsRatio 0.0538

vbpAdjustment 0.9977514117

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0315

operatingCostToChargeRatio 0.287

medicaidRatio 0.1976

uncompensatedCareAmount 325.25

internsToBedsRatio 0.0538

vbpAdjustment 0.9977514117

hhrAdjustment 0.9977

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.385

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.384

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.384

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.375

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.402

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.402

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.399

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.236

deviceCostToChargeRatio 0.407

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.236

deviceCostToChargeRatio 0.407

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.378

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.378

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.383

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.383

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.383

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.383

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.374

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.374

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.374

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.379

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.379

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.381

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.377

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

MERCYONE GENESIS

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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