CCN: 190317 NPI: 1285253252 Organization

OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT

911 MARGARET PL
SHREVEPORT, LA 711014347

Contact Information

Phone 3186264300
Fax 3183997683
Enumeration Date 2020-04-10
Last Updated 2022-12-19

Taxonomies

Code: 261QA1903X
Code: 282NC2000X
Code: 282NW0100X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.274

medicaidRatio 0.8884

uncompensatedCareAmount 10806.88

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.274

medicaidRatio 0.8884

uncompensatedCareAmount 10806.88

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.8884

uncompensatedCareAmount 10806.88

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.8884

uncompensatedCareAmount 6050.3

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.7579

uncompensatedCareAmount 6050.3

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.7579

uncompensatedCareAmount 6050.3

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.339

medicaidRatio 0.7579

uncompensatedCareAmount 6050.3

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.349

medicaidRatio 0.7579

uncompensatedCareAmount 6050.3

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.349

medicaidRatio 0.7579

uncompensatedCareAmount 3057.72

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.357

medicaidRatio 0.7579

uncompensatedCareAmount 3057.72

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.427

medicaidRatio 0.7579

uncompensatedCareAmount 3057.72

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.427

medicaidRatio 0.772

uncompensatedCareAmount 3057.72

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.427

medicaidRatio 0.772

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.459

medicaidRatio 0.772

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.459

medicaidRatio 0.785

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.459

medicaidRatio 0.785

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.438

medicaidRatio 0.785

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.438

medicaidRatio 0.785

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.438

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.23

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.23

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.23

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.229

censusDivision 7

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.23

vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.275

deviceCostToChargeRatio 0.609

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.275

deviceCostToChargeRatio 0.609

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.66

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.335

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.335

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.341

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.346

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.497

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.497

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.487

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.528

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.528

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.195

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.195

specialPaymentIndicator

carrierCode 07202

localityCode 99

cbsaActualGeographicLocation 43340

providerType 00

operatingCostToChargeRatio 0.19

specialPaymentIndicator 1

carrierCode 07202

localityCode 99

OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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