CCN: 230005 NPI: 1972564730 Organization

PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL

5640 N ADRIAN HWY
ADRIAN, MI 492218318

Contact Information

Phone 5175770000
Fax 5172650496
Enumeration Date 2006-03-31
Last Updated 2026-02-19

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.196

medicaidRatio 0.1781

uncompensatedCareAmount 452.09

vbpAdjustment 1.0046532343

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.196

medicaidRatio 0.1781

uncompensatedCareAmount 452.09

vbpAdjustment 1.0046532343

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.196

medicaidRatio 0.1781

uncompensatedCareAmount 452.09

vbpAdjustment 1.0046532343

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.196

medicaidRatio 0.1781

uncompensatedCareAmount 337.05

vbpAdjustment 1.0126664827

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.224

medicaidRatio 0.2108

uncompensatedCareAmount 337.05

vbpAdjustment 1.0126664827

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.224

medicaidRatio 0.2108

uncompensatedCareAmount 337.05

vbpAdjustment 1.0126664827

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.224

medicaidRatio 0.2108

uncompensatedCareAmount 337.05

vbpAdjustment 1.0126664827

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.237

medicaidRatio 0.209

uncompensatedCareAmount 374.1

vbpAdjustment 1.0040427092

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.237

medicaidRatio 0.209

uncompensatedCareAmount 374.1

vbpAdjustment 1.0040427092

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.237

medicaidRatio 0.2048

uncompensatedCareAmount 374.1

vbpAdjustment 1.0040427092

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.237

medicaidRatio 0.2048

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.228

medicaidRatio 0.1866

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.228

medicaidRatio 0.1866

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.228

medicaidRatio 0.1866

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.228

medicaidRatio 0.1866

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.228

medicaidRatio 0.1866

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.269

medicaidRatio 0.2535

uncompensatedCareAmount 394.6

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.269

medicaidRatio 0.2535

uncompensatedCareAmount 390.65

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.269

medicaidRatio 0.2535

uncompensatedCareAmount 390.65

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.269

medicaidRatio 0.2535

uncompensatedCareAmount 390.65

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.227

medicaidRatio 0.2435

uncompensatedCareAmount 390.65

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.227

medicaidRatio 0.2435

uncompensatedCareAmount 376.33

vbpAdjustment 1.0058753821

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.227

medicaidRatio 0.2383

uncompensatedCareAmount 376.33

vbpAdjustment 1.0058753821

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.227

medicaidRatio 0.2383

uncompensatedCareAmount 575.35

vbpAdjustment 1.0077811428

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.243

medicaidRatio 0.226

uncompensatedCareAmount 575.35

vbpAdjustment 1.0077811428

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.243

medicaidRatio 0.226

uncompensatedCareAmount 575.35

vbpAdjustment 1.0077811428

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.243

medicaidRatio 0.2244

uncompensatedCareAmount 575.35

vbpAdjustment 1.0077811428

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.243

medicaidRatio 0.2244

uncompensatedCareAmount 627.74

vbpAdjustment 1.0072103227

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.243

medicaidRatio 0.2244

uncompensatedCareAmount 627.74

vbpAdjustment 1.0072103227

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.258

medicaidRatio 0.2074

uncompensatedCareAmount 627.74

vbpAdjustment 1.0072103227

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.258

medicaidRatio 0.2074

uncompensatedCareAmount 627.74

vbpAdjustment 1.0072103227

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.258

medicaidRatio 0.1996

uncompensatedCareAmount 627.74

vbpAdjustment 1.0072103227

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 14

caseMixIndex 1.267

operatingCostToChargeRatio 0.258

medicaidRatio 0.1996

uncompensatedCareAmount 502.16

vbpAdjustment 1.0095833918

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 00

caseMixIndex 1.267

operatingCostToChargeRatio 0.258

medicaidRatio 0.1996

uncompensatedCareAmount 502.16

vbpAdjustment 1.0095833918

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 00

caseMixIndex 1.267

operatingCostToChargeRatio 0.287

medicaidRatio 0.2285

uncompensatedCareAmount 502.16

vbpAdjustment 1.0095833918

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 00

caseMixIndex 1.267

operatingCostToChargeRatio 0.287

medicaidRatio 0.2291

uncompensatedCareAmount 502.16

vbpAdjustment 1.0095833918

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 23

providerType 00

caseMixIndex 1.267

operatingCostToChargeRatio 0.287

medicaidRatio 0.2291

uncompensatedCareAmount 502.16

vbpAdjustment 1.0095833918

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.345

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.345

specialPaymentIndicator

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.358

specialPaymentIndicator

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.358

specialPaymentIndicator

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.352

specialPaymentIndicator

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.352

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.156

deviceCostToChargeRatio 0.352

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.156

deviceCostToChargeRatio 0.352

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.156

deviceCostToChargeRatio 0.352

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.143

deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.143

deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.363

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.363

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.367

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 14

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.367

specialPaymentIndicator D

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 00

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.367

specialPaymentIndicator D

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 00

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.374

specialPaymentIndicator D

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.374

specialPaymentIndicator D

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

cbsaActualGeographicLocation 23

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.374

specialPaymentIndicator Y

costOfLivingAdjustment 0.853

carrierCode 08202

localityCode 99

PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics