CCN: 260209 NPI: 1053933457 Organization

PLATINUM HEALTH SYSTEMS CALLAWAY

10 S HOSPITAL DR
FULTON, MO 652512510

Contact Information

Phone 5736423376
Fax 5735926690
Enumeration Date 2020-05-08
Last Updated 2022-06-23

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.248

medicaidRatio 0.3172

uncompensatedCareAmount 70.21

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.248

medicaidRatio 0.3172

uncompensatedCareAmount 70.21

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.248

medicaidRatio 0.3172

uncompensatedCareAmount 70.21

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.248

medicaidRatio 0.3172

uncompensatedCareAmount 70.21

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.254

medicaidRatio 0.3172

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.254

medicaidRatio 0.3172

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.756

medicaidRatio 0.175

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.756

medicaidRatio 0.175

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.756

medicaidRatio 0.175

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.546

medicaidRatio 0.0904

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.546

medicaidRatio 0.0904

uncompensatedCareAmount 12857.24

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.546

medicaidRatio 0.0904

uncompensatedCareAmount 12857.24

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.546

medicaidRatio 0.0904

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.546

medicaidRatio 0.0904

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.944

medicaidRatio 0.2893

internsToBedsRatio 0.0732

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.944

medicaidRatio 0.2893

internsToBedsRatio 0.0732

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.944

medicaidRatio 0.2893

internsToBedsRatio 0.0732

hhrAdjustment 0.9959

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.759

internsToBedsRatio 0.0879

hhrAdjustment 0.9959

censusDivision 6

cbsaActualGeographicLocation 27620

providerType 00

caseMixIndex 1.1052

operatingCostToChargeRatio 0.759

internsToBedsRatio 0.0879

hhrAdjustment 0.9959

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.397

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.397

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.397

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.397

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.331

deviceCostToChargeRatio 0.345

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.331

deviceCostToChargeRatio 0.345

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 27620

providerType 00

operatingCostToChargeRatio 0.307

deviceCostToChargeRatio 0.173

specialPaymentIndicator

costOfLivingAdjustment 0.8

carrierCode 05302

localityCode 99

PLATINUM HEALTH SYSTEMS CALLAWAY

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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