CCN: 320084 NPI: 1073517058 Organization

ROOSEVELT GENERAL HOSPITAL

42121 US HIGHWAY 70
PORTALES, NM 881309357

Contact Information

Phone 5753591800
Fax 5753569200
Enumeration Date 2005-06-08
Last Updated 2019-04-15

Taxonomies

Code: 282N00000X (Primary) License State: NM License: 3061

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.311

medicaidRatio 0.1978

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.311

medicaidRatio 0.1978

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1978

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1978

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1978

uncompensatedCareAmount 1307.3

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1978

uncompensatedCareAmount 1307.3

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.2339

uncompensatedCareAmount 1307.3

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.519

medicaidRatio 0.2339

uncompensatedCareAmount 1307.3

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.519

medicaidRatio 0.2339

uncompensatedCareAmount 1176.94

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.519

medicaidRatio 0.1603

uncompensatedCareAmount 1176.94

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.519

medicaidRatio 0.1603

uncompensatedCareAmount 1176.94

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.226

medicaidRatio 0.1603

uncompensatedCareAmount 1176.94

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.391

medicaidRatio 0.1603

uncompensatedCareAmount 1176.94

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.391

medicaidRatio 0.1603

uncompensatedCareAmount 945.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.391

medicaidRatio 0.2346

uncompensatedCareAmount 945.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.585

medicaidRatio 0.2346

uncompensatedCareAmount 945.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.585

medicaidRatio 0.2346

uncompensatedCareAmount 945.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.585

medicaidRatio 0.2346

uncompensatedCareAmount 945.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.585

medicaidRatio 0.2346

uncompensatedCareAmount 1359.88

hhrAdjustment 0.9988

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.585

medicaidRatio 0.2279

uncompensatedCareAmount 1359.88

hhrAdjustment 0.9988

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.585

medicaidRatio 0.2279

uncompensatedCareAmount 1359.88

hhrAdjustment 0.9988

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.416

medicaidRatio 0.2279

uncompensatedCareAmount 1359.88

hhrAdjustment 0.9988

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.416

medicaidRatio 0.2279

uncompensatedCareAmount 1359.88

hhrAdjustment 0.9988

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.416

medicaidRatio 0.2279

uncompensatedCareAmount 886.94

hhrAdjustment 0.9925

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.416

medicaidRatio 0.2167

uncompensatedCareAmount 886.94

hhrAdjustment 0.9925

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.2167

uncompensatedCareAmount 886.94

hhrAdjustment 0.9925

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.2167

uncompensatedCareAmount 1766.66

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.1653

uncompensatedCareAmount 1766.66

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.1653

uncompensatedCareAmount 1766.66

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1653

uncompensatedCareAmount 1766.66

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1653

uncompensatedCareAmount 998.31

hhrAdjustment 0.9923

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.2272

uncompensatedCareAmount 998.31

hhrAdjustment 0.9923

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.2272

uncompensatedCareAmount 998.31

hhrAdjustment 0.9923

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.353

medicaidRatio 0.2272

uncompensatedCareAmount 998.31

hhrAdjustment 0.9923

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.2272

uncompensatedCareAmount 998.31

hhrAdjustment 0.9923

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.2272

uncompensatedCareAmount 277.82

hhrAdjustment 0.9986

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.2272

uncompensatedCareAmount 277.82

hhrAdjustment 0.9986

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.358

medicaidRatio 0.2272

uncompensatedCareAmount 277.82

hhrAdjustment 0.9986

censusDivision 8

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.348

medicaidRatio 0.2167

uncompensatedCareAmount 277.82

hhrAdjustment 0.9986

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.221

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.242

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.242

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.242

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.283

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.283

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.217

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.217

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.258

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.258

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.212

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.212

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.193

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.193

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.254

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.254

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.198

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.198

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 00

operatingCostToChargeRatio 0.197

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04212

localityCode 05

ROOSEVELT GENERAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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