CCN: 330185 NPI: 1093718728 Organization

JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON

75 N COUNTRY RD
PORT JEFFERSON, NY 117772119

Contact Information

Phone 6314731320
Fax 6316861459
Enumeration Date 2005-05-27
Last Updated 2025-07-28

Taxonomies

Code: 273R00000X License State: NY License: 5149000
Code: 314000000X License State: NY License: 5149000
Code: 333600000X
Code: 3336C0003X
Code: 282N00000X (Primary) License State: NY License: 5149000

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.207

medicaidRatio 0.1122

internsToBedsRatio 0.5442

vbpAdjustment 1.0102275087

hhrAdjustment 0.9999

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.207

medicaidRatio 0.1122

internsToBedsRatio 0.5442

vbpAdjustment 1.0102275087

hhrAdjustment 0.9999

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.207

medicaidRatio 0.1122

internsToBedsRatio 0.5442

vbpAdjustment 1.0102275087

hhrAdjustment 0.9999

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.207

medicaidRatio 0.1122

internsToBedsRatio 0.5442

vbpAdjustment 1.0155751421

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.224

medicaidRatio 0.1002

internsToBedsRatio 0.5314

vbpAdjustment 1.0155751421

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.224

medicaidRatio 0.1002

internsToBedsRatio 0.5314

vbpAdjustment 1.0155751421

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.224

medicaidRatio 0.1002

internsToBedsRatio 0.5314

vbpAdjustment 1.0172503817

hhrAdjustment 0.9948

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.209

medicaidRatio 0.0905

internsToBedsRatio 0.5314

vbpAdjustment 1.0172503817

hhrAdjustment 0.9948

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.209

medicaidRatio 0.0905

internsToBedsRatio 0.5314

vbpAdjustment 1.0172503817

hhrAdjustment 0.9948

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.209

medicaidRatio 0.0905

uncompensatedCareAmount 107.91

internsToBedsRatio 0.5314

hhrAdjustment 0.9988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.1154

uncompensatedCareAmount 107.91

internsToBedsRatio 0.5409

hhrAdjustment 0.9988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.1154

uncompensatedCareAmount 107.91

internsToBedsRatio 0.5409

hhrAdjustment 0.9988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.1154

uncompensatedCareAmount 107.91

internsToBedsRatio 0.5409

hhrAdjustment 0.9988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.1259

uncompensatedCareAmount 107.91

internsToBedsRatio 0.5309

hhrAdjustment 0.9988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.1259

internsToBedsRatio 0.5309

hhrAdjustment 0.9915

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.252

medicaidRatio 0.126

internsToBedsRatio 0.5066

hhrAdjustment 0.9915

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.252

medicaidRatio 0.126

internsToBedsRatio 0.5066

hhrAdjustment 0.9915

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.252

medicaidRatio 0.1315

internsToBedsRatio 0.5125

hhrAdjustment 0.9915

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.252

medicaidRatio 0.1315

internsToBedsRatio 0.5125

hhrAdjustment 0.9915

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.208

medicaidRatio 0.1296

internsToBedsRatio 0.5607

hhrAdjustment 0.9915

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.208

medicaidRatio 0.1296

internsToBedsRatio 0.5607

vbpAdjustment 0.9994065366

hhrAdjustment 0.9838

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.208

medicaidRatio 0.0934

internsToBedsRatio 0.5607

vbpAdjustment 0.9994065366

hhrAdjustment 0.9838

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0941

internsToBedsRatio 0.4072

vbpAdjustment 0.9994065366

hhrAdjustment 0.9838

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0941

internsToBedsRatio 0.4072

vbpAdjustment 0.9979044433

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0941

internsToBedsRatio 0.4072

vbpAdjustment 0.9979044433

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0995

internsToBedsRatio 0.4072

vbpAdjustment 0.9979044433

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0995

internsToBedsRatio 0.4072

vbpAdjustment 0.9979044433

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0995

internsToBedsRatio 0.4072

vbpAdjustment 1.0054563472

hhrAdjustment 0.9776

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.218

medicaidRatio 0.0995

internsToBedsRatio 0.4072

vbpAdjustment 1.0054563472

hhrAdjustment 0.9776

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.223

medicaidRatio 0.0995

internsToBedsRatio 0.4354

vbpAdjustment 1.0054563472

hhrAdjustment 0.9776

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.223

medicaidRatio 0.0995

internsToBedsRatio 0.4354

vbpAdjustment 1.0054563472

hhrAdjustment 0.9776

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.223

medicaidRatio 0.0937

internsToBedsRatio 0.3562

vbpAdjustment 1.0054563472

hhrAdjustment 0.9776

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.223

medicaidRatio 0.0937

internsToBedsRatio 0.3562

vbpAdjustment 1.0066443252

hhrAdjustment 0.9826

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.0871

internsToBedsRatio 0.324

vbpAdjustment 1.0066443252

hhrAdjustment 0.9826

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.0772

internsToBedsRatio 0.324

vbpAdjustment 1.0066443252

hhrAdjustment 0.9826

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.0772

internsToBedsRatio 0.2923

vbpAdjustment 1.0066443252

hhrAdjustment 0.9826

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.234

medicaidRatio 0.0772

internsToBedsRatio 0.2923

vbpAdjustment 1.004367171

hhrAdjustment 0.9895

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.228

medicaidRatio 0.0885

internsToBedsRatio 0.324

vbpAdjustment 1.004367171

hhrAdjustment 0.9895

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.228

medicaidRatio 0.0885

internsToBedsRatio 0.324

vbpAdjustment 1.004367171

hhrAdjustment 0.9895

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.228

medicaidRatio 0.0793

internsToBedsRatio 0.2729

vbpAdjustment 1.004367171

hhrAdjustment 0.9895

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.228

medicaidRatio 0.0793

internsToBedsRatio 0.2729

vbpAdjustment 1.0078741134

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0845

internsToBedsRatio 0.2411

vbpAdjustment 1.0078741134

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0845

internsToBedsRatio 0.1685

vbpAdjustment 1.0078741134

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0705

internsToBedsRatio 0.1685

vbpAdjustment 1.0078741134

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.232

medicaidRatio 0.0705

internsToBedsRatio 0.1685

vbpAdjustment 1.0038304655

hhrAdjustment 0.9928

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.239

medicaidRatio 0.0688

internsToBedsRatio 0.1033

vbpAdjustment 1.0038304655

hhrAdjustment 0.9928

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.239

medicaidRatio 0.0688

internsToBedsRatio 0.1033

vbpAdjustment 1.0038304655

hhrAdjustment 0.9928

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.239

medicaidRatio 0.0688

internsToBedsRatio 0.1033

vbpAdjustment 1.0038304655

hhrAdjustment 0.9928

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.239

medicaidRatio 0.0688

internsToBedsRatio 0.1033

vbpAdjustment 1.0015269916

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.289

medicaidRatio 0.0624

internsToBedsRatio 0.1033

vbpAdjustment 1.0015269916

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.289

medicaidRatio 0.0624

internsToBedsRatio 0.1033

vbpAdjustment 1.0015269916

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.289

medicaidRatio 0.0624

vbpAdjustment 1.0015269916

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.289

medicaidRatio 0.0624

vbpAdjustment 1.0021775933

hhrAdjustment 0.9978

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.278

medicaidRatio 0.0706

vbpAdjustment 1.0021775933

hhrAdjustment 0.9978

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.278

medicaidRatio 0.0706

vbpAdjustment 1.0021775933

hhrAdjustment 0.9978

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.284

medicaidRatio 0.0706

vbpAdjustment 1.0021775933

hhrAdjustment 0.9978

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.284

medicaidRatio 0.1813

vbpAdjustment 1.0021775933

hhrAdjustment 0.9978

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.284

medicaidRatio 0.0569

vbpAdjustment 1.0021775933

hhrAdjustment 0.9978

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.284

medicaidRatio 0.0569

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.273

medicaidRatio 0.0596

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.273

medicaidRatio 0.0596

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.273

medicaidRatio 0.0569

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.273

medicaidRatio 0.0569

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.26

medicaidRatio 0.0468

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.26

medicaidRatio 0.0468

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.345

medicaidRatio 0.0436

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.345

medicaidRatio 0.0436

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.345

medicaidRatio 0.0436

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1468

operatingCostToChargeRatio 0.34

medicaidRatio 0.0369

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.163

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.163

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.16

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.16

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.226

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.226

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.275

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.275

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.273

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.273

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.255

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.255

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.305

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.305

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.309

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.309

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.259

deviceCostToChargeRatio 0.309

specialPaymentIndicator

carrierCode 13202

localityCode 02

JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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