CCN: 390198 NPI: 1548263973 Organization

LECOM MEDICAL CENTER AND BEHAVIORAL HEALTH PAV

5515 PEACH ST
ERIE, PA 165092603

Contact Information

Phone 8148644031
Fax 8148687770
Enumeration Date 2005-05-31
Last Updated 2023-05-26

Taxonomies

Code: 2084P0800X
Code: 261QM0801X
Code: 282N00000X (Primary) License State: PA

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.434

medicaidRatio 0.6205

uncompensatedCareAmount 1071.55

internsToBedsRatio 0.2491

vbpAdjustment 0.9914933493

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.434

medicaidRatio 0.6205

uncompensatedCareAmount 1071.55

internsToBedsRatio 0.2491

vbpAdjustment 0.9914933493

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.434

medicaidRatio 0.5095

uncompensatedCareAmount 1071.55

internsToBedsRatio 0.2541

vbpAdjustment 0.9914933493

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.5

medicaidRatio 0.5095

uncompensatedCareAmount 1071.55

internsToBedsRatio 0.2541

vbpAdjustment 0.9914933493

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.5

medicaidRatio 0.5095

uncompensatedCareAmount 676.81

internsToBedsRatio 0.2541

vbpAdjustment 0.9889497213

hhrAdjustment 0.9998

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.5

medicaidRatio 0.5095

uncompensatedCareAmount 676.81

internsToBedsRatio 0.2541

vbpAdjustment 0.9889497213

hhrAdjustment 0.9998

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.5

medicaidRatio 0.5095

uncompensatedCareAmount 676.81

internsToBedsRatio 0.2541

vbpAdjustment 0.9889497213

hhrAdjustment 0.9998

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.622

medicaidRatio 0.5095

uncompensatedCareAmount 676.81

internsToBedsRatio 0.2541

vbpAdjustment 0.9889497213

hhrAdjustment 0.9998

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.622

medicaidRatio 0.5644

uncompensatedCareAmount 676.81

internsToBedsRatio 0.2578

vbpAdjustment 0.9889497213

hhrAdjustment 0.9998

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.622

medicaidRatio 0.5644

uncompensatedCareAmount 653.86

internsToBedsRatio 0.2578

vbpAdjustment 0.9989810862

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.622

medicaidRatio 0.5644

uncompensatedCareAmount 653.86

internsToBedsRatio 0.2578

vbpAdjustment 0.9989810862

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.622

medicaidRatio 0.5644

uncompensatedCareAmount 653.86

internsToBedsRatio 0.2578

vbpAdjustment 0.9989810862

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.622

medicaidRatio 0.5775

uncompensatedCareAmount 653.86

internsToBedsRatio 0.2552

vbpAdjustment 0.9989810862

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.717

medicaidRatio 0.5775

uncompensatedCareAmount 653.86

internsToBedsRatio 0.2552

vbpAdjustment 0.9989810862

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.717

medicaidRatio 0.5775

uncompensatedCareAmount 451.5

internsToBedsRatio 0.2552

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.717

medicaidRatio 0.5775

uncompensatedCareAmount 451.5

internsToBedsRatio 0.2552

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.717

medicaidRatio 0.5775

uncompensatedCareAmount 451.5

internsToBedsRatio 0.2552

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.717

medicaidRatio 0.529

uncompensatedCareAmount 451.5

internsToBedsRatio 0.2375

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.555

medicaidRatio 0.529

uncompensatedCareAmount 451.5

internsToBedsRatio 0.2375

hhrAdjustment 0.9976

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.555

medicaidRatio 0.529

uncompensatedCareAmount 457.5

internsToBedsRatio 0.2375

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.555

medicaidRatio 0.529

uncompensatedCareAmount 457.5

internsToBedsRatio 0.2375

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.555

medicaidRatio 0.529

uncompensatedCareAmount 457.5

internsToBedsRatio 0.2375

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.555

medicaidRatio 0.5256

uncompensatedCareAmount 457.5

internsToBedsRatio 0.2389

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.416

medicaidRatio 0.5256

uncompensatedCareAmount 457.5

internsToBedsRatio 0.2389

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.416

medicaidRatio 0.5256

uncompensatedCareAmount 457.5

internsToBedsRatio 0.2389

hhrAdjustment 0.9919

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.416

medicaidRatio 0.5256

uncompensatedCareAmount 533.29

internsToBedsRatio 0.2389

vbpAdjustment 1.0011707672

hhrAdjustment 0.993

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.416

medicaidRatio 0.5256

uncompensatedCareAmount 533.29

internsToBedsRatio 0.2456

vbpAdjustment 1.0011707672

hhrAdjustment 0.993

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.416

medicaidRatio 0.4955

uncompensatedCareAmount 533.29

internsToBedsRatio 0.2568

vbpAdjustment 1.0011707672

hhrAdjustment 0.993

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.416

medicaidRatio 0.4955

uncompensatedCareAmount 533.29

internsToBedsRatio 0.2568

vbpAdjustment 1.0011707672

hhrAdjustment 0.993

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.426

medicaidRatio 0.4955

uncompensatedCareAmount 533.29

internsToBedsRatio 0.2568

vbpAdjustment 1.0011707672

hhrAdjustment 0.993

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.426

medicaidRatio 0.4955

uncompensatedCareAmount 305.24

internsToBedsRatio 0.2568

vbpAdjustment 1.0038257821

hhrAdjustment 0.9945

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.426

medicaidRatio 0.4955

uncompensatedCareAmount 305.24

internsToBedsRatio 0.2569

vbpAdjustment 1.0038257821

hhrAdjustment 0.9945

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.426

medicaidRatio 0.4955

uncompensatedCareAmount 305.24

internsToBedsRatio 0.2569

vbpAdjustment 1.0038257821

hhrAdjustment 0.9945

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.426

medicaidRatio 0.4289

uncompensatedCareAmount 305.24

internsToBedsRatio 0.2514

vbpAdjustment 1.0038257821

hhrAdjustment 0.9945

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.403

medicaidRatio 0.4289

uncompensatedCareAmount 305.24

internsToBedsRatio 0.2514

vbpAdjustment 1.0038257821

hhrAdjustment 0.9945

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.403

medicaidRatio 0.4289

uncompensatedCareAmount 1081.72

internsToBedsRatio 0.2514

vbpAdjustment 1.0011425155

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.403

medicaidRatio 0.4289

uncompensatedCareAmount 1081.72

internsToBedsRatio 0.2514

vbpAdjustment 1.0011425155

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.403

medicaidRatio 0.4289

uncompensatedCareAmount 1081.72

internsToBedsRatio 0.2514

vbpAdjustment 1.0011425155

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.341

medicaidRatio 0.4289

uncompensatedCareAmount 1081.72

internsToBedsRatio 0.2514

vbpAdjustment 1.0011425155

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.341

medicaidRatio 0.4166

uncompensatedCareAmount 1081.72

internsToBedsRatio 0.2505

vbpAdjustment 1.0011425155

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.341

medicaidRatio 0.4166

uncompensatedCareAmount 993.34

internsToBedsRatio 0.2505

vbpAdjustment 0.9996580193

hhrAdjustment 0.9948

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.341

medicaidRatio 0.4162

uncompensatedCareAmount 993.34

internsToBedsRatio 0.2448

vbpAdjustment 0.9996580193

hhrAdjustment 0.9948

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.341

medicaidRatio 0.4162

uncompensatedCareAmount 993.34

internsToBedsRatio 0.2448

vbpAdjustment 0.9996580193

hhrAdjustment 0.9948

censusDivision 2

cbsaActualGeographicLocation 21500

providerType 00

caseMixIndex 1.0026

operatingCostToChargeRatio 0.341

medicaidRatio 0.4031

uncompensatedCareAmount 993.34

internsToBedsRatio 0.2504

vbpAdjustment 0.9996580193

hhrAdjustment 0.9948

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.341

deviceCostToChargeRatio 0.551

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.298

deviceCostToChargeRatio 1.013

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.298

deviceCostToChargeRatio 1.013

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 1.1

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 1.1

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 1.108

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 1.108

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.421

deviceCostToChargeRatio 0.635

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.421

deviceCostToChargeRatio 0.635

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.497

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.497

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.497

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.449

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.449

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.422

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.422

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.495

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 21500

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.495

specialPaymentIndicator

carrierCode 12502

localityCode 99

LECOM MEDICAL CENTER AND BEHAVIORAL HEALTH PAV

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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