CCN: 430014 NPI: 1457309270 Organization

AVERA ST LUKES

305 S STATE ST
ABERDEEN, SD 574014527

Contact Information

Phone 6056225000
Fax 6056225255
Enumeration Date 2006-05-04
Last Updated 2023-04-27

Taxonomies

Code: 133NN1002X License State: SD
Code: 3416A0800X License State: SD License: 10525
Code: 282N00000X (Primary) License State: SD License: 10525

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.237

medicaidRatio 0.0834

vbpAdjustment 1.0020672307

hhrAdjustment 0.9962

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.245

medicaidRatio 0.0834

vbpAdjustment 1.0020672307

hhrAdjustment 0.9962

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.245

medicaidRatio 0.0834

vbpAdjustment 1.0050592196

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.245

medicaidRatio 0.0834

vbpAdjustment 1.0050592196

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.266

medicaidRatio 0.0834

vbpAdjustment 1.0050592196

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.266

medicaidRatio 0.0834

vbpAdjustment 1.0123864783

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.266

medicaidRatio 0.0834

vbpAdjustment 1.0123864783

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.283

medicaidRatio 0.0641

vbpAdjustment 1.0123864783

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.283

medicaidRatio 0.0641

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.283

medicaidRatio 0.0641

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.274

medicaidRatio 0.0519

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.274

medicaidRatio 0.0519

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.274

medicaidRatio 0.0519

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.287

medicaidRatio 0.0883

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.287

medicaidRatio 0.0883

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.287

medicaidRatio 0.0883

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.287

medicaidRatio 0.0883

vbpAdjustment 1.0075326896

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.297

medicaidRatio 0.0716

vbpAdjustment 1.0075326896

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.297

medicaidRatio 0.0716

vbpAdjustment 0.9995661629

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.297

medicaidRatio 0.0716

vbpAdjustment 0.9995661629

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.297

medicaidRatio 0.0716

vbpAdjustment 0.9995661629

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.31

medicaidRatio 0.0747

vbpAdjustment 0.9995661629

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.31

medicaidRatio 0.0747

vbpAdjustment 1.0026120626

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.31

medicaidRatio 0.0747

vbpAdjustment 1.0026120626

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.31

medicaidRatio 0.0747

vbpAdjustment 1.0026120626

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.317

medicaidRatio 0.0751

vbpAdjustment 1.0026120626

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.317

medicaidRatio 0.0751

vbpAdjustment 1.0107879273

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.317

medicaidRatio 0.0751

vbpAdjustment 1.0107879273

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.311

medicaidRatio 0.0612

vbpAdjustment 1.001090913

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.295

medicaidRatio 0.0379

vbpAdjustment 1.001090913

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 07

caseMixIndex 1.1859

operatingCostToChargeRatio 0.295

medicaidRatio 0.0379

vbpAdjustment 1.0078983783

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.427

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.494

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.494

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.522

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.522

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.501

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.501

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.215

deviceCostToChargeRatio 0.482

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.215

deviceCostToChargeRatio 0.482

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.496

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.496

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.252

deviceCostToChargeRatio 0.425

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.252

deviceCostToChargeRatio 0.425

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.252

deviceCostToChargeRatio 0.425

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.857

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.857

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.957

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.957

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.535

deviceCostToChargeRatio 0.84

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.84

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.84

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 07

operatingCostToChargeRatio 0.345

specialPaymentIndicator

costOfLivingAdjustment 0.885

carrierCode 03402

localityCode 02

AVERA ST LUKES

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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