CCN: 450162 NPI: 1225289499 Organization

GRACE SURGICAL HOSPITAL

7509 MARSHA SHARP FWY
LUBBOCK, TX 794078202

Contact Information

Phone 8067254000
Fax 8067884278
Enumeration Date 2008-10-07
Last Updated 2025-05-06

Taxonomies

Code: 261QA1903X License State: TX License: 13005
Code: 261QR0200X License State: TX License: R32837
Code: 261QR0206X License State: TX License: #M01038
Code: 282N00000X License State: TX License: 008366
Code: 282N00000X License State: TX License: 008730
Code: 291U00000X License State: TX License: 45D1057650
Code: 282N00000X (Primary) License State: TX License: TX008366

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.526

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.526

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.526

uncompensatedCareAmount 6677.31

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.449

uncompensatedCareAmount 6677.31

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.449

uncompensatedCareAmount 6677.31

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.449

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.411

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.411

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.411

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.506

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.411

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.506

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.506

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.506

hhrAdjustment 0.9879

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.506

hhrAdjustment 0.9879

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.399

hhrAdjustment 0.9879

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.399

hhrAdjustment 0.9879

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.399

medicaidRatio 0.0068

hhrAdjustment 0.9879

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.399

medicaidRatio 0.0068

hhrAdjustment 0.9879

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.399

medicaidRatio 0.0068

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.318

medicaidRatio 0.0068

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.303

medicaidRatio 0.0068

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.303

medicaidRatio 0.005

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.303

medicaidRatio 0.005

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.303

medicaidRatio 0.005

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.303

medicaidRatio 0.0251

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.303

medicaidRatio 0.0251

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.302

medicaidRatio 0.0251

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.302

medicaidRatio 0.0251

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.302

medicaidRatio 0.0251

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.302

medicaidRatio 0.0277

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 31180

providerType 00

caseMixIndex 1.0377

operatingCostToChargeRatio 0.317

medicaidRatio 0.0277

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.25

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.25

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.264

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.264

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.264

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.264

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.154

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.167

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.254

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 31180

providerType 00

operatingCostToChargeRatio 0.254

specialPaymentIndicator

carrierCode 04412

localityCode 99

GRACE SURGICAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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