CCN: 450395 NPI: 1689650616 Organization

CHI ST LUKES HEALTH MEMORIAL LIVINGSTON

1717 HIGHWAY 59 BYPASS
LIVINGSTON, TX 77351

Contact Information

Phone 9363274381
Fax 9363278702
Enumeration Date 2005-12-21
Last Updated 2024-04-01

Taxonomies

Code: 261QA1903X License State: TX License: 000466
Code: 282N00000X
Code: 282NR1301X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.191

medicaidRatio 0.2191

uncompensatedCareAmount 4525.73

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.191

medicaidRatio 0.2191

uncompensatedCareAmount 4525.73

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.193

medicaidRatio 0.2191

uncompensatedCareAmount 4525.73

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.193

medicaidRatio 0.2191

uncompensatedCareAmount 4525.73

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.193

medicaidRatio 0.2191

uncompensatedCareAmount 3652.82

vbpAdjustment 0.9942201127

hhrAdjustment 0.9962

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.193

medicaidRatio 0.261

uncompensatedCareAmount 3652.82

vbpAdjustment 0.9942201127

hhrAdjustment 0.9962

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.193

medicaidRatio 0.261

uncompensatedCareAmount 3652.82

vbpAdjustment 0.9942201127

hhrAdjustment 0.9962

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.251

medicaidRatio 0.261

uncompensatedCareAmount 3652.82

vbpAdjustment 0.9942201127

hhrAdjustment 0.9962

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.251

medicaidRatio 0.261

uncompensatedCareAmount 3821.56

vbpAdjustment 0.9902286965

hhrAdjustment 0.998

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.251

medicaidRatio 0.261

uncompensatedCareAmount 3821.56

vbpAdjustment 0.9902286965

hhrAdjustment 0.998

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.251

medicaidRatio 0.2195

uncompensatedCareAmount 3821.56

vbpAdjustment 0.9902286965

hhrAdjustment 0.998

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.196

medicaidRatio 0.2195

uncompensatedCareAmount 3821.56

vbpAdjustment 0.9902286965

hhrAdjustment 0.998

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.196

medicaidRatio 0.2195

uncompensatedCareAmount 2648.71

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.196

medicaidRatio 0.2195

uncompensatedCareAmount 2648.71

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.196

medicaidRatio 0.2499

uncompensatedCareAmount 2648.71

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.2499

uncompensatedCareAmount 2648.71

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.2499

uncompensatedCareAmount 2648.71

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.2499

uncompensatedCareAmount 2262.58

hhrAdjustment 0.991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.192

uncompensatedCareAmount 2262.58

hhrAdjustment 0.991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.192

uncompensatedCareAmount 2262.58

hhrAdjustment 0.991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.204

medicaidRatio 0.192

uncompensatedCareAmount 2262.58

hhrAdjustment 0.991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.204

medicaidRatio 0.192

uncompensatedCareAmount 2262.58

hhrAdjustment 0.991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.204

medicaidRatio 0.192

uncompensatedCareAmount 1599.12

vbpAdjustment 1.002560767

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.206

medicaidRatio 0.192

uncompensatedCareAmount 1599.12

vbpAdjustment 1.002560767

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8604

operatingCostToChargeRatio 0.206

medicaidRatio 0.192

uncompensatedCareAmount 1599.12

vbpAdjustment 1.002560767

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.206

medicaidRatio 0.192

uncompensatedCareAmount 1599.12

vbpAdjustment 1.002560767

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.206

medicaidRatio 0.1984

uncompensatedCareAmount 1599.12

vbpAdjustment 1.002560767

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.1984

uncompensatedCareAmount 1599.12

vbpAdjustment 1.002560767

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.1984

uncompensatedCareAmount 3342.0

vbpAdjustment 0.9995661629

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.2402

uncompensatedCareAmount 3342.0

vbpAdjustment 0.9995661629

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.219

medicaidRatio 0.2402

uncompensatedCareAmount 3342.0

vbpAdjustment 0.9995661629

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.222

medicaidRatio 0.2402

uncompensatedCareAmount 3342.0

vbpAdjustment 0.9995661629

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.222

medicaidRatio 0.2402

uncompensatedCareAmount 2049.98

vbpAdjustment 1.0050771092

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.232

medicaidRatio 0.2402

uncompensatedCareAmount 2049.98

vbpAdjustment 1.0050771092

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.232

medicaidRatio 0.2628

uncompensatedCareAmount 2049.98

vbpAdjustment 1.0050771092

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.232

medicaidRatio 0.2628

uncompensatedCareAmount 2049.98

vbpAdjustment 1.0050771092

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.242

medicaidRatio 0.2628

uncompensatedCareAmount 2049.98

vbpAdjustment 1.0050771092

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.242

medicaidRatio 0.2628

uncompensatedCareAmount 1097.77

vbpAdjustment 0.9948880587

hhrAdjustment 0.9993

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.242

medicaidRatio 0.2628

uncompensatedCareAmount 1097.77

vbpAdjustment 0.9948880587

hhrAdjustment 0.9993

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.237

medicaidRatio 0.2628

uncompensatedCareAmount 1097.77

vbpAdjustment 0.9948880587

hhrAdjustment 0.9993

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 0.8604

operatingCostToChargeRatio 0.237

medicaidRatio 0.3402

uncompensatedCareAmount 1097.77

vbpAdjustment 0.9948880587

hhrAdjustment 0.9993

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.079

deviceCostToChargeRatio 0.057

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.078

deviceCostToChargeRatio 0.037

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.078

deviceCostToChargeRatio 0.037

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.085

deviceCostToChargeRatio 0.095

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.085

deviceCostToChargeRatio 0.095

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.085

deviceCostToChargeRatio 0.095

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.093

deviceCostToChargeRatio 0.076

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.097

deviceCostToChargeRatio 0.123

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.097

deviceCostToChargeRatio 0.123

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.017

specialPaymentIndicator Y

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.017

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.017

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.017

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.092

deviceCostToChargeRatio 0.174

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.092

deviceCostToChargeRatio 0.174

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.09

deviceCostToChargeRatio 0.206

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.09

deviceCostToChargeRatio 0.206

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.091

deviceCostToChargeRatio 0.206

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.089

deviceCostToChargeRatio 0.26

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.089

deviceCostToChargeRatio 0.26

specialPaymentIndicator

costOfLivingAdjustment 0.812

carrierCode 04412

localityCode 99

CHI ST LUKES HEALTH MEMORIAL LIVINGSTON

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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