CCN: 520008 NPI: 1629056890 Organization

PROHEALTH WAUKESHA MEMORIAL HOSPITAL

725 AMERICAN AVE
WAUKESHA, WI 53188

Contact Information

Phone 2629281000
Fax 2629287810
Enumeration Date 2006-01-06
Last Updated 2025-09-24

Taxonomies

Code: 273Y00000X License State: WI License: 41
Code: 273R00000X License State: WI License: 41
Code: 282N00000X (Primary) License State: WI License: 41

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.246

medicaidRatio 0.1056

internsToBedsRatio 0.0615

vbpAdjustment 1.0007454955

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.246

medicaidRatio 0.1056

internsToBedsRatio 0.0615

vbpAdjustment 1.0007454955

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.246

medicaidRatio 0.1056

internsToBedsRatio 0.0615

vbpAdjustment 1.0007454955

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.246

medicaidRatio 0.1056

internsToBedsRatio 0.0615

vbpAdjustment 1.0019268171

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.273

medicaidRatio 0.1009

internsToBedsRatio 0.0614

vbpAdjustment 1.0019268171

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.273

medicaidRatio 0.1009

internsToBedsRatio 0.0614

vbpAdjustment 1.0019268171

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.273

medicaidRatio 0.1009

internsToBedsRatio 0.0614

vbpAdjustment 1.0019268171

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.273

medicaidRatio 0.1009

internsToBedsRatio 0.0614

vbpAdjustment 0.9928122332

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.307

medicaidRatio 0.1116

internsToBedsRatio 0.0613

vbpAdjustment 0.9928122332

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.307

medicaidRatio 0.1116

internsToBedsRatio 0.0613

vbpAdjustment 0.9928122332

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.307

medicaidRatio 0.1116

internsToBedsRatio 0.0613

vbpAdjustment 0.9928122332

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.307

medicaidRatio 0.1116

internsToBedsRatio 0.0613

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.282

medicaidRatio 0.1155

internsToBedsRatio 0.0666

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.282

medicaidRatio 0.1155

internsToBedsRatio 0.0666

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.282

medicaidRatio 0.1155

internsToBedsRatio 0.0666

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.282

medicaidRatio 0.1155

internsToBedsRatio 0.0673

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.282

medicaidRatio 0.1155

internsToBedsRatio 0.0673

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.276

medicaidRatio 0.1285

internsToBedsRatio 0.0666

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.276

medicaidRatio 0.1285

internsToBedsRatio 0.0666

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.276

medicaidRatio 0.1285

internsToBedsRatio 0.0666

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.276

medicaidRatio 0.1285

internsToBedsRatio 0.0666

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.276

medicaidRatio 0.1285

internsToBedsRatio 0.0666

vbpAdjustment 1.0013311518

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.28

medicaidRatio 0.0936

internsToBedsRatio 0.0669

vbpAdjustment 1.0013311518

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.28

medicaidRatio 0.0936

internsToBedsRatio 0.0669

vbpAdjustment 1.0013311518

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.28

medicaidRatio 0.0936

internsToBedsRatio 0.0669

vbpAdjustment 0.9960320832

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.271

medicaidRatio 0.0865

internsToBedsRatio 0.0665

vbpAdjustment 0.9960320832

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.271

medicaidRatio 0.0865

internsToBedsRatio 0.0665

vbpAdjustment 0.9960320832

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.271

medicaidRatio 0.0865

internsToBedsRatio 0.0665

vbpAdjustment 0.9987248736

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.271

medicaidRatio 0.0865

internsToBedsRatio 0.0665

vbpAdjustment 0.9987248736

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.297

medicaidRatio 0.1071

internsToBedsRatio 0.0664

vbpAdjustment 0.9987248736

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.297

medicaidRatio 0.1071

internsToBedsRatio 0.0664

vbpAdjustment 0.9987248736

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.297

medicaidRatio 0.1071

internsToBedsRatio 0.0664

vbpAdjustment 0.9971663516

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.297

medicaidRatio 0.1071

internsToBedsRatio 0.0659

vbpAdjustment 0.9971663516

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 33340

providerType 00

caseMixIndex 1.6082

operatingCostToChargeRatio 0.296

medicaidRatio 0.1109

internsToBedsRatio 0.0659

vbpAdjustment 0.9971663516

hhrAdjustment 0.9978

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.195

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.195

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.159

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.159

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.175

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.175

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.199

deviceCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.199

deviceCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.192

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.192

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.181

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.181

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.202

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.202

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 33340

providerType 00

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.208

specialPaymentIndicator

carrierCode 06302

localityCode 00

PROHEALTH WAUKESHA MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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