CCN: 520041 NPI: 1124083894 Organization

ASPIRUS DIVINE SAVIOR HOSPITAL

2817 NEW PINERY RD
PORTAGE, WI 539019240

Contact Information

Phone 6087424131
Fax 6087426098
Enumeration Date 2006-04-18
Last Updated 2022-08-22

Taxonomies

Code: 207Q00000X
Code: 261QP2000X
Code: 282N00000X License State: WI License: 3729800
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.357

medicaidRatio 0.1257

uncompensatedCareAmount 799.28

vbpAdjustment 1.0229276597

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.357

medicaidRatio 0.1257

uncompensatedCareAmount 799.28

vbpAdjustment 1.0229276597

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.458

medicaidRatio 0.1302

uncompensatedCareAmount 799.28

vbpAdjustment 1.0229276597

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.458

medicaidRatio 0.1302

uncompensatedCareAmount 799.28

vbpAdjustment 1.0229276597

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.458

medicaidRatio 0.1131

uncompensatedCareAmount 799.28

vbpAdjustment 1.0229276597

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.458

medicaidRatio 0.1131

vbpAdjustment 1.0158983265

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.458

medicaidRatio 0.1131

vbpAdjustment 1.0158983265

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.438

medicaidRatio 0.0717

vbpAdjustment 1.0158983265

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.438

medicaidRatio 0.0817

vbpAdjustment 1.0158983265

hhrAdjustment 0.9997

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.438

medicaidRatio 0.0817

uncompensatedCareAmount 704.7

vbpAdjustment 1.0124260223

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.438

medicaidRatio 0.0825

uncompensatedCareAmount 704.7

vbpAdjustment 1.0124260223

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.438

medicaidRatio 0.0825

uncompensatedCareAmount 704.7

vbpAdjustment 1.0124260223

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.49

medicaidRatio 0.1713

uncompensatedCareAmount 704.7

vbpAdjustment 1.0124260223

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.49

medicaidRatio 0.1713

uncompensatedCareAmount 601.25

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.49

medicaidRatio 0.1713

uncompensatedCareAmount 601.25

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.49

medicaidRatio 0.1713

uncompensatedCareAmount 601.25

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.52

medicaidRatio 0.1479

uncompensatedCareAmount 601.25

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.52

medicaidRatio 0.1479

uncompensatedCareAmount 601.25

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.52

medicaidRatio 0.1479

uncompensatedCareAmount 534.47

hhrAdjustment 0.991

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.491

medicaidRatio 0.16

uncompensatedCareAmount 534.47

hhrAdjustment 0.991

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.491

medicaidRatio 0.16

uncompensatedCareAmount 534.47

hhrAdjustment 0.991

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.491

medicaidRatio 0.16

uncompensatedCareAmount 796.62

vbpAdjustment 1.0087623049

hhrAdjustment 0.9897

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.491

medicaidRatio 0.1494

uncompensatedCareAmount 796.62

vbpAdjustment 1.0087623049

hhrAdjustment 0.9897

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.459

medicaidRatio 0.1494

uncompensatedCareAmount 796.62

vbpAdjustment 1.0087623049

hhrAdjustment 0.9897

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.459

medicaidRatio 0.1494

uncompensatedCareAmount 808.33

vbpAdjustment 1.0037321641

hhrAdjustment 0.9919

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.459

medicaidRatio 0.1494

uncompensatedCareAmount 808.33

vbpAdjustment 1.0037321641

hhrAdjustment 0.9919

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.454

medicaidRatio 0.1384

uncompensatedCareAmount 808.33

vbpAdjustment 1.0037321641

hhrAdjustment 0.9919

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.454

medicaidRatio 0.1384

uncompensatedCareAmount 571.87

vbpAdjustment 1.0000522064

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.454

medicaidRatio 0.1384

uncompensatedCareAmount 571.87

vbpAdjustment 1.0000522064

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.454

medicaidRatio 0.1384

uncompensatedCareAmount 571.87

vbpAdjustment 1.0000522064

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.457

medicaidRatio 0.1345

uncompensatedCareAmount 571.87

vbpAdjustment 1.0000522064

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.457

medicaidRatio 0.1345

uncompensatedCareAmount 405.75

vbpAdjustment 1.0032234443

hhrAdjustment 0.9937

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.457

medicaidRatio 0.1345

uncompensatedCareAmount 405.75

vbpAdjustment 1.0032234443

hhrAdjustment 0.9937

censusDivision 4

cbsaActualGeographicLocation 31540

providerType 00

caseMixIndex 1.1839

operatingCostToChargeRatio 0.456

medicaidRatio 0.1747

uncompensatedCareAmount 405.75

vbpAdjustment 1.0032234443

hhrAdjustment 0.9937

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.119

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.306

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.306

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.272

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.272

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.435

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.435

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.311

deviceCostToChargeRatio 0.792

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.311

deviceCostToChargeRatio 0.792

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.302

deviceCostToChargeRatio 0.942

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.302

deviceCostToChargeRatio 0.942

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.907

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.907

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.962

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.962

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.908

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.908

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 31540

providerType 00

operatingCostToChargeRatio 0.268

deviceCostToChargeRatio 0.917

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06302

localityCode 00

ASPIRUS DIVINE SAVIOR HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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