CCN: 670103 NPI: 1871911016 Organization

MEDICAL CITY ALLIANCE

3101 N TARRANT PKWY
FORT WORTH, TX 761778601

Contact Information

Phone 8176391100
Enumeration Date 2014-04-04
Last Updated 2026-01-12

Taxonomies

Code: 261QA1903X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

medicaidRatio 0.2305

uncompensatedCareAmount 3625.64

vbpAdjustment 1.000860429

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

medicaidRatio 0.2305

uncompensatedCareAmount 3625.64

vbpAdjustment 1.000860429

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

medicaidRatio 0.2254

uncompensatedCareAmount 3625.64

vbpAdjustment 1.000860429

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

medicaidRatio 0.2254

uncompensatedCareAmount 2316.17

vbpAdjustment 1.0102053093

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.073

medicaidRatio 0.2254

uncompensatedCareAmount 2316.17

vbpAdjustment 1.0102053093

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.073

medicaidRatio 0.2254

uncompensatedCareAmount 2316.17

vbpAdjustment 1.0102053093

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.073

medicaidRatio 0.2377

uncompensatedCareAmount 2316.17

vbpAdjustment 1.0102053093

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.073

medicaidRatio 0.2377

uncompensatedCareAmount 2129.8

vbpAdjustment 1.0014723538

hhrAdjustment 0.9985

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.079

medicaidRatio 0.2377

uncompensatedCareAmount 2129.8

vbpAdjustment 1.0014723538

hhrAdjustment 0.9985

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.079

medicaidRatio 0.2377

uncompensatedCareAmount 2129.8

vbpAdjustment 1.0014723538

hhrAdjustment 0.9985

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.079

medicaidRatio 0.2151

uncompensatedCareAmount 2129.8

vbpAdjustment 1.0014723538

hhrAdjustment 0.9985

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.079

medicaidRatio 0.2151

uncompensatedCareAmount 2513.99

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.081

medicaidRatio 0.2151

uncompensatedCareAmount 2513.99

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.081

medicaidRatio 0.2151

uncompensatedCareAmount 2513.99

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.081

medicaidRatio 0.1549

uncompensatedCareAmount 2513.99

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.081

medicaidRatio 0.1549

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.088

medicaidRatio 0.1549

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.088

medicaidRatio 0.1549

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.088

medicaidRatio 0.1549

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.088

medicaidRatio 0.156

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.088

medicaidRatio 0.156

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.099

medicaidRatio 0.156

uncompensatedCareAmount 2592.72

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.099

medicaidRatio 0.156

uncompensatedCareAmount 3303.33

vbpAdjustment 1.005661536

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.099

medicaidRatio 0.156

uncompensatedCareAmount 3303.33

vbpAdjustment 1.005661536

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.099

medicaidRatio 0.1978

uncompensatedCareAmount 3303.33

vbpAdjustment 1.005661536

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.111

medicaidRatio 0.1978

uncompensatedCareAmount 3303.33

vbpAdjustment 1.005661536

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.111

medicaidRatio 0.1978

uncompensatedCareAmount 3248.03

vbpAdjustment 1.0065407042

hhrAdjustment 0.9889

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.111

medicaidRatio 0.1978

uncompensatedCareAmount 3248.03

vbpAdjustment 1.0065407042

hhrAdjustment 0.9889

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.111

medicaidRatio 0.1978

uncompensatedCareAmount 3248.03

vbpAdjustment 1.0065407042

hhrAdjustment 0.9889

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.111

medicaidRatio 0.2163

uncompensatedCareAmount 3248.03

vbpAdjustment 1.0065407042

hhrAdjustment 0.9889

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.111

medicaidRatio 0.2163

uncompensatedCareAmount 5539.82

vbpAdjustment 0.9970657076

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.144

medicaidRatio 0.2163

uncompensatedCareAmount 5539.82

vbpAdjustment 0.9970657076

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.144

medicaidRatio 0.2163

uncompensatedCareAmount 5539.82

vbpAdjustment 0.9970657076

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.144

medicaidRatio 0.2163

uncompensatedCareAmount 5539.82

vbpAdjustment 0.9970657076

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.144

medicaidRatio 0.2213

uncompensatedCareAmount 5539.82

vbpAdjustment 0.9970657076

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.144

medicaidRatio 0.2213

vbpAdjustment 1.003448291

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.163

medicaidRatio 0.2213

vbpAdjustment 1.003448291

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.163

medicaidRatio 0.2213

vbpAdjustment 1.003448291

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.163

medicaidRatio 0.2213

vbpAdjustment 1.003448291

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.163

medicaidRatio 0.2213

vbpAdjustment 1.003448291

hhrAdjustment 0.9979

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.052

deviceCostToChargeRatio 0.056

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.052

deviceCostToChargeRatio 0.056

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.055

deviceCostToChargeRatio 0.067

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.055

deviceCostToChargeRatio 0.067

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.056

deviceCostToChargeRatio 0.064

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.056

deviceCostToChargeRatio 0.064

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.058

deviceCostToChargeRatio 0.078

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.058

deviceCostToChargeRatio 0.078

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

deviceCostToChargeRatio 0.085

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

deviceCostToChargeRatio 0.085

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.068

deviceCostToChargeRatio 0.085

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.074

deviceCostToChargeRatio 0.11

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.074

deviceCostToChargeRatio 0.11

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.074

deviceCostToChargeRatio 0.11

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.087

deviceCostToChargeRatio 0.077

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.087

deviceCostToChargeRatio 0.077

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.087

deviceCostToChargeRatio 0.077

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.103

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.103

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.103

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.149

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

MEDICAL CITY ALLIANCE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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