• Financial data for hospital cost report period ending 06/30/2010 (HCRIS 258330).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2010 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2010.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
Cibola General Hospital
Grants, NM  87020
Medicare Provider Number: 320037

Identification and Characteristics

Name and Address: Cibola General Hospital
1016 East Roosevelt Avenue
Grants, NM  87020
Telephone Number: (505) 287-4446
Hospital Website: www.cibolahospital.com
Medicare Provider ID: 320037
   
Type of Facility: Short Term Acute Care
Type of Control: Governmental, County
Total Staffed Beds: 25
   
Total Patient Revenue: $37,815,592
Total Discharges: 1,100
Total Patient Days: 3,075
     
 
N O T E S
 
     

Clinical Services

Emergency Services
Emergency Department
Neurosciences
Sleep Studies
Other Services
Inpatient Surgery
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
Special Care
Intensive Care Unit (ICU)

Joint Commission Accreditation

  • Current Status: 12/16/2011 - Accreditation with Full Standards Compliance

Inpatient Utilization Statistics by Medical Service

  Number
Medicare
Inpatients
Average
Length
of Stay
Average
Charges
Medicare
Case Mix
Index (CMI)
Cardiology 39 3.00 $12,207 1.0801
Medicine 90 3.10 $12,409 0.9335
Pulmonology 52 3.40 $13,996 0.9479
Surgery 33 6.09 $35,425 2.6496
Urology 16 3.75 $14,996 0.9127
Total 258 3.67 $16,107 1.1993

Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2010 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
87020 174 653 $2,753,399 20.8% 40.9%
87021 39 136 $666,690 -7.1% 39.4%
87051 13 39 $147,033 18.2% 41.9%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
0615 Level 4 Type A Emergency Visits 373 $592 $289
0332 Computed Tomography without Contrast 356 $1,457 $530
0260 Level I Plain Film Except Teeth 1,267 $184 $67
0283 Computed Tomography with Contrast 173 $1,636 $595
0616 Level 5 Type A Emergency Visits 136 $731 $357
0336 Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contr 118 $1,833 $666
0439 Level IV Drug Administration 196 $154 $71
0614 Level 3 Type A Emergency Visits 212 $282 $138
0613 Level 2 Type A Emergency Visits 331 $198 $96
0437 Level II Drug Administration 508 $62 $30
0436 Level I Drug Administration 495 $101 $48
0209 Level II Extended EEG, Sleep, and Cardiovascular Studies 27 $1,613 $665
0269 Level II Echocardiogram Without Contrast 45 $1,100 $453
0266 Level II Diagnostic and Screening Ultrasound 201 $466 $170
0143 Lower GI Endoscopy 29 $1,461 $683
0141 Level I Upper GI Procedures 27 $1,323 $619
0099 Electrocardiograms 423 $159 $66
0954 RBC leukocytes reduced 30 $270 $111
0267 Level III Diagnostic and Screening Ultrasound 71 $887 $322
0158 Colorectal Cancer Screening: Colonoscopy 20 $1,411 $660

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 21 2,321
Special Care 4 311
Nursery 0 443
Total Hospital 25 3,075

Financial Statistics

  $ %
Gross Patient Revenue $37,815,592 84.3
Non-Patient Revenue $7,017,160 15.7
Total Revenue $44,832,752  
Net Income (or Loss) $3,320,879 7.4