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  • Financial data for hospital cost report period ending 01/09/2023 (HCRIS 749514 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final rule MedPAR).
  • Medicare OPPS claims data are not available.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

San Carlos Apache Healthcare

Peridot, AZ  85542
CMS Certification Number: 030077

Identification and Characteristics

Name and Address: San Carlos Apache Healthcare
103 Medicine Way Road
Peridot, AZ  85542
Telephone Number: (928) 475-1400
Hospital Website:
CMS Certification Number: 030077
   
Type of Facility: Short Term Acute Care
Type of Control: Governmental, Federal
Total Staffed Beds: 12
   
Total Patient Revenue: $0
Total Discharges: 491
Total Patient Days: 1,745
TPS Quality Score: 0.00
Patient Experience Rating: N/A
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Notes

This facility currently reports under San Carlos Apache Healthcare (031320).

Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department

Joint Commission Accreditation

  • Current Status: 04/16/2022 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level IV Trauma Center
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Medicine 45 3.38 $12,778 0.9700
Pulmonology 37 4.51 $16,931 1.3562
Total 105 3.91 $14,734 1.1148
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2022 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
85550 57 227 $885,645 -23.0% 40.1%
85542 16 62 $243,362 -50.0% 43.2%
85530 13 50 $196,142 -38.1% 38.2%

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 12 1,745
Special Care 0 0
Nursery 0
Total Hospital 12 1,745
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $0 0.0
Non-Patient Revenue $0 0.0
Total Revenue $0  
Net Income (or Loss) $-119,512,619 0.0
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