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  • Financial data for hospital cost report period ending 12/31/2022 (HCRIS 746686 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2022 (Final rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

HIMA-San Pablo Hospital-Fajardo

Fajardo, PR  00738
CMS Certification Number: 400125

Identification and Characteristics

Name and Address: HIMA-San Pablo Hospital-Fajardo
404 Avenida General Valero
Fajardo, PR  00738
Telephone Number: (787) 655-0505
Hospital Website:
CMS Certification Number: 400125
   
Type of Facility: Short Term Acute Care
Type of Control: Proprietary, Corporation
Total Staffed Beds: 179
   
Total Patient Revenue: $25,610,869
Total Discharges: 1,460
Total Patient Days: 12,028
TPS Quality Score: 0.00
Patient Experience Rating: Not Available
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Notes



Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Other Services
Hemodialysis
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Special Care
Intensive Care Unit (ICU)
Surgery
Inpatient Surgery
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)
Cardiology 16 8.81 $11,583 1.1127
Medicine 32 7.38 $8,743 1.0422
Pulmonology 17 9.41 $17,453 1.8410
Total 88 8.64 $12,575 1.4960
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
00738 245 2,596 $3,856,727 -19.1% 30.1%
00773 109 898 $1,240,766 -20.4% 23.5%
00735 96 743 $1,136,983 21.5% 39.0%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5023 Level 3 Type A ED Visits 91 $223 $156
5693 Level 3 Drug Administration 41 $230 $104
5523 Level 3 Imaging without Contrast 36 $584 $203
5522 Level 2 Imaging without Contrast 59 $275 $95
5572 Level 2 Imaging with Contrast 17 $780 $270
5521 Level 1 Imaging without Contrast 69 $80 $28
5022 Level 2 Type A ED Visits 22 $201 $141
5021 Level 1 Type A ED Visits 33 $200 $140
5691 Level 1 Drug Administration 15 $48 $21

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 163 8,548
Special Care 16 3,201
Nursery 279
Total Hospital 179 12,028
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $25,610,869 90.1
Non-Patient Revenue $2,802,959 9.9
Total Revenue $28,413,828  
Net Income (or Loss) $-3,908,825 -13.8
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