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  • Financial data for hospital cost report period ending 09/26/2022 (HCRIS 748726 - 2010).
  • Medicare IPPS claims data are not available.
  • 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 Cupey

San Juan, PR  00928
CMS Certification Number: 400133

Identification and Characteristics

Name and Address: HIMA San Pablo Cupey
Carr 844 KM 5 Cupey Bajo
San Juan, PR  00928
Telephone Number: (787) 761-8383
Hospital Website:
CMS Certification Number: 400133
   
Type of Facility: Short Term Acute Care
Type of Control: Proprietary, Corporation
Total Staffed Beds: 58
   
Total Patient Revenue: $8,877,099
Total Discharges: 320
Total Patient Days: 3,484
TPS Quality Score: 0.00
Patient Experience Rating: N/A
Profile Compare
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Notes

This facility formerly reported under HIMA San Pablo Cupey (400121) since 06/30/2015.

This facility used to report under Provider ID 400121.

Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Special Care
Intensive Care Unit (ICU)
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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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
00926 51 353 $467,045 -17.7% 2.1%
00976 14 116 $166,707 7.7% 1.4%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5023 Level 3 Type A ED Visits 33 $223 $136
5024 Level 4 Type A ED Visits 12 $352 $215
5022 Level 2 Type A ED Visits 22 $200 $122
5521 Level 1 Imaging without Contrast 17 $80 $51
5522 Level 2 Imaging without Contrast 13 $192 $123

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 54 3,180
Special Care 4 303
Nursery 0
Total Hospital 58 3,483
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $8,877,099 93.2
Non-Patient Revenue $648,738 6.8
Total Revenue $9,525,837  
Net Income (or Loss) $-8,373,412 -87.9
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