American Hospital Directory - Ascension Saint Thomas DeKalb (440148)

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Financial data for hospital cost report period ending 06/30/2023 (HCRIS 756222 - 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.

Smithville, TN 37166

CMS Certification Number: 440148

Name and Address:	Ascension Saint Thomas DeKalb 520 West Main Street Smithville, TN 37166
Telephone Number:	(615) 215-5000
Hospital Website:	healthcare.ascension.org/locat...
CMS Certification Number:	440148

Type of Facility:	Short Term Acute Care
Type of Control:	Voluntary Nonprofit, Church
Total Staffed Beds:	18

Total Patient Revenue:	$68,072,152
Total Discharges:	388
Total Patient Days:	1,676
TPS Quality Score:	39.67
Patient Experience Rating:

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This facility was acquired by Ascension Health on August 1, 2015.

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Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Magnetic Resonance Imaging (MRI); Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services: Physical Therapy

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Cardiology	13	2.54	$18,519	1.2193
Medicine	37	3.65	$28,731	1.1488
Pulmonology	33	2.88	$26,693	1.3203
Urology	22	3.41	$23,553	1.0913
Total	124	3.17	$26,370	1.2132

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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
37166	141	473	$3,860,552	0.0%	19.1%
38583	15	52	$377,331	-42.3%	1.0%
37110	15	48	$401,771	-31.8%	0.9%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
5025	Level 5 Type A ED Visits	237	$2,059	$317
5491	Level 1 Intraocular Procedures	51	$6,486	$2,502
5024	Level 4 Type A ED Visits	242	$1,678	$258
8011	Comprehensive Observation Services	30	$2,016	$310
5693	Level 3 Drug Administration	311	$185	$32
5023	Level 3 Type A ED Visits	168	$1,291	$199
5572	Level 2 Imaging with Contrast	95	$6,359	$327
5593	Level 3 Nuclear Medicine and Related Services	26	$3,874	$1,084
5521	Level 1 Imaging without Contrast	399	$411	$115
5771	Cardiac Rehabilitation	43	$255	$44
5523	Level 3 Imaging without Contrast	119	$4,500	$317
5312	Level 2 Lower GI Procedures	25	$3,396	$585
5524	Level 4 Imaging without Contrast	47	$3,112	$536
5522	Level 2 Imaging without Contrast	197	$2,220	$168
5311	Level 1 Lower GI Procedures	24	$3,486	$648
8006	CT and CTA with Contrast Composite	39	$10,809	$203
8005	CT and CTA without Contrast Composite	69	$8,433	$159
5571	Level 1 Imaging with Contrast	66	$3,806	$72
5301	Level 1 Upper GI Procedures	15	$2,690	$463
5722	Level 2 Diagnostic Tests and Related Services	27	$1,368	$353

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	18	1,676
Special Care	0	0
Nursery		0
Total Hospital	18	1,676

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