American Hospital Directory - Evans Memorial Hospital (110142)

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Financial data for hospital cost report period ending 09/30/2023 (HCRIS 765069 - 2010).
Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Proposed 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.

Claxton, GA 30417

CMS Certification Number: 110142

Name and Address:	Evans Memorial Hospital 200 North River Street Claxton, GA 30417
Telephone Number:	(912) 739-5000
Hospital Website:	www.evansmemorialhospital.org/
CMS Certification Number:	110142

Type of Facility:	Short Term Acute Care
Type of Control:	Governmental, County
Total Staffed Beds:	59

Total Patient Revenue:	$107,027,095
Total Discharges:	479
Total Patient Days:	1,855
TPS Quality Score:	0.00
Patient Experience Rating:

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Emergency Services: Emergency Department
Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Digital Mammography; Magnetic Resonance Imaging (MRI)
Rehabilitation Services: Physical Therapy

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Cardiology	14	2.57	$36,368	1.2168
Medicine	42	3.95	$43,258	1.3069
Neurology	11	3.00	$39,841	1.2317
Pulmonology	43	3.81	$53,569	1.2845
Urology	14	2.79	$30,733	1.0758
Total	131	3.58	$44,492	1.2577

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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
30417	119	486	$5,723,876	25.3%	33.1%
30427	71	290	$3,361,290	1.4%	19.7%
30429	16	66	$733,027	0.0%	32.7%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
8011	Comprehensive Observation Services	141	$1,585	$385
5024	Level 4 Type A ED Visits	302	$1,106	$270
5312	Level 2 Lower GI Procedures	59	$5,484	$602
5693	Level 3 Drug Administration	296	$402	$86
5023	Level 3 Type A ED Visits	268	$855	$209
5522	Level 2 Imaging without Contrast	559	$1,713	$102
5523	Level 3 Imaging without Contrast	184	$4,686	$279
5524	Level 4 Imaging without Contrast	83	$2,834	$311
5521	Level 1 Imaging without Contrast	495	$444	$26
5025	Level 5 Type A ED Visits	68	$1,712	$418
5572	Level 2 Imaging with Contrast	87	$6,442	$384
5301	Level 1 Upper GI Procedures	41	$4,765	$523
5311	Level 1 Lower GI Procedures	37	$4,508	$495
5733	Level 3 Minor Procedures	423	$322	$20
1506	New Technology - Level 6 ($401 - $500)	38	$1,550	$170
5691	Level 1 Drug Administration	145	$193	$40
5012	Clinic Visits and Related Services	117	$396	$43
8005	CT and CTA without Contrast Composite	61	$8,526	$508
5571	Level 1 Imaging with Contrast	64	$3,669	$219
8006	CT and CTA with Contrast Composite	26	$9,614	$573

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	45	1,753
Special Care	4	102
Nursery		0
Total Hospital	59	1,855

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