American Hospital Directory - Petaluma Valley Hospital (050136)

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Financial data for hospital cost report period ending 06/30/2023 (HCRIS 781061 - 2010).
Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
Medicare OPPS claims data are for calendar year ending 12/31/2023 (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.

Petaluma, CA 94954

CMS Certification Number: 050136

Name and Address:	Petaluma Valley Hospital 400 North McDowell Boulevard Petaluma, CA 94954
Telephone Number:	(707) 778-1111
Hospital Website:	www.providence.org/locations/n...
CMS Certification Number:	050136

Type of Facility:	Short Term Acute Care
Type of Control:	Voluntary Nonprofit, Other
Total Staffed Beds:	58

Total Patient Revenue:	$558,109,022
Total Discharges:	2,169
Total Patient Days:	9,995
TPS Quality Score:	4.67
Patient Experience Rating:

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Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Digital Mammography; Magnetic Resonance Imaging (MRI)
Rehabilitation Services: Physical Therapy
Special Care: Intensive Care Unit (ICU)
Surgery: Inpatient Surgery

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Cardiology	116	3.62	$78,096	1.2551
Medicine	271	4.92	$102,346	1.4828
Neurology	41	3.24	$88,409	1.2186
Orthopedic Surgery	68	4.00	$146,927	2.3190
Orthopedics	14	2.57	$63,381	1.0117
Pulmonology	127	4.76	$92,010	1.3320
Surgery	45	6.93	$186,328	3.3842
Urology	85	3.68	$85,625	1.3249
Total	782	4.67	$103,515	1.5636

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Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions

ZIP Code of Residence	Discharges	Days of Care	Charges	Discharges Inc/(Dec)	Market Share
94954	337	1,344	$33,878,212	-17.2%	25.9%
94952	278	1,364	$32,129,991	-4.8%	25.8%
94928	54	233	$5,506,786	-22.9%	4.0%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
5025	Level 5 Type A ED Visits	1,248	$7,630	$637
5491	Level 1 Intraocular Procedures	271	$9,405	$1,066
8011	Comprehensive Observation Services	178	$7,864	$657
5114	Level 4 Musculoskeletal Procedures	48	$44,339	$5,024
5024	Level 4 Type A ED Visits	697	$5,216	$436
5521	Level 1 Imaging without Contrast	2,317	$1,299	$141
5693	Level 3 Drug Administration	934	$1,572	$131
5522	Level 2 Imaging without Contrast	1,811	$2,148	$105
5115	Level 5 Musculoskeletal Procedures	15	$82,035	$9,295
5492	Level 2 Intraocular Procedures	46	$14,040	$1,591
5523	Level 3 Imaging without Contrast	639	$5,470	$147
5023	Level 3 Type A ED Visits	607	$3,082	$257
5572	Level 2 Imaging with Contrast	373	$10,844	$186
5312	Level 2 Lower GI Procedures	89	$5,167	$446
8006	CT and CTA with Contrast Composite	254	$18,733	$268
5375	Level 5 Urology and Related Services	20	$36,633	$4,151
5113	Level 3 Musculoskeletal Procedures	31	$19,999	$2,266
5691	Level 1 Drug Administration	583	$803	$67
5311	Level 1 Lower GI Procedures	84	$6,955	$591
5361	Level 1 Laparoscopy and Related Services	12	$38,518	$4,364

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	51	8,471
Special Care	7	1,006
Nursery		518
Total Hospital	58	9,995

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