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 (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.

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 12/31/2023 / Definitions

ZIP Code of Residence	Discharges	Days of Care	Charges	Discharges Inc/(Dec)	Market Share
30417	127	500	$6,388,328	6.7%	26.6%
30427	68	252	$3,153,489	-4.2%	17.0%
30453	13	45	$559,912	-7.1%	5.1%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
8011	Comprehensive Observation Services	138	$1,617	$354
5024	Level 4 Type A ED Visits	276	$1,135	$250
5023	Level 3 Type A ED Visits	274	$880	$194
5693	Level 3 Drug Administration	309	$411	$80
5312	Level 2 Lower GI Procedures	48	$5,905	$604
5522	Level 2 Imaging without Contrast	519	$1,865	$109
5025	Level 5 Type A ED Visits	85	$1,741	$382
5523	Level 3 Imaging without Contrast	183	$4,836	$281
5521	Level 1 Imaging without Contrast	447	$450	$26
5524	Level 4 Imaging without Contrast	81	$2,910	$295
5572	Level 2 Imaging with Contrast	99	$6,550	$381
5311	Level 1 Lower GI Procedures	37	$4,429	$449
5302	Level 2 Upper GI Procedures	15	$4,503	$457
5691	Level 1 Drug Administration	167	$207	$39
5733	Level 3 Minor Procedures	389	$326	$19
5301	Level 1 Upper GI Procedures	31	$4,407	$447
8005	CT and CTA without Contrast Composite	63	$8,683	$505
5571	Level 1 Imaging with Contrast	53	$4,001	$233
8006	CT and CTA with Contrast Composite	20	$9,617	$560
8007	MRI and MRA without Contrast Composite	15	$11,550	$672

	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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