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  • Financial data for hospital cost report period ending 06/30/2023 (HCRIS 768879 - 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 (Proposed 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.

Middlesboro ARH Hospital

Middlesboro, KY  40965
CMS Certification Number: 180020

Identification and Characteristics

Name and Address: Middlesboro ARH Hospital
3600 West Cumberland Avenue
Middlesboro, KY  40965
Telephone Number: (606) 242-1100
Hospital Website:
CMS Certification Number: 180020
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 46
   
Total Patient Revenue: $214,792,799
Total Discharges: 1,099
Total Patient Days: 5,365
TPS Quality Score: 21.50
Patient Experience Rating: ***..
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Notes



Clinical Cost Analyzer
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Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Emergency Services
Emergency Department
Oncology Services
Chemotherapy
Other Services
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Special Care
Intensive Care Unit (ICU)
Subprovider Units
Swing Beds - NF
Swing Beds - SNF
Surgery
Inpatient Surgery

DNV Hospital Accreditation

  • Accredited for the period: 04/15/2024 - 04/15/2027

Verified Trauma Program

  • Type: Level IV Trauma Center
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Cardiology 48 3.02 $34,268 1.1612
Medicine 112 4.17 $38,398 1.4525
Neurology 13 2.38 $30,860 0.9664
Pulmonology 66 5.18 $46,725 1.5643
Surgery 13 6.54 $68,826 2.9216
Urology 22 3.68 $33,598 1.0978
Total 281 4.22 $40,339 1.4474
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
40965 326 1,473 $14,593,022 19.4% 50.2%
40977 65 216 $2,751,763 6.6% 17.4%
37752 29 143 $1,473,988 61.1% 12.9%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
8011 Comprehensive Observation Services 126 $3,536 $570
5024 Level 4 Type A ED Visits 516 $2,802 $452
5012 Clinic Visits and Related Services 1,391 $96 $136
5693 Level 3 Drug Administration 389 $435 $52
5523 Level 3 Imaging without Contrast 356 $3,920 $223
5522 Level 2 Imaging without Contrast 711 $1,553 $88
5593 Level 3 Nuclear Medicine and Related Services 59 $1,839 $105
5191 Level 1 Endovascular Procedures 25 $25,473 $3,187
5441 Level 1 Nerve Injections 226 $196 $293
5521 Level 1 Imaging without Contrast 643 $359 $20
5524 Level 4 Imaging without Contrast 114 $3,670 $435
5312 Level 2 Lower GI Procedures 49 $7,151 $848
5301 Level 1 Upper GI Procedures 70 $6,560 $785
5025 Level 5 Type A ED Visits 84 $3,624 $585
5023 Level 3 Type A ED Visits 180 $447 $72
5572 Level 2 Imaging with Contrast 87 $6,486 $370
5694 Level 4 Drug Administration 51 $748 $89
5311 Level 1 Lower GI Procedures 31 $6,932 $829
5491 Level 1 Intraocular Procedures 11 $11,089 $1,464
5691 Level 1 Drug Administration 193 $130 $17

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 39 3,111
Special Care 7 1,500
Nursery 343
Total Hospital 46 5,365
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $214,792,799 94.1
Non-Patient Revenue $13,370,478 5.9
Total Revenue $228,163,277  
Net Income (or Loss) $1,797,522 0.8
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