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  • Financial data for hospital cost report period ending 09/30/2023 (HCRIS 766065 - 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.

Pikeville Medical Center

Pikeville, KY  41501
CMS Certification Number: 180044

Identification and Characteristics

Name and Address: Pikeville Medical Center
911 Bypass Road
Pikeville, KY  41501
Telephone Number: (606) 430-3500
Hospital Website:
CMS Certification Number: 180044
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 348
   
Total Patient Revenue: $2,788,202,816
Total Discharges: 10,227
Total Patient Days: 66,985
TPS Quality Score: 15.08
Patient Experience Rating: ***..
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Notes



Clinical Cost Analyzer
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Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Cardiac Surgery
Carotid Stenting
Coronary Interventions
Vascular Intervention
Emergency Services
Emergency Department
Neurosciences
Electroencephalography (EEG)
Sleep Studies
Oncology Services
Chemotherapy
Radiation Therapy
Orthopedic Services
Arthroscopy
Joint Replacement
Other Services
Hemodialysis
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Intensity-Modulated Radiation Therapy (IMRT)
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Special Care
Intensive Care Unit (ICU)
Neonatal Intensive Care
Subprovider Units
Rehabilitation
Surgery
Inpatient Surgery
Robotic Surgery
Wound Care
Hyperbaric Oxygen
Wound Care

Joint Commission Accreditation

  • Current Status: 02/07/2024 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level II 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 479 4.51 $57,143 1.1486
Cardiovascular Surgery 242 3.91 $146,075 3.8168
Medicine 933 6.28 $83,745 1.6697
Neurology 212 5.03 $59,256 1.3926
Neurosurgery 18 4.89 $128,673 3.0655
Oncology 32 7.19 $68,798 1.4733
Orthopedic Surgery 209 7.61 $109,356 2.5466
Orthopedics 153 9.03 $54,139 1.1149
Pulmonology 525 6.29 $82,217 1.6184
Surgery 250 11.46 $233,618 5.2647
Surgery for Malignancy 11 1.45 $53,554 1.6792
Urology 222 5.41 $59,983 1.2947
Vascular Surgery 28 4.86 $122,385 2.5128
Total 3,330 6.29 $92,820 2.0109
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
41501 515 2,804 $41,016,954 -35.6% 73.3%
41522 151 830 $12,712,380 -19.3% 80.3%
41572 127 639 $9,512,010 -20.6% 78.9%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5012 Clinic Visits and Related Services 38,762 $295 $92
5115 Level 5 Musculoskeletal Procedures 266 $17,501 $2,734
8011 Comprehensive Observation Services 431 $2,692 $401
5491 Level 1 Intraocular Procedures 346 $4,929 $770
5114 Level 4 Musculoskeletal Procedures 108 $6,894 $1,077
5024 Level 4 Type A ED Visits 1,665 $2,031 $302
5441 Level 1 Nerve Injections 1,969 $1,758 $540
5594 Level 4 Nuclear Medicine and Related Services 392 $8,322 $1,237
5623 Level 3 Radiation Therapy 125 $2,977 $531
5693 Level 3 Drug Administration 2,148 $664 $96
5213 Level 3 Electrophysiologic Procedures 22 $52,280 $7,314
5232 Level 2 ICD and Similar Procedures 15 $194,046 $27,147
5524 Level 4 Imaging without Contrast 989 $3,579 $501
5223 Level 3 Pacemaker and Similar Procedures 45 $58,823 $8,229
5191 Level 1 Endovascular Procedures 152 $23,459 $2,139
5523 Level 3 Imaging without Contrast 1,877 $3,412 $185
5694 Level 4 Drug Administration 779 $1,368 $243
5593 Level 3 Nuclear Medicine and Related Services 351 $5,208 $774
5052 Level 2 Skin Procedures 774 $1,757 $540
5025 Level 5 Type A ED Visits 682 $2,737 $407

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 259 48,781
Special Care 69 16,503
Nursery 1,701
Total Hospital 348 71,935
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $2,788,202,816 96.7
Non-Patient Revenue $94,918,387 3.3
Total Revenue $2,883,121,203  
Net Income (or Loss) $32,000,655 1.1
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