Public record

Medicare Skilled Nursing Payments by Provider

Prvdr id: 115592 · 1 matching record

Year
2024
Year type
FY
Smry ctgry
PROVIDER
Srvc ctgry
SNF
Prvdr id
115592
Prvdr name
Countryside Health Center
Prvdr city
Buchanan
State
GA
Prvdr zip
30113
Bene dstnct cnt
34
Tot epsd stay cnt
54
Tot srvc days
2191
Tot chrg amt
1215447
Tot alowd amt
1415188
Tot mdcr pymt amt
1098084
Tot mdcr stdzd pymt amt
1145470
Bene dual pct
*
Bene rrl pct
0
Bene avg age
72
Bene male pct
50
Bene feml pct
50
Bene race wht pct
97
Bene race black pct
*
Bene race api pct
0
Bene race hspnc pct
0
Bene race natind pct
0
Bene race unk pct
*
Bene race othr pct
0
Bene avg risk scre
4.11
Bene cc bh adhd othcd v1 pct
*
Bene cc bh alcohol drug v1 pct
*
Bene cc bh alz nonalzdem v2 pct
47
Bene cc bh anxiety v1 pct
50
Bene cc bh bipolar v1 pct
*
Bene cc bh depress v1 pct
*
Bene cc bh mood v2 pct
*
Bene cc bh pd v1 pct
*
Bene cc bh ptsd v1 pct
0
Bene cc bh schizo othpsy v1 pct
*
Bene cc bh tobacco v1 pct
*
Bene cc ph afib v2 pct
35
Bene cc ph arthritis v2 pct
47
Bene cc ph asthma v2 pct
*
Bene cc ph cancer6 v2 pct
*
Bene cc ph ckd v2 pct
41
Bene cc ph copd v2 pct
44
Bene cc ph diabetes v2 pct
53
Bene cc ph hf nonihd v2 pct
53
Bene cc ph hyperlipidemia v2 pct
*
Bene cc ph hypertension v2 pct
*
Bene cc ph ischemicheart v2 pct
56
Bene cc ph osteoporosis v2 pct
*
Bene cc ph parkinson v2 pct
*
Bene cc ph stroke tia v2 pct
*
Prmry dx infctn pct
*
Prmry dx neobld pct
*
Prmry dx endonutrmet pct
*
Prmry dx mntbehneudis pct
*
Prmry dx nervsystm pct
*
Prmry dx entsys pct
0
Prmry dx circsystm pct
*
Prmry dx rspsystm pct
28
Prmry dx digsystm pct
*
Prmry dx sknmussystm pct
*
Prmry dx gusystm pct
*
Prmry dx prgpericong pct
0
Prmry dx sxilldef pct
*
Prmry dx injpois pct
*
Prmry dx hlthsrv pct
*

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list