Company Claims Information

Company Information


Company general information.

 Updated: Quarterly

 Current: Q2 2018

Field Description
NPI The National Provider Identifier is a unique number required for covered health care providers.
Name The company name.
Firm Type  
Network The group/system of the company.
County The company's county
Ownership The ownership type of the company.
Date Pulled Date the data was received by Enquire.
CBSA Code The Core Based Statistical Area (CBSA) code for the company. CBSA's are geographic areas consisting of one more counties and at least 10,000 people.
CBSA Population Total number of people for the CBSA code.
Total Patient Revenue Total revenue from patients.
Total Medicare Charge Total charges made to Medicare.
Average Length of Stay (Days) The average number of days a patient stays with the company.
Medicare Average Length of Stay (Days) The average number of days a patient receiving Medicare stays with the company.
FTE Employees on Payroll Full-time Equivalent. A measure of the number of full-time employees has for a position.
Continuing Care Retirement Community Does the company qualify as a Continuing Care Retirement Community.
Admissions The total number of admitted patients.
Medicare Admissions The total number of admitted patients receiving Medicare.
Bed Utilization Rate The ratio of patients in beds compared to the number of total beds.
Average Daily Census The average number of paitients per day.
Discharges The total number of discharged patients.
Medicare Discharges The total number of discharged patients receiving Medicare.
Readmits The percentage of patient admissions that are readmits.

Top 10 Hospitals


The top 10 hospitals the Company refers to.

 Updated: Annually in the fall

 Current: 2016

Column Description
Hospital The name of the hospital.
Network The group/system of the hospital.
Affiliated Physicians The total number of physicians affiliated to the hospital.
County The county where the hospital resides.
Zip Code The zip code of the hospital.
Ownership  
Referrals The total referrals the company has given to the hopsital.
Unique Bene Total number of distinct patients.
Percent of Total The percent of total for Referrals.
Referrals To Hospital  
Readmit Rate % Percentage or referrals that are classified as a readmit.

Top 10 Companies


The top 10 companies the Company refers to.

 Updated: Annually in the fall

 Current: 2016

Column Description
Company The name of the company.
Firm Type The firm type of the company.
City The city where the company resides.
State The state where the company resides.
Referrals The total number of Referrals
Medicare Charges The total amount charged to Medicare.
Medicare Payments The total amount paid by Medicare.

Top Counties


Top counties for the company based on claims.

 Updated: Annually in the fall

 Current: 2016

Column Description
Claims Total number of Medicare claims.
Percent The percent of total for Claims.

Demographic Information


Length of stay and average daily census information.

Visual Description
Length of Stay widget The average length of stay for patients.
Medicare Length of Stay widget The average length of stay for patients receiving Medicare.
Average Daily Census widget The average number of patients per day.
Length of Stay gague The percentile for the company's average length of stay.
Medicare Length of Stay gague The percentile for the company's average Medicare length of stay.
Average Daily Census gague The percentile for the company's average number of patients per day.

Quality Ratings


Various quality metrics represented as a 1 to 5 star rating.

 Updated: Quarterly

 Current: 2016

Metric Description
Overall The company's overall rating.
Quality The company's overall quality rating.
Staffing The company's general staffing rating.
RN Staffing The comany's Registered Nurse (RN) staffing rating.
Health Inspection The company's health inspection rating.

Top 10 Physicians


The top 10 physicians the company receives referrals from.

 Updated: Quarterly

 Current: 2013-2015

Metric Description
Physician The physician's name.
Primary Specialty The physician's primary medical specialty.
Primary Affiliation The physician's primary hospital or company.
County The county where the physician resides.
Zip Code The zip code where the physician resides.
Network The group/system the physician belongs to.
Referrals The total number of referrals from the physician.
Unique Bene Total number of distinct patients.
Percent of Total The percent of total for referrals.

Overall Ratings


Quality measures and the company's rate compared to State and National rates.

 Updated: Quarterly

 Current: 2016

Column Description
Metric The quality measure description.
Rating The company's rate.
State Rate The rate for the state where the company resides.
National Rate The national rate.
Percentile Rank The company's percentile rank for the quality measure. 99 is best

Inspection Results


Health inspection results for the company compared to State and National averages.

 Updated: Quarterly

 Current: 2016

Note: A deficiency is a violation or deficient practice for which a citation was issued.

Column Description
Deficiency Type The type of deficiency.
Cycle Number ***
Number of Deficiencies The total number of deficiencies.
State Avg The average number of deficiencies for the state where the company resides.
National Avg The average number of deficiencies for the nation.
Percentile The company's percentile rank for the deficiency. 99 is best.

Payer Mix


The total revenue coming from private insurance, government insurance, and self-paying individuals.

 Updated: Quarterly

 Current: Q2 2017

Pie Chart

The percentage of Total Days for each payor type.

payer_mix_pie_chart.png

Column Description
Payor The type of payor.
Net Patient Revenue Total revenue for the payor type.
% of Total Net Patient Revenue The percent of total for Net Patient Revenue.
Charges Total charges for the payor type.
% of Total Charges The percent of total for Charges.
Discharges Total discharges for the payor type.
% of Total Discharges The percent of total for discharges.
Days ***
% of Total Days The percentage of total for Days
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