Hospital · Federal record
PIKEVILLE MEDICAL CENTER
Acute Care Hospitals · Voluntary non-profit - Private · 340 beds · PIKEVILLE, KY
- CCN 180044
- 1 / 5 CMS overall
- HCAHPS recommend 67%
CMS quality programs
Federal payment-adjustment programs
HRRP
Higher than expected
Excess readmission ratio: 1.090
HACRP
Penalized
HAC composite: 1.05
HVBP
Score 23.33
Value-based purchasing · FY 2024
Patient experience (HCAHPS)
CMS publishes only the summary star rating and "would recommend" percentage in the current Hospital General Information snapshot. Detailed HCAHPS measures are not available for this hospital.
Medicare charges · 2024
Top procedures by volume
Charges are not what you pay
Hospital "submitted charges" are list prices. Medicare reimburses a fraction; insured patients typically pay a contracted rate; uninsured patients can negotiate.Inpatient (MS-DRG)
| DRG | Description | Cases | Avg charge | Avg paid |
|---|---|---|---|---|
871 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 298 | $81,227 | $16,455 |
291 |
HEART FAILURE AND SHOCK WITH MCC | 142 | $62,685 | $10,549 |
193 |
SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 102 | $58,205 | $10,426 |
177 |
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 62 | $85,863 | $13,591 |
280 |
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 54 | $79,688 | $13,003 |
872 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 54 | $39,212 | $7,729 |
689 |
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 52 | $47,134 | $9,165 |
853 |
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 45 | $238,011 | $47,265 |
690 |
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 43 | $29,074 | $5,894 |
392 |
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 42 | $32,251 | $5,550 |
Outpatient · 2023
| Code | Description | Services | Avg charge | Avg paid |
|---|---|---|---|---|
5072 |
Level 2 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $1,126 |
5073 |
Level 3 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $1,958 |
5091 |
Level 1 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5092 |
Level 2 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $4,507 |
5112 |
Level 2 Musculoskeletal Procedures | 0 | $0 | $1,064 |
5113 |
Level 3 Musculoskeletal Procedures | 0 | $0 | $2,192 |
5114 |
Level 4 Musculoskeletal Procedures | 0 | $0 | $4,945 |
5115 |
Level 5 Musculoskeletal Procedures | 0 | $0 | $10,558 |
5116 |
Level 6 Musculoskeletal Procedures | 0 | $0 | $0 |
5153 |
Level 3 Airway Endoscopy | 0 | $0 | $0 |
Affiliated providers
-
Dr. SYED ABBASRheumatology Physician
-
Dr. JACQUES ALEXISFamily Medicine Physician
-
Dr. RANJANA ARORAAnatomic Pathology & Clinical Pathology Physician
-
Dr. MAEN ASSALIInterventional Cardiology Physician
-
Dr. MATTHEW BAKERSurgery Physician
-
Dr. WALID BAZHematology & Oncology Physician
-
Dr. RAVINDER BHAGRATHNephrology Physician
-
Dr. MARVIN BISHOPEndocrinology, Diabetes & Metabolism Physician
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Dr. ANTHONY BOTTIGGISurgical Critical Care Physician
-
Dr. ELIZABETH BRANHAMNurse Practitioner
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Dr. AARON BROWNSurgical Critical Care Physician
-
Dr. JOSEPH BROWNRetina Specialist (Ophthalmology) Physician