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MIDDLESBORO, KY 40965- · Fiscal year ending 2025-06-30
| Fiscal year | Discharges | Revenue | Net income | Margin |
|---|---|---|---|---|
| 2025-06-30 | 1,271 | $54.4M | $23.6M | 43.4% |
Auto-flagged from 3-year trend on margin, volume, and bad debt
39 hospitals filing FY2025
Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.
Per CMS Medicare Inpatient Hospitals dataset (PY2022)
| DRG | Description | Discharges | Avg payment |
|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 43 | $15K |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 41 | $14K |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 20 | $10K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 17 | $9K |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 15 | $9K |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 14 | $11K |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 12 | $12K |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 12 | $12K |
Catchment based on CMS Hospital Service Area File (PY2018)
| ZIP | Cases | Bed days |
|---|---|---|
| 40965 | 413 | 2342 |
| 40965 | 404 | 2187 |
| 40965 | 331 | 1913 |
| 40965 | 326 | 1473 |
| 40965 | 278 | 989 |
| 40965 | 274 | 1547 |
| 40977 | 123 | 604 |
| 40977 | 104 | 574 |
| 40977 | 80 | 534 |
| 40977 | 65 | 216 |
CMS IPPS Final Rule (FY2025) — explains why Medicare pays this hospital its specific rate
CMS-reported physician affiliations at this facility
| Physician | NPI | Type |
|---|---|---|
| REBECCA LEE AKERS | 1124056007 | Hospital |
| AMANDA GAIL BROWN | 1104941053 | Hospital |
| ANDREW D BUCKLEY | 1013273853 | Hospital |
| RICHARD CALHOUN | 1043653041 | Hospital |
| MARTHA C COMBS-WOOLUM | 1033121017 | Hospital |
| SAMUEL FARRELL | 1043742570 | Hospital |
| AMANDA LOUANNE MILLS GANN | 1003282450 | Hospital |
| LISA GREEN | 1003170754 | Hospital |
| SKYLAR HOSKINS | 1043988041 | Hospital |
| TODD S. JAROSZ | 1124089644 | Hospital |
| ARIF H KHAN | 1114919800 | Hospital |
| SANKAR LAKSHMAN | 1053361337 | Hospital |
| ASHUTOSH S LOHE | 1134206543 | Hospital |
| CHARLES A MOORE | 1003816372 | Hospital |
| TRAMPAS S NOLAN | 1033144191 | Hospital |
| SHANNON L SMITH | 1093806325 | Hospital |
| LOVIE A STALLWORTH | 1013998327 | Hospital |
| SHARON TURNER | 1073143939 | Hospital |
| HIMACHALA R VELIGANDLA | 1023065927 | Hospital |
| ROBERT J WILMOTH | 1073505962 | Hospital |
CMS Physician Shared Patient Patterns — physicians outside this facility who share Medicare beneficiaries with its affiliated providers
| Referring Physician | Specialty | Shared patients | Encounters |
|---|---|---|---|
| Joseph Slusher | Diagnostic Radiology | 894 | 5,741 |
| HIGHLANDS HOSPITAL CORP | — | 461 | 2,012 |
| METRO KNOXVILLE HMA LLC | — | 336 | 1,315 |
| Syed Hasni | Nephrology | 332 | 1,760 |
| City Of Middlesboro | Ambulance Service Provider | 324 | 2,730 |
| KNOX HOSPITAL CORPORATION | — | 315 | 1,528 |
| Allen Westerfield | Diagnostic Radiology | 279 | 729 |
| James Adams | Family Practice | 273 | 1,408 |
| Jerry Woolum | General Surgery | 254 | 1,425 |
| Rotimi Iluyomade | Emergency Medicine | 213 | 848 |
| Nitinkumar Patel | Internal Medicine | 203 | 1,309 |
| Aruna Polsani | Diagnostic Radiology | 200 | 708 |
| Korrapati Reddy | Emergency Medicine | 189 | 1,063 |
| Pramod Reddy | Cardiology | 188 | 881 |
| Lonnie Bargo | Diagnostic Radiology | 186 | 775 |
| Christopher Steidle | Urology | 183 | 958 |
| Philip Zambos | Diagnostic Radiology | 173 | 464 |
| Jack Kendrick | Internal Medicine | 169 | 586 |
| Laura Simons | Diagnostic Radiology | 167 | 429 |
| LABORATORY CORPORATION OF AMERICA | — | 165 | 309 |