Promedica Hospice (fairview Heights)



  
333 Salem Place, Suite 165, Fairview Heights
Illinois, 62208

 (61-8) -632-0304   Maps & Directions
Promedica Hospice (fairview Heights), also known as Promedica Hospice (springfield) is a hospice care center situated at Fairview Heights, Illinois. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Promedica Hospice (fairview Heights) accommodated approx. 669 Medicare beneficiaries whose average age was 83 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 141636. Promedica Hospice (fairview Heights) comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Promedica Hospice (fairview Heights) mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Promedica Hospice (fairview Heights) provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Promedica Hospice (springfield) type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 141636
Hospice’s Ownership Type:For-Profit (06 Proprietary - Corporation)
Accreditation Accreditation Commission for Health Care (ACHC)
Hospice Address:333 Salem Place, Suite 165, Fairview Heights,
Illinois, 62208
County:St. Clair
Phone:(61-8) -632-0304
Fax:618-632-0364
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Promedica Hospice (fairview Heights) with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:02 May, 2011
Current Status: Active Provider
Latest visit of the Health or LSC survey: 21 Nov, 2019
Status at the time of certification survey: In Compliance
Latest Certification Type: CHOW
Certificate Provider: CMS Regional Office
MAC Palmetto Hhh C
CBSA Code 41180 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Promedica Hospice (fairview Heights) are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 669
RHC Days (in %) 99
Episode or Stay Count 699
Total Nursing Minutes 581400 Minutes (9690 Hours)
Days of Service 52,543
Average Age of Beneficiary 83 year
Average Risk Score of Beneficiaries 2.48
Total Medicare Payment Amount $ 8,983,079
Total Medicare Standard Payment Amount $ 9,154,517
Total Medicare Allowed Payment Amount $ 8,983,079
Total Charge Amount $ 14,002,046

Average Hospice Visit Count


Promedica Hospice (fairview Heights) have 10551 skilled nursing visits, 2686 social work visits and 11369 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Promedica Hospice (fairview Heights) rendered hospice services to 42% Male and 58% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Promedica Hospice (fairview Heights) provided hospice care to 88% White, 10% Black, 13% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Promedica Hospice (fairview Heights),7% of Medicare beneficiaries received their Medicare correspondence in a rural area based on having a Core-based Statistical Area (CSBA) designation equal to Non-CBSA.
31% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Promedica Hospice (fairview Heights), distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 2 of Infectious and Parasitic Diseases, 22 of Neoplasms & Diseases of the Blood and Blood forming organs, 16 of Diseases of the Nervous System, 42 of Diseases of the Circulatory System, 11 of Diseases of the Respiratory System, 3 of Diseases of the Digestive System, 2 of Diseases of the Genitourinary System,

Services Provided:
Services available at Promedica Hospice (fairview Heights) are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 99.893.6
Pain Screening 99.193.9
Pain Assessment 99.877.7
Dyspnea Screening 99.697.3
Dyspnea Treatment 96.394.6
Patients Treated with an Opioid who are Given a Bowel Regimen 99.293.3
Employee Count:
Promedica Hospice (fairview Heights) employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide14.00.0
Counseling3.5 0.0
Medical Social Services4.50.0
Registered Nurses20.50.0
Other Personnel11.0 0.0
Physician Services1.5 0.0
TOTAL55.00.0
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Mr. Martin D Allen
Position: Director
Contact Number: 419-252-5734
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1700105152
NPI Enumeration Date: 25 May, 2010
NPI Last Update On: 15 Apr, 2022
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Promedica Hospice (fairview Heights) are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 2001311IllinoisPrimary
Hospice and Palliative Medicine Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1700105152MedicaidMissouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 333 N Summit St, Dean Shipman
Toledo, Ohio
Zip: 43604-2615
Phone Number: 419-254-7841
Fax Number: 419-254-5494
Patients can reach Promedica Hospice (springfield) at 333 Salem Place, Suite 165, Fairview Heights, Illinois or can call to book an appointment on (61-8) -632-0304.
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