Providence Medford Hospice, also known as Prov Health Sys-or Shared-svs Div is a hospice care center situated at Medford, Oregon. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Providence Medford Hospice accommodated approx. 638 Medicare beneficiaries whose average age was 84 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 381506. Providence Medford Hospice comes under the CMS regional office located at Seattle. This CMS regional office covers all hospices located in Alaska, Idaho, Oregon, Washington. Services provided at Providence Medford Hospice mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Providence Medford Hospice 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.
Hospice Profile:
Prov Health Sys-or Shared-svs Div 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) | 381506 |
| Hospice’s Ownership Type: | Non-Profit (01 Voluntary Non-Profit - Church) |
| Hospice Address: | 2033 Commerce Drive, Medford,
Oregon, 97501 |
| County: | Jackson |
| Phone: | (54-1) -732-6504 |
| CMS Regional Office | Seattle |
Medicare Certification:
Medicare certification details of Providence Medford Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
| Medicare Certified: | Yes |
| Medicare Certification Date: | 27 Jun, 1988 |
| Current Status: | Active Provider |
| Latest visit of the Health or LSC survey: | 04 Apr, 2019 |
| Certificate Provider: | CMS Regional Office |
| CBSA Code | 32780 (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 Providence Medford Hospice 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 | 638 |
| RHC Days (in %) | 100 |
| Episode or Stay Count | 649 |
| Total Nursing Minutes | 486165 Minutes (8102.75 Hours) |
| Days of Service | 32,167 |
| Average Age of Beneficiary | 84 year |
| Average Risk Score of Beneficiaries | 2.20 |
| Total Medicare Payment Amount | $ 6,211,939 |
| Total Medicare Standard Payment Amount | $ 5,793,654 |
| Total Medicare Allowed Payment Amount | $ 6,211,939 |
| Total Charge Amount | $ 13,727,160 |
Average Hospice Visit Count
Providence Medford Hospice have 8328 skilled nursing visits, 1709 social work visits and 2542 Number of home health aide visits provided by the home health agency or hospice.
Beneficiaries by Gender
Providence Medford Hospice rendered hospice services to 43% Male and 57% Female Medicare beneficiaries in a Fiscal year.
Beneficiaries by Race
Providence Medford Hospice provided hospice care to 96% White, 2% Hispanic, 13% not disclosed Medicare beneficiaries in a Fiscal year.
Medicare/Medicaid Eligible Beneficiaries
At Providence Medford Hospice, 28% 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 Providence Medford Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 2 of Infectious and Parasitic Diseases, 16 of Neoplasms & Diseases of the Blood and Blood forming organs, 6 of Endocrine, Nutritional and Metabolic Diseases, 34 of Diseases of the Nervous System, 23 of Diseases of the Circulatory System, 9 of Diseases of the Respiratory System, 4 of Diseases of the Digestive System, 4 diagnosis of Symptoms, Signs and Abnormal Clinical and Laboratory findings, not elsewhere classified,2 of Diagnosis of Factors influencing health status and contact with health services & codes for special purposes.
Services Provided:
Services available at Providence Medford Hospice 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 Available | Provided By |
| Home Health Aide | Hospice Staff |
| Counseling | Hospice Staff |
| Homemaker | Provided under Arrangement |
| Medical Social Services | Hospice Staff |
| Medical Supply Services | Hospice Staff |
| Nursing Services | Hospice Staff |
| Occupational Therapy | Hospice Staff |
| Physician Services | Hospice Staff |
| Physical Therapy | Hospice Staff |
| Short Term Inpatient Care | Provided under Arrangement |
| Speech Pathology Services | Hospice Staff |
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 Name | Score (in %) | National Average |
| Treatment Preferences | 100.0 | 98.3 |
| Beliefs/Values Addressed (if desired by the patient) | 100.0 | 93.6 |
| Pain Screening | 100.0 | 93.9 |
| Pain Assessment | 100.0 | 77.7 |
| Dyspnea Screening | 100.0 | 97.3 |
| Dyspnea Treatment | 100.0 | 94.6 |
| Patients Treated with an Opioid who are Given a Bowel Regimen | 100.0 | 93.3 |
Employee Count:
Providence Medford Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
| Services | Employed Count | Volunteer Count |
| Home Health Aide | 4.2 | 0.0 |
| Counseling | 1.0 | 0.0 |
| Medical Social Services | 4.2 | 0.0 |
| Registered Nurses | 19.3 | 0.0 |
| Other Personnel | 6.18 | 0.0 |
| Physician Services | 0.8 | 0.0 |
| TOTAL | 35.68 | 0.0 |
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. Donald Wayne Anderson Jr. |
| Position: | Asst Corp Secretary For Enrollments |
| Contact Number: | 425-525-5392 |
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: | 1952495772 |
| NPI Enumeration Date: | 03 Oct, 2006 |
| NPI Last Update On: | 29 Dec, 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 Providence Medford Hospice are as mentioned below.
| Specialization | License Number | State | Status | |
| Hospice Care, Community Based | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 026699000 | Other | Oregon | Blue Cross Ffs |
| 930386912-03 | Other | Oregon | Ods |
| 303804000001 | Other | Oregon | Php |
| 084013000 | Other | Oregon | Blue Cross Hospice Pd |
| 132204 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4400 Ne Halsey St, Building 1, Ste 129
Portland, Oregon |
| Zip: | 97213-1545 |
| Phone Number: | 503-215-4601 |
| Fax Number: | 503-215-4624 |
Patients can reach Prov Health Sys-or Shared-svs Div at
2033 Commerce Drive, Medford, Oregon or can
call to book an appointment on (54-1) -732-6504.
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