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HOSPITALPhysician

NORTH WALTON DOCTORS HOSPITAL

Defuniak Springs, FL

4413 US HWY 331 S, Defuniak Springs, FL 32435850-920-2065

Not rated by CMS

CMS star rating

2

Beds

47

Inpatient discharges a year

$23.6M

Net patient revenue a year

2

In-network payers

About this hospital

NORTH WALTON DOCTORS HOSPITAL is a 2-bed physician hospital in Defuniak Springs, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 2 in-network payers and 40 disclosed rate categories.

  • Reclassified as rural
CCN
100365
NPI
1750142121
Teaching
No Medicare-funded residents
County
Walton County
Metro area
Crestview-Fort Walton Beach-Destin, FL MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2024
Last CMS survey
2024

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

High

BCBS

Outpatient

HCPCS Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Negotiated

Very High

BCBS

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Average

BCBS

Outpatient

HCPCS Temporary Codes

Range: Q0035 - Q9992

Negotiated

Very High

BCBS

Outpatient

HCPCS Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Negotiated

Low

BCBS

Inpatient

MS-DRG Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders

Range: 894 - 897

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
BCBS
Kaiser Permanente

More about this hospital

Location

4413 US HWY 331 S, Defuniak Springs, FL 32435

850-920-2065

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Frequently asked questions

About NORTH WALTON DOCTORS HOSPITAL's rates and hospital price transparency.

Is NORTH WALTON DOCTORS HOSPITAL a teaching hospital?

CMS reports no Medicare-funded interns or residents at NORTH WALTON DOCTORS HOSPITAL for fiscal year 2027.

Does Medicare penalize NORTH WALTON DOCTORS HOSPITAL for readmissions?

No. NORTH WALTON DOCTORS HOSPITAL has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is NORTH WALTON DOCTORS HOSPITAL's case mix index?

NORTH WALTON DOCTORS HOSPITAL's Medicare case mix index is 3.36 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

How many patients does NORTH WALTON DOCTORS HOSPITAL admit?

NORTH WALTON DOCTORS HOSPITAL reported 47 inpatient discharges and 68 inpatient days from Dec 18, 2024 to Dec 31, 2025.

How many employees does NORTH WALTON DOCTORS HOSPITAL have?

NORTH WALTON DOCTORS HOSPITAL reported 64 full-time-equivalent employees on payroll from Dec 18, 2024 to Dec 31, 2025.

How much revenue does NORTH WALTON DOCTORS HOSPITAL make?

NORTH WALTON DOCTORS HOSPITAL reported $23.6M in net patient revenue on $155.8M of gross charges for Dec 18, 2024 to Dec 31, 2025, an operating margin of -0.1%, and net income of $46,535.

How much charity and uncompensated care does NORTH WALTON DOCTORS HOSPITAL provide?

NORTH WALTON DOCTORS HOSPITAL reported $3.7M of unreimbursed and uncompensated care for Dec 18, 2024 to Dec 31, 2025, including $3.5M of charity care at cost.

Who is the CEO of NORTH WALTON DOCTORS HOSPITAL?

NORTH WALTON DOCTORS HOSPITAL's Medicare enrollment lists Huy Nguyen as CEO since 2024.

How many doctors are affiliated with NORTH WALTON DOCTORS HOSPITAL?

60 clinicians who bill Medicare list NORTH WALTON DOCTORS HOSPITAL as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (9), physician assistant (8), nurse practitioner (7).

Is NORTH WALTON DOCTORS HOSPITAL accredited?

CMS's Provider of Services file lists no accrediting organization for NORTH WALTON DOCTORS HOSPITAL; it is certified for Medicare through state survey.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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