Northeast Georgia Health System · Dahlonega, GA
5 of 5
CMS star rating
16
Beds
1,012
Inpatient discharges a year
$66.9M
Net patient revenue a year
29
In-network payers
Northeast Georgia Medical Center Lumpkin is a 16-bed voluntary non-profit - other hospital in Dahlonega, GA, affiliated with Northeast Georgia Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 334 disclosed rate categories.
The 24 services Northeast Georgia Medical Center Lumpkin most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Digestive procedures
CPT 43239
$10,379 - $15,000
from 3 insurers · median $12,890
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$12,890 - $17,021
from 3 insurers · median $15,000
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$12,890 - $17,021
from 3 insurers · median $15,000
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,212 - $23,400
from 4 insurers · median $19,307
25 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45378
$10,379 - $15,000
from 3 insurers · median $12,890
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$16,442 - $25,696
from 3 insurers · median $24,333
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$3,212 - $23,400
from 4 insurers · median $19,307
25 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$24,131 - $26,926
from 3 insurers · median $24,333
Typical for a hospital with this service line
Medicine & Surgery
CPT 64483
$8,775 - $11,480
from 3 insurers · median $10,379
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$25,263 - $29,417
from 3 insurers · median $26,926
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$1,933 - $16,442
from 4 insurers · median $13,945
15 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
CT imaging
CPT 74177
$525 - $1,654
from 3 insurers · median $541
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$16,128 - $21,700
from 3 insurers · median $16,442
Typical for a hospital with this service line
Orthopedics and pain
CPT 29848
$1,584 - $26,926
from 4 insurers · median $19,360
13 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 64493
$8,775 - $11,480
from 3 insurers · median $10,379
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 62322 · CPT 62323
$960 - $11,480
from 4 insurers · median $9,577
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$105 - $491
from 4 insurers · median $357
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$16,128 - $21,700
from 3 insurers · median $17,021
Typical for a hospital with this service line
Gynecology
CPT 58661
$20,362 - $24,333
from 3 insurers · median $24,131
Typical for a hospital with this service line
Mammography
CPT 77067
$212 - $532
from 3 insurers · median $228
Common here, based on CMS Medicare volume
Urology
CPT 50590
$25,069 - $35,879
from 3 insurers · median $26,926
Typical for a hospital with this service line
Gynecology
CPT 58662
$20,362 - $24,333
from 3 insurers · median $24,131
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$324 - $2,468
from 4 insurers · median $608
Common here, based on CMS Medicare volume
Skin and soft tissue
CPT 10005
$8,775 - $11,480
from 3 insurers · median $10,379
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 874% | 21 | 3 |
| Insurer B* | 24 | 697% | 6 | 2 |
| Insurer C* | 24 | 697% | 21 | 3 |
| Insurer D* | 7 | 97% | 0 | 7 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Northeast Georgia Medical Center Lumpkin, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by DNV
Finances
$66.9M net patient revenue
Ownership and leadership
Owned by Northeast Georgia Health System Inc
The employer identification numbers (EINs) health plans and networks list for Northeast Georgia Medical Center Lumpkin in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 83-1294232Ngmc Lumpkin LLC | 50Aetna, Cigna, Alliant Health Plans, Allied Benefit Systems, Ambetter and 45 more | 1083174973 Ngmc Lumpkin LLC |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
227 Mountain Dr, Dahlonega, GA 30533
7702199000
How Northeast Georgia Medical Center Lumpkin compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
87%
Higher than 94% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Time in the ER before going home
157 min
Higher than 56% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
72%
Higher than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 5 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 1 measures | |
| Readmissions | No different on 4 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 87% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 157 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 72% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Northeast Georgia Medical Center Lumpkin's inpatient payments for its readmissions, quality and cost results.
-0.04% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+2.77% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Northeast Georgia Medical Center Lumpkin, beside the US median and the average of GA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.655 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 374 cases | 3.4 | 3.9 | 4.079 | Better than 79% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 41 cases | 7.7 | 8.5 | 8.691 | Better than 70% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 43 cases | 9.6 | 11 | 10.84 | Better than 76% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 102 cases | 12.1 | 15.2 | 15.21 | Better than 90% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.45 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 396 cases | 0.57 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 510 cases | 0.21 | 0.2 | 0.2173 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 508 cases | 0.27 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.356 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.26 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.811 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.77 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.743 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.073 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.306 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 48 cases | 69.7 | 1.25 | 12.52 | Worse than 96% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 99 cases | -21.5 | 3.85 | 12.69 | Better than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 12.97 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 79 cases | 1 | 1 | 0.9723 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.35 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 63 cases | 19 | 19.8 | 19.84 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 60 cases | 21.3 | 21.3 | 21.19 | Better than 49% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.927 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 155 cases | 17 | 17.2 | 17.41 | Better than 59% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2721 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.762 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 158 | 1,370 | 5,571 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.091 | 0.9835 | 5.825 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.568 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.619 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1792 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.515 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 285 | 1,799 | 4,621 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.14 | 1.377 | 6.01 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.317 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3748 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4352 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.519 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 136 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.769 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.756 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9605 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 143 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.256 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.77 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2796 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.919 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,133 | 14,451 | 48,840 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.095 | 0.567 | 3.385 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.336 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6352 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1286 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.813 | 0.747 | 1.104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,133 | 13,646 | 44,552 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.065 | 5.683 | 23.39 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 6.1 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2745 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 159 cases | 73 | 73 | 72.27 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 159 cases | 9 | 8 | 9.85 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 159 cases | 18 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 87 | 87 | 85.97 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 159 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 159 cases | 85 | 80 | 78.79 | Better than 79% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 94 | 91 | 90.82 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 159 cases | 2 | 4 | 4.903 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 159 cases | 5 | 3 | 3.204 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 159 cases | 13 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 159 cases | 83 | 79 | 79.46 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 92 | 91 | 90.77 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 159 cases | 6 | 5 | 5.717 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 159 cases | 4 | 3 | 3.075 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 159 cases | 11 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 159 cases | 65 | 61 | 60.14 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 80 | 77 | 75.68 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 159 cases | 17 | 19 | 21.5 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 159 cases | 3 | 3 | 2.462 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 159 cases | 18 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 87 | 86 | 84.09 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 159 cases | 12 | 13 | 14.95 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 159 cases | 4 | 3 | 2.935 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 159 cases | 88 | 87 | 85.05 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 159 cases | 14 | 14 | 17.13 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 159 cases | 86 | 86 | 82.87 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 159 cases | 79 | 74 | 74.33 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 159 cases | 5 | 7 | 7.087 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 159 cases | 16 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 159 cases | 81 | 77 | 77.43 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 159 cases | 8 | 6 | 6.146 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 159 cases | 11 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 159 cases | 89 | 85 | 85.2 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 159 cases | 5 | 3 | 3.728 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 159 cases | 6 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 159 cases | 4 | 8 | 8.69 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 159 cases | 12 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 159 cases | 84 | 72 | 71.31 | Better than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 93 | 88 | 87.94 | Better than 92% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 159 cases | 5 | 3 | 3.269 | The top rating, shared by 8% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 159 cases | 79 | 74 | 73.43 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 159 cases | 5 | 9 | 10.45 | Better than 86% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 159 cases | 16 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 159 cases | 84 | 75 | 74.03 | Better than 92% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 159 cases | 4 | 5 | 6.592 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 159 cases | 12 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 159 cases | 85 | 77 | 75.78 | Better than 89% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 159 cases | 3 | 4 | 5.34 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 159 cases | 12 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 159 cases | 85 | 86 | 84.54 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 159 cases | 1 | 3 | 3.437 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 159 cases | 14 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 159 cases | 72 | 59 | 63.8 | Better than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 159 cases | 5 | 9 | 8.469 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 159 cases | 23 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 88 | 82 | 83.87 | Better than 89% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 159 cases | 5 | 3 | 3.774 | The top rating, shared by 11% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 159 cases | 4 | 5 | 6.124 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 159 cases | 87 | 71 | 70.88 | Better than 94% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 159 cases | 94 | 87 | 87.15 | Better than 94% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 159 cases | 9 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 159 cases | 5 | 4 | 3.602 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 159 cases | 51 | 47 | 46.49 | Better than 67% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 159 cases | 29 | 30 | 32.79 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 159 cases | 20 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 159 cases | 4 | 3 | 3.151 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 159 cases | 11 | 12 | 13.65 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 159 cases | 89 | 88 | 86.35 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.667 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 385 cases | 90 | 79 | 71.13 | Better than 71% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 492 cases | 168 | 154 | 175 | Worse than 59% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 436 cases | 157 | 148 | 169 | Worse than 56% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 17 cases | 265 | 247 | 348 | Worse than 56% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 42 cases | 304 | 293 | 334 | Worse than 55% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 21,422 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 92 | 74 | 71.14 | Better than 90% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.05 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 189 cases | 19 | 15 | 16.89 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 29 cases | 72 | 65 | 58.96 | Better than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 70.15 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.53 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases | 83 | 82 | 77.15 | Better than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases | 100 | 94 | 90.02 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.72 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.46 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 571 cases | 93 | 90 | 83.63 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 95.53 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.6 | 5 | 5.623 | Better than 67% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.411 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.83 | 0.99 | 0.9648 | Better than 97% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 23.33 | 20 | 20.96 | Better than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.778 | 5 | 5.347 | Better than 71% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 100 | 10 | 26.92 | The best result, shared by 2% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 33.33 | 2.5 | 7.03 | Better than 99% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 84 | 34 | 36.51 | Better than 98% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 28 | 8.75 | 9.439 | Better than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | Not Available | 38.57 | |||
| VBP safety weighted domain scoreFY 2026 | Not Available | 9.691 | |||
| VBP total performance scoreFY 2026 | 69.11 | 29.5 | 31.07 | Better than 99% of US hospitals |
| By fiscal year | FY 2025 | FY 2026 |
|---|---|---|
| VBP clinical outcomes domain score | 23.33 | 23.33 |
| VBP clinical outcomes weighted domain score | 7.778 | 7.778 |
| VBP efficiency and cost reduction domain score | 100 | 100 |
| VBP efficiency and cost reduction weighted domain score | 33.33 | 33.33 |
| VBP person and community engagement domain score | 47 | 84 |
| VBP person and community engagement weighted domain score | 15.67 | 28 |
| VBP safety domain score | Not Available | Not Available |
| VBP safety weighted domain score | Not Available | Not Available |
| VBP total performance score | 56.78 | 69.11 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9892 | 0.9969 | 1.012 | Better than 57% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9998 | 0.9983 | 1.011 | Worse than 51% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9843 | 0.9955 | 1.009 | Better than 58% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | 0.9906 | 0.9849 | 0.9892 |
| READM-30-HF-HRRP | N/A | N/A | N/A | 0.96 | 0.9824 | 0.9998 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | N/A | N/A | N/A | 0.9777 | 0.9476 | 0.9843 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6612 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3286 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6574 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8117 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | N/A | 1.068 | |||
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.054 | |||
| Total HAC scoreFY 2026 | -1.462 | -0.0453 | 0.04361 | Better than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | No |
| Total HAC score | N/A | N/A | 0 | 2.31 | 1.763 | -1.462 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
DNV (since 2025)
Accreditation
Limited
Medical school affiliation
Other
Ownership type
10
Medicare-certified beds
36
Registered nurses (full-time equivalent)
2019
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Northeast Georgia Medical Center Lumpkin reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
1,012
Inpatient discharges
Medicare 33%, Medicaid 6%
2,964
Inpatient days
51% of available bed days used
108
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831322). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Northeast Georgia Medical Center Lumpkin reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,033 | 181 | 1,750 | 2,964 |
| Discharges | 334 | 60 | 618 | 1,012 |
| Average length of stay | 3.1 days | 3.0 days | 2.8 days | 2.9 days |
| Average daily census | 2.8 | 0.5 | 4.8 | 8.1 |
1,060
Medicare Advantage days
306 discharges
118
Medicaid managed care days
21 discharges
1,972
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 16 | 2,964 | 1,033 | 51% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Northeast Georgia Medical Center Lumpkin treats Medicare patients for most often, in 2024. 147 Medicare discharges in 9 published DRGs; 0% surgical; 58% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $40,394 | $10,039 | $11,593 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 19 | $38,678 | $10,041 | $11,101 | 1.28 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $39,881 | $6,754 | $11,446 | 0.81 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 18 | $46,898 | $11,990 | $13,460 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $36,738 | $9,960 | $10,544 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $43,578 | $6,481 | $12,507 | 0.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $45,721 | $9,545 | $13,122 | 1.17 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $36,208 | $6,857 | $10,392 | 0.82 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $40,170 | $7,095 | $11,529 | 0.78 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Northeast Georgia Medical Center Lumpkin billed Medicare for most in 2024: 219 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 127 | 124 | $25,730 | $1,890 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 39 | 38 | $69,318 | $5,062 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 25 | 25 | $26,925 | $2,290 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 15 | 11 | $17,110 | $1,366 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $12,854 | $1,050 | $1,196 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Northeast Georgia Medical Center Lumpkin in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 249 in 2020 to 599 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30533 | 297 | 50% | 914 | $11.2M | 21% | 14% |
| 30534 | 159 | 27% | 497 | $6.1M | 9% | 3% |
| 30506 | 56 | 9% | 198 | $2.1M | 3% | |
| 30528 | 46 | 8% | 175 | $1.8M | 4% | 2% |
| 30564 | 41 | 7% | 112 | $1.6M | 16% | 7% |
Source: CMS Hospital Service Area file. Shares are of the 599 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Northeast Georgia Medical Center Lumpkin reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
36
Registered nurses
3
Pharmacists
4
Respiratory therapists
8
Radiology technicians
2
Laboratory technicians
3
Medical technologists
37
Other personnel
Source: CMS Provider of Services file.
284 clinicians who bill Medicare list Northeast Georgia Medical Center Lumpkin as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Andrew Johnson, M.D.
Medical Oncology Physician
NPI 1497045553
See commercial rates for Andrew Johnson, M.D.Landai Nguyen, DO
Cardiovascular Disease Physician
NPI 1750700332
See commercial rates for Landai Nguyen, DOVeerappan Subramaniyam, M.D.
Cardiovascular Disease Physician
NPI 1144360413
See commercial rates for Veerappan Subramaniyam, M.D.Daniel Cobb, MD
Neurology Physician
NPI 1457568644
See commercial rates for Daniel Cobb, MDSalman Ashfaq, MD
Interventional Cardiology Physician
NPI 1912985052
See commercial rates for Salman Ashfaq, MDRamzi Ghosn, M.D.
Family Medicine Physician
NPI 1407943301
See commercial rates for Ramzi Ghosn, M.D.Margaret Davis, MD
Internal Medicine Physician
NPI 1811989411
See commercial rates for Margaret Davis, MDShan Sharif, MD
Orthopaedic Surgery Physician
NPI 1972943488
See commercial rates for Shan Sharif, MDSudhakara Chennareddy, MD
Cardiovascular Disease Physician
NPI 1679572069
See commercial rates for Sudhakara Chennareddy, MDJoon Ahn, MD
Clinical Cardiac Electrophysiology Physician
NPI 1609820075
See commercial rates for Joon Ahn, MDYamuna Gorantla, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1780060285
See commercial rates for Yamuna Gorantla, MDSanjay Lall, M.D.
Cardiovascular Disease Physician
NPI 1699779488
See commercial rates for Sanjay Lall, M.D.Manivannan Veerasamy, MD
Cardiovascular Disease Physician
NPI 1528277936
See commercial rates for Manivannan Veerasamy, MDRyan Whitney, MD
Cardiovascular Disease Physician
NPI 1811004088
See commercial rates for Ryan Whitney, MDSheba George, MD
Emergency Medicine Physician
NPI 1821374380
See commercial rates for Sheba George, MDShalabh Chandra, MD
Clinical Cardiac Electrophysiology Physician
NPI 1144343708
See commercial rates for Shalabh Chandra, MDLaura Divoky, M.D.
Cardiovascular Disease Physician
NPI 1336439991
See commercial rates for Laura Divoky, M.D.Chad Muxlow, D.O.
Orthopaedic Surgery Physician
NPI 1649471764
See commercial rates for Chad Muxlow, D.O.Mitchell Davis, MD
Cardiovascular Disease Physician
NPI 1528047149
See commercial rates for Mitchell Davis, MDStephen Prater, MD
Clinical Cardiac Electrophysiology Physician
NPI 1821097296
See commercial rates for Stephen Prater, MDWilliam Keating, M.D.
Family Medicine Physician
NPI 1104975002
See commercial rates for William Keating, M.D.Naga Kommuri, MD
Cardiovascular Disease Physician
NPI 1942476643
See commercial rates for Naga Kommuri, MDIoannis Parastatidis, M.D., PH.D.
Cardiovascular Disease Physician
NPI 1578727038
See commercial rates for Ioannis Parastatidis, M.D., PH.D.Jacoby Patterson, PA
Physician Assistant
NPI 1700414455
See commercial rates for Jacoby Patterson, PASource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Northeast Georgia Medical Center Lumpkin reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $319.2M | 476.8% |
| Inpatient | $43.9M | 65.6% |
| Outpatient | $275.3M | 411.2% |
| Contractual allowances and discounts | -$252.2M | -376.8% |
| Net patient revenue | $66.9M | 100.0% |
| Operating expenses | -$47.7M | -71.3% |
| Operating income from patient care | $19.2M | 28.7% |
| Other income | $2.7M | 4.1% |
| Contributions and donations | $1,196 | 0.0% |
| Government appropriations | $2.7M | 4.1% |
| Other | -$8,843 | -0.0% |
| Net income | $22M | 32.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $51.8M | 16.2% |
| Medicaid (including managed care) | $27.2M | 8.5% |
| Other payers and self-pay | $240.2M | 75.3% |
| Total charges | $319.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Northeast Georgia Medical Center Lumpkin's latest cost report.
28.7%
Operating margin
Operating income from patient care / net patient revenue
31.5%
Total margin
Net income / net patient revenue plus other income
36.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
35% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$46.95
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
22.8%
Return on assets
Net income for a year / total assets
23.4%
Return on equity
Net income for a year / fund balance
11.58
Current ratio
Current assets / current liabilities
29 days
Days in patient receivables
Net patient receivables / daily net patient revenue
22 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.72
Asset turnover
Total revenue for a year / total assets
2.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Northeast Georgia Medical Center Lumpkin owned and owed at the end of its reporting period (Sep 2025), across all fund types: $96.4M in total assets and a $93.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Patient receivables, net | $5.3M | 5.5% |
| Inventory | $813,820 | 0.8% |
| Total current assets | $31.2M | 32.4% |
| Property and equipment, net of depreciation | $65.2M | 67.6% |
| Total assets | $96.4M | 100.0% |
| Current liabilities | $2.7M | 2.8% |
| Total liabilities | $2.7M | 2.8% |
| Fund balance (net assets) | $93.7M | 97.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Northeast Georgia Medical Center Lumpkin provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.7M
Bad debt
Patient bills written off as uncollectible, at charges
$947,374
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$5,744
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$5.1M
Total unreimbursed and uncompensated care
10.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Northeast Georgia Medical Center Lumpkin's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $10.7M | $21.9M | $27M | $25.5M | $37.7M | $66.9M |
| Operating expenses | $14.6M | $20.4M | $23.1M | $21.2M | $32.9M | $47.7M |
| Operating margin | -36.5% | 7.0% | 14.6% | 17.0% | 12.7% | 28.7% |
| Net income | -$3.9M | $4.2M | $4.4M | $6.6M | $7.1M | $22M |
| Total assets | $5.1M | $6.6M | $15.5M | $22.1M | $55.5M | $96.4M |
| Discharges | 452 | 985 | 934 | 789 | 789 | 1,012 |
| Inpatient days | 2,440 | 6,099 | 4,994 | 2,951 | 2,259 | 2,964 |
| Medicare Advantage days | 1,316 | 1,385 | 818 | 809 | 1,060 | |
| Beds | 24 | 24 | 24 | 23 | 16 | 16 |
| Employees (FTE) | 80 | 92 | 100 | 97 | 108 | 108 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Northeast Georgia Medical Center Lumpkin reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $4.1M | $9.7M | $84.1M | 0.12 | 9,517 |
| Operating room | $1.7M | $6.7M | $44.4M | 0.15 | 16,065 |
| Drugs charged to patients | $4.3M | $29.9M | 0.15 | ||
| Impl. dev. charged to patients | $3.3M | $17.7M | 0.19 | ||
| Observation beds (non-distinct part | $3.2M | $5.5M | 0.59 | ||
| Laboratory | $785,461 | $3.1M | $25.7M | 0.12 | 1,760 |
| Radiology-diagnostic | $1.1M | $2.5M | $54.3M | 0.05 | 1,646 |
| Medical supplies charged to patient | $2.1M | $11.4M | 0.18 | ||
| Respiratory therapy | $566,720 | $1.2M | $9.3M | 0.12 | 643 |
| Electrocardiology | $181,537 | $401,828 | $9.8M | 0.04 | 297 |
| Anesthesiology | $6,574 | $223,207 | $16.4M | 0.01 | 122 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.1M | $8.1M | $10.7M | 0.76 | 12,775 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| A&g | $182,248 | $6.4M | 2,560 | ||
| Cap rel costs-mvble equip | $1.8M | ||||
| A&g - registration | $440,714 | $1.6M | 1,044 | ||
| Operation of plant | $1.6M | 9,919 | |||
| Cap rel costs-bldg & fixt | $1.5M | 65,341 | |||
| Pharmacy | $907,732 | $1.3M | 15,728 | $57.71 | 2,465 |
| Employee benefits department | $1.1M | ||||
| Housekeeping | $523,351 | 1,675 | |||
| Central services & supply | $160,754 | $444,738 | 6,105 | $26.33 | 1,422 |
| Dietary | $19,797 | $414,263 | 507 | $17.89 | 2,858 |
| Cafeteria | $388,510 | 600 | $17.89 | ||
| Nursing administration | $198,437 | $244,507 | 2,088 | $95.04 | 142 |
| Laundry & linen service | $157,591 | 431 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831322, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Northeast Georgia Medical Center Lumpkin for an inpatient stay.
1.10
Case mix index
Higher than 3% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
11.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
327
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|
| Case mix index | 1.31 | 1.17 | 1.15 | 1.12 | 1.10 |
| Wage index | 0.919 | 0.954 | 1.048 | 1.026 | 0.997 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | -0.04% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | +3.08% | +2.77% |
| Medicare inpatient stays | 259 | 261 | 254 | 250 | 327 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Northeast Georgia Medical Center Lumpkin reports to Medicare as owners or with operational control.
Northeast Georgia Health System Inc
5% or greater direct ownership interest, 100%, since 2019
Sources: CMS Hospital All Owners.
The officers and board members on Northeast Georgia Medical Center Lumpkin's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 21 of 24 are shown.
About Northeast Georgia Medical Center Lumpkin's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northeast Georgia Medical Center Lumpkin range from $525 to $1,654 across 3 insurers. Blue Cross Blue Shield's rate is $525. The median at nearby comparable hospitals is $1,294. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Northeast Georgia Medical Center Lumpkin range from $12,890 to $17,021 across 3 insurers. Blue Cross Blue Shield's rate is $17,021. The median at nearby comparable hospitals is $1,728. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northeast Georgia Medical Center Lumpkin range from $212 to $532 across 3 insurers. Aetna's rate is $228. The median at nearby comparable hospitals is $150. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northeast Georgia Medical Center Lumpkin has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
CMS reports no Medicare-funded interns or residents at Northeast Georgia Medical Center Lumpkin for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northeast Georgia Medical Center Lumpkin's base inpatient payments by an estimated 0.04% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were simple pneumonia and pleurisy with mcc (24 discharges), heart failure and shock with mcc (19 discharges), kidney and urinary tract infections without mcc (19 discharges).
Northeast Georgia Medical Center Lumpkin's Medicare case mix index is 1.10 for fiscal year 2027, higher than 3% of hospitals paid under the inpatient prospective payment system.
Northeast Georgia Medical Center Lumpkin reported 1,012 inpatient discharges and 2,964 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Northeast Georgia Medical Center Lumpkin reported 108 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Northeast Georgia Medical Center Lumpkin reported $66.9M in net patient revenue on $319.2M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 28.7%, and net income of $22M.
Northeast Georgia Medical Center Lumpkin reported $5.1M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $3.7M of charity care at cost.
Northeast Georgia Medical Center Lumpkin's Medicare enrollment lists Matthew L Hanley as CEO since 2025.
Insurers' price transparency files list Northeast Georgia Medical Center Lumpkin under employer identification number 83-1294232 (Ngmc Lumpkin LLC). 50 health plans and networks list 83-1294232 for it.
284 clinicians who bill Medicare list Northeast Georgia Medical Center Lumpkin as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are hospitalist physician (32), emergency medicine physician (28), cardiovascular disease physician (23).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Northeast Georgia Medical Center Lumpkin, effective 2025.
In its Medicare enrollment, Northeast Georgia Medical Center Lumpkin reports Northeast Georgia Health System Inc as 5% or greater direct ownership interest (100%).
CMS lists 8 services at Northeast Georgia Medical Center Lumpkin, including Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department, Emergency Psychiatric Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Northeast Georgia Medical Center Lumpkin came from ZIP codes 30533 (297), 30534 (159), 30506 (56).
Northeast Georgia Medical Center Lumpkin has 16 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 10 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Northeast Georgia Medical Center Lumpkin is located at 227 Mountain Dr, Dahlonega, GA 30533. Its main phone number is 7702199000.
Northeast Georgia Medical Center Lumpkin's CMS Certification Number (CCN), also called its Medicare provider number, is 110237.
The National Provider Identifier (NPI) on file for Northeast Georgia Medical Center Lumpkin is 1083174973.
Northeast Georgia Medical Center Lumpkin is affiliated with Northeast Georgia Health System.
Northeast Georgia Medical Center Lumpkin lists 29 in-network payers, including Aetna, Alliant Health Plans, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
334 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers