Pam Specialty Hospital Of San Antonio Llc

San Antonio, TX

Beds

645

Inpatient discharges a year

$28.8M

Net patient revenue a year

About this hospital

Pam Specialty Hospital Of San Antonio Llc is a 62-bed hospital in San Antonio, TX.

CCN: 452059
NPI: 1780231563
Website: pamhealth.com
County: Bexar County
Metro area: San Antonio-New Braunfels, TX MSA
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)
In Medicare since: 1998
Last CMS survey: 2025

Negotiated Rates

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

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Contract data may be available through direct hospital inquiry.

Insurance Accepted

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

More about this hospital

Doctors and services
Accredited by The Joint Commission
- 10 affiliated clinicians
See doctors and services
Finances
$28.8M net patient revenue
- Operating margin on patient care -5.3%
- $1.3M net income
See finances
Ownership and leadership
Owned by Pam Cubed Llc
- Private (for profit)
- Anthony F Misitano, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Pam Specialty Hospital Of San Antonio Llc 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
84-2809028PAM Specialty Hospital of San Antonio- South	44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 39 more	1780231563 Pam Specialty Hospital Of San Antonio Llc1942643804 New San Antonio Specialty Hospital Llc1295769214 San Antonio Specialty Hospital Ltd

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.

Location

San Antonio, TX

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Accreditation and services

The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
62
Medicare-certified beds
46
Registered nurses (full-time equivalent)
1998
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Pam Specialty Hospital Of San Antonio Llc reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.

645
Inpatient discharges
Medicare 38%, Medicaid n/a
16,117
Inpatient days
71% of available bed days used
163
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 828591). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Pam Specialty Hospital Of San Antonio Llc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	5,958	0	10,159	16,117
Discharges	247	0	398	645
Average length of stay	24.1 days		25.5 days	25.0 days
Average daily census	16.3	0.0	27.8	44.2

3,030
Medicare Advantage days
119 discharges
223
Medicaid managed care days
9 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	62	16,117	5,958	71%

Source: CMS cost report (HCRIS, Form 2552-10), report 828591, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Pam Specialty Hospital Of San Antonio Llc 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 189 in 2020 to 64 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
78250	17	27%	487	$6.2M	1%
78254	14	22%	296	$2.7M	1%
78237	11	17%	218	$2.6M	1%	1%
78240	11	17%	240	$2.8M	0%	1%
78245	11	17%	310	$3.1M	0%	1%

Source: CMS Hospital Service Area file. Shares are of the 64 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Pam Specialty Hospital Of San Antonio Llc reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.

46
Registered nurses
27
Licensed practical nurses
5
Pharmacists
18
Respiratory therapists
4
Physical therapists
4
Occupational therapists
3
Speech pathologists and audiologists
6
Radiology technicians
12
Laboratory technicians
4
Medical technologists
4
Dietitians
2
Social workers
101
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

10 clinicians who bill Medicare list Pam Specialty Hospital Of San Antonio Llc as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 3
Family Nurse Practitioner 2
Acute Care Nurse Practitioner 1
Hospitalist Physician 1
Internal Medicine Physician 1
Nephrology Physician 1
Nurse Practitioner 1

Ravjot Sarao, MD
Family Medicine Physician
NPI 1154582427
See commercial rates for Ravjot Sarao, MD
Govardhan Bobbala, MD
Family Medicine Physician
NPI 1659574911
See commercial rates for Govardhan Bobbala, MD
Oscar Iznaola -Esquivel, M.D.
Nephrology Physician
NPI 1699968560
See commercial rates for Oscar Iznaola -Esquivel, M.D.
Vu Vu, MD
Internal Medicine Physician
NPI 1538266606
See commercial rates for Vu Vu, MD
Brian Ramos, FNP
Family Nurse Practitioner
NPI 1205553815
See commercial rates for Brian Ramos, FNP
Nicole Paredes
Family Nurse Practitioner
NPI 1487116703
See commercial rates for Nicole Paredes
Dimple Tharian, MD
Family Medicine Physician
NPI 1003103128
See commercial rates for Dimple Tharian, MD
Syed Naqvi, M.D.
Hospitalist Physician
NPI 1669435871
See commercial rates for Syed Naqvi, M.D.
Jo Anna Ramos, NP-C
Nurse Practitioner
NPI 1043720915
See commercial rates for Jo Anna Ramos, NP-C
Jose Ramos, ACNP
Acute Care Nurse Practitioner
NPI 1114233152
See commercial rates for Jose Ramos, ACNP

Source: 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.

Income statement

Revenue, expenses and income Pam Specialty Hospital Of San Antonio Llc reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$184.4M	640.3%
Inpatient	$184.3M	639.8%
Outpatient	$148,019	0.5%
Contractual allowances and discounts	-$155.6M	-540.3%
Net patient revenue	$28.8M	100.0%
Operating expenses	-$30.3M	-105.3%
Operating income from patient care	-$1.5M	-5.3%
Other income	$2.8M	9.7%
Net income	$1.3M	4.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$41.1M	22.3%
Other payers and self-pay	$143.3M	77.7%
Total charges	$184.4M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828591, 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.

Financial ratios

Computed from Pam Specialty Hospital Of San Antonio Llc's latest cost report.

-5.3%
Operating margin
Operating income from patient care / net patient revenue
4.1%
Total margin
Net income / net patient revenue plus other income
19.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
41% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
2.5%
Return on assets
Net income for a year / total assets
46.6%
Return on equity
Net income for a year / fund balance
2.32
Current ratio
Current assets / current liabilities
1.93
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
44 days
Days in patient receivables
Net patient receivables / daily net patient revenue
22 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.61
Asset turnover
Total revenue for a year / total assets
3.9 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 828591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Pam Specialty Hospital Of San Antonio Llc owned and owed at the end of its reporting period (Aug 2025), across all fund types: $51.5M in total assets and a $2.7M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$5,639	0.0%
Patient receivables, net	$3.4M	6.7%
Inventory	$112,901	0.2%
Total current assets	$4.1M	8.0%
Property and equipment, net of depreciation	$2.7M	5.3%
Investments and other assets	$44.6M	86.7%
Total assets	$51.5M	100.0%
Current liabilities	$1.8M	3.5%
Total liabilities	$48.7M	94.7%
Fund balance (net assets)	$2.7M	5.3%

Source: CMS cost report (HCRIS, Form 2552-10), report 828591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Pam Specialty Hospital Of San Antonio Llc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Aug 2020	Aug 2021	Aug 2022	Aug 2023	Aug 2024	Aug 2025
Net patient revenue	$27.5M	$37.9M	$34.3M	$31.5M	$27.6M	$28.8M
Operating expenses	$26.1M	$31.2M	$33.2M	$30.4M	$29.4M	$30.3M
Operating margin	5.1%	17.7%	3.4%	3.6%	-6.2%	-5.3%
Net income	$2.5M	$8.5M	$1.9M	$1.6M	-$1.2M	$1.3M
Total assets	$10.6M	$7.8M	$7.4M	$53.8M	$54.1M	$51.5M
Discharges	644	959	819	758	603	645
Inpatient days	14,882	19,464	18,470	17,010	15,028	16,117
Medicare Advantage days	1,936	3,067	2,925	3,019	2,509	3,030
Beds	62	62	62	62	62	62
Employees (FTE)	167	167	177	185	165	163

Source: CMS cost report (HCRIS, Form 2552-10), report 828591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Pam Specialty Hospital Of San Antonio Llc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 24 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients		$2.9M	$34.3M	0.09
Medical supplies charged to patient		$2.1M	$10.2M	0.20
Respiratory therapy	$1.1M	$2.1M	$30.5M	0.07	252
Laboratory	$428,797	$1.2M	$21.3M	0.05	1,582
Operating room	$515,229	$1M	$2.2M	0.47	313
Physical therapy	$702,377	$950,905	$5.6M	0.17	473
Radiology-diagnostic	$217,211	$776,440	$6.7M	0.12	1,116
Occupational therapy	$250,847	$568,391	$3.3M	0.17	473
Renal dialysis	$320,463	$557,995	$2.9M	0.19
Speech pathology	$91,203	$192,065	$995,002	0.19	108

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$5.2M	$16.7M	$66.5M	0.25	31,058

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$1.1M	$4.2M	14,133
Cap rel costs-bldg & fixt		$4.2M	59,113
Pharmacy		$2.1M	966
Cap rel costs-mvble equip		$1.2M
Employee benefits department	$151,731	$1.1M
Operation of plant	$165,679	$953,756	2,254
Dietary	$554,359	$821,859	4,040
Nursing administration	$668,086	$725,432
Housekeeping	$322,550	$405,356
Central services & supply	$123,548	$302,822	1,520
Medical records & library	$175,576	$234,499	825
Social service	$325,704	$194,574
Laundry & linen service		$127,691

Source: CMS cost report (HCRIS, Form 2552-10), report 828591, 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.

Frequently asked questions

About Pam Specialty Hospital Of San Antonio Llc's rates and hospital price transparency.

How many patients does Pam Specialty Hospital Of San Antonio Llc admit?

Pam Specialty Hospital Of San Antonio Llc reported 645 inpatient discharges and 16,117 inpatient days from Sep 1, 2024 to Aug 31, 2025.

How many employees does Pam Specialty Hospital Of San Antonio Llc have?

Pam Specialty Hospital Of San Antonio Llc reported 163 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Pam Specialty Hospital Of San Antonio Llc make?

Pam Specialty Hospital Of San Antonio Llc reported $28.8M in net patient revenue on $184.4M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -5.3%, and net income of $1.3M.

Who is the CEO of Pam Specialty Hospital Of San Antonio Llc?

Pam Specialty Hospital Of San Antonio Llc's Medicare enrollment lists Anthony F Misitano as President since 2019.

What is Pam Specialty Hospital Of San Antonio Llc's tax ID (EIN)?

Insurers' price transparency files list Pam Specialty Hospital Of San Antonio Llc under employer identification number 84-2809028 (PAM Specialty Hospital of San Antonio- South). 44 health plans and networks list 84-2809028 for it.

How many doctors are affiliated with Pam Specialty Hospital Of San Antonio Llc?

10 clinicians who bill Medicare list Pam Specialty Hospital Of San Antonio Llc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (3), family nurse practitioner (2), acute care nurse practitioner (1).

Is Pam Specialty Hospital Of San Antonio Llc accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Pam Specialty Hospital Of San Antonio Llc, effective 2025.

Who owns Pam Specialty Hospital Of San Antonio Llc?

In its Medicare enrollment, Pam Specialty Hospital Of San Antonio Llc reports Pam Cubed Llc as 5% or greater indirect ownership interest (100%).

Where do Pam Specialty Hospital Of San Antonio Llc's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Pam Specialty Hospital Of San Antonio Llc came from ZIP codes 78250 (17), 78254 (14), 78237 (11).

How many beds does Pam Specialty Hospital Of San Antonio Llc have?

Pam Specialty Hospital Of San Antonio Llc has 62 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

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{
  "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",
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        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Pam Specialty Hospital Of San Antonio Llc

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Changes of ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Changes of ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts