WellStar Health System · Hiram, GA
4 of 5
CMS star rating
294
Beds
9,820
Inpatient discharges a year
$324.1M
Net patient revenue a year
35
In-network payers
Paulding Medical Center is a 294-bed voluntary non-profit - other hospital in Hiram, GA, affiliated with WellStar Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 376 disclosed rate categories.
The 24 services Paulding Medical Center 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.
Medicine & Surgery
CPT 47562
$7,132 - $21,218
from 4 insurers · median $11,880
60 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$3,094 - $5,272
from 4 insurers · median $4,057
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,437 - $5,272
from 4 insurers · median $4,620
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,437 - $5,272
from 4 insurers · median $4,574
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,923 - $21,736
from 4 insurers · median $10,883
60 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$647 - $1,864
from 4 insurers · median $1,614
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,371 - $8,057
from 4 insurers · median $7,026
163 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$400 - $4,549
from 4 insurers · median $605
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,225 - $36,261
from 4 insurers · median $12,029
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$8,176 - $19,125
from 4 insurers · median $12,029
56 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 57288
$5,699 - $17,065
from 4 insurers · median $9,063
21 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$318 - $3,696
from 4 insurers · median $571
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$206 - $357
from 3 insurers · median $236
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,072 - $4,416
from 4 insurers · median $1,784
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 64483
$2,572 - $4,460
from 4 insurers · median $3,542
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$400 - $2,239
from 4 insurers · median $539
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,699 - $20,623
from 4 insurers · median $12,302
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$4,923 - $12,214
from 4 insurers · median $7,244
11 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$1,047 - $4,460
from 4 insurers · median $2,619
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$17,184 - $29,779
from 4 insurers · median $27,927
Hospital reports inpatient surgical services to CMS
Mammography
CPT 77067
$101 - $252
from 4 insurers · median $114
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$604 - $3,976
from 4 insurers · median $923
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,220 - $5,735
from 4 insurers · median $5,282
Typical for a hospital with this service line
Orthopedics and pain
CPT 64493
$2,572 - $4,460
from 4 insurers · median $3,542
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* | 23 | 375% | 20 | 2 |
| Insurer B* | 24 | 334% | 11 | 6 |
| Insurer C* | 24 | 251% | 2 | 11 |
| Insurer D* | 24 | 184% | 10 | 12 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 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 Paulding Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$324.1M net patient revenue
Ownership and leadership
Owned by WellStar Health System Inc
The employer identification numbers (EINs) health plans and networks list for Paulding Medical Center 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 |
|---|---|---|
| 58-2095884WellStar Paulding Hospital | 64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 59 more | 1457329435 Paulding Medical Center Inc.1962473355 Paulding Medical Center Inc.1265647812 Wellstar Paulding Medical Center Inc.and 2 more |
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.
2518 Jimmy Lee Smith Parkway, Hiram, GA 30141
(470) 644-7000
How Paulding Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
80%
Higher than 79% 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
Serious complications (PSI 90)
0.97
Higher than 52% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
200 min
Higher than 80% 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
69%
Higher than 58% 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 | 4 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Worse on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 80% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
| 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 | 200 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 69% | 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 Paulding Medical Center's inpatient payments for its readmissions, quality and cost results.
-1.05% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.20% 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 Paulding Medical Center, 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 | Paulding Medical Center | 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 · 2,619 cases | 3.2 | 3.9 | 4.079 | Better than 86% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 109 cases | 11.2 | 11.8 | 12.11 | Better than 69% of US hospitals | |
| 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 · 124 cases | 9.4 | 8.5 | 8.691 | Worse than 73% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 505 cases | 9.7 | 11 | 10.84 | Better than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 478 cases | 12.4 | 15.2 | 15.21 | Better than 88% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 154 cases | 7.3 | 11.6 | 12.45 | Better than 99% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,648 cases | 0.52 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 27 cases | 154 | 173 | 176 | No Different Than the National Rate | Better than 82% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,684 cases | 0.23 | 0.2 | 0.2173 | No Different Than the National Rate | Worse than 77% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,730 cases | 0.28 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 371 cases | 2.17 | 2.29 | 2.356 | No Different Than the National Rate | Better than 70% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 35 cases | 1.65 | 1.63 | 1.796 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 35 cases | 8.58 | 8.88 | 10.26 | No Different Than the National Rate | Better than 58% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 412 cases | 4.23 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 34 cases | 5.01 | 5.105 | 5.77 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 103 cases | 1.69 | 1.72 | 1.743 | No Different Than the National Rate | Better than 63% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 542 cases | 0.95 | 1.02 | 1.073 | No Different Than the National Rate | Better than 73% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 98 cases | -14.9 | 4.2 | 5.306 | Better than 81% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 612 cases | 0 | 1.25 | 12.52 | Better than 52% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 512 cases | 1.5 | 3.85 | 12.69 | Better than 53% 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 · 110 cases | 12.9 | 12.9 | 12.97 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 313 cases | 0.9 | 1 | 0.9723 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 145 cases | 14.9 | 14.4 | 14.35 | Worse than 74% of US hospitals | |
| 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 · 246 cases | 18.5 | 19.8 | 19.84 | Better than 95% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 988 cases | 20.3 | 21.3 | 21.19 | Better than 81% 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 · 749 cases | 16.4 | 17.2 | 17.41 | Better than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Paulding Medical Center | 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 | 0.21 | 0.172 | 0.2721 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.245 | 1.504 | 1.762 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,348 | 1,370 | 5,571 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.637 | 0.9835 | 5.825 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.568 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.825 | 0.484 | 0.619 | No Different than National Benchmark | Worse than 76% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1792 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.021 | 1.392 | 1.515 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,203 | 1,799 | 4,621 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.934 | 1.377 | 6.01 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.317 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3748 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.024 | 0.2345 | 0.4352 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.326 | 2.135 | 2.519 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 74 | 61 | 136 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.12 | 1.591 | 3.769 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 3.756 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.472 | 0.7155 | 0.9605 | No Different than National Benchmark | Better than 66% of US hospitals |
| 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 | 12 | 38 | 143 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.077 | 0.328 | 1.256 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 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 | 0.034 | 0.193 | 0.2796 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.35 | 1.855 | 1.919 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 38,450 | 14,451 | 48,840 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.472 | 0.567 | 3.385 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.336 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.679 | 0.597 | 0.6352 | No Different than National Benchmark | Worse than 57% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.203 | 0.127 | 0.1286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.919 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 38,450 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 15.06 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 7 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.465 | 0.279 | 0.2745 | Better than the National Benchmark | Worse than 73% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 555 cases | 74 | 73 | 72.27 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 555 cases | 7 | 8 | 9.85 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 555 cases | 19 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 88 | 87 | 85.97 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 555 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 555 cases | 80 | 80 | 78.79 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 92 | 91 | 90.82 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 555 cases | 4 | 4 | 4.903 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 555 cases | 4 | 3 | 3.204 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 555 cases | 16 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 555 cases | 78 | 79 | 79.46 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 91 | 91 | 90.77 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 555 cases | 4 | 5 | 5.717 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 555 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 555 cases | 18 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 555 cases | 57 | 61 | 60.14 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 74 | 77 | 75.68 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 555 cases | 24 | 19 | 21.5 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 555 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 555 cases | 19 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 85 | 86 | 84.09 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 555 cases | 15 | 13 | 14.95 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 555 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 555 cases | 85 | 87 | 85.05 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 555 cases | 19 | 14 | 17.13 | Worse than 80% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 555 cases | 81 | 86 | 82.87 | Worse than 80% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 555 cases | 72 | 74 | 74.33 | Worse than 60% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 555 cases | 7 | 7 | 7.087 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 555 cases | 21 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 555 cases | 76 | 77 | 77.43 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 555 cases | 6 | 6 | 6.146 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 555 cases | 18 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 555 cases | 86 | 85 | 85.2 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 555 cases | 1 | 3 | 3.728 | Better than 91% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 555 cases | 13 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 555 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 · 555 cases | 20 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 555 cases | 76 | 72 | 71.31 | Better than 66% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 90 | 88 | 87.94 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 555 cases | 4 | 3 | 3.269 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 555 cases | 73 | 74 | 73.43 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 555 cases | 11 | 9 | 10.45 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 555 cases | 16 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 555 cases | 74 | 75 | 74.03 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 555 cases | 5 | 5 | 6.592 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 555 cases | 21 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 555 cases | 79 | 77 | 75.78 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 555 cases | 4 | 4 | 5.34 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 555 cases | 17 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 555 cases | 87 | 86 | 84.54 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 555 cases | 2 | 3 | 3.437 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 555 cases | 11 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 555 cases | 62 | 59 | 63.8 | Better than 58% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 555 cases | 8 | 9 | 8.469 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 555 cases | 30 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 85 | 82 | 83.87 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 555 cases | 4 | 3 | 3.774 | Better than 56% 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 · 555 cases | 2 | 5 | 6.124 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 555 cases | 80 | 71 | 70.88 | Better than 79% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 555 cases | 92 | 87 | 87.15 | Better than 83% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 555 cases | 18 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 555 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 · 555 cases | 41 | 47 | 46.49 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 555 cases | 37 | 30 | 32.79 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 555 cases | 22 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 555 cases | 3 | 3 | 3.151 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 555 cases | 12 | 12 | 13.65 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 555 cases | 88 | 88 | 86.35 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| 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 · 16,919 cases | 9 | 8 | 6.667 | Worse than 53% of US hospitals | |
| 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 · 2,467 cases | 74 | 79 | 71.13 | Worse than 58% 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 · 370 cases | 200 | 154 | 175 | Worse than 77% 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 · 354 cases | 200 | 148 | 169 | Worse than 80% 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 | Not Available | 348 | |||
| 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 | Not Available | 334 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 74,126 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.14 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 14 cases | 93 | 97 | 90.05 | Worse than 69% of US hospitals | |
| 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 · 2,734 cases | 26 | 15 | 16.89 | Worse than 96% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 195 cases | 69 | 65 | 58.96 | Better than 58% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 72 cases | 69 | 73 | 70.15 | Worse than 59% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 41 cases | 88 | 88 | 83.53 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 196 cases | 86 | 82 | 77.15 | Better than 65% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 103 cases | 97 | 94 | 90.02 | Better than 69% 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 · 6,414 cases | 100 | 90 | 83.63 | The best result, shared by 5% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 801 cases | 100 | 97 | 95.53 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.4 | 5 | 5.623 | Better than 56% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.3 | 6.6 | 6.411 | Worse than 77% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.88 | 0.99 | 0.9648 | Better than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 47.5 | 20 | 20.96 | Better than 89% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 11.88 | 5 | 5.347 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 60 | 10 | 26.92 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 15 | 2.5 | 7.03 | Better than 88% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 35 | 34 | 36.51 | Better than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.75 | 8.75 | 9.439 | Better than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 43.33 | 40 | 38.57 | Better than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10.83 | 10 | 9.691 | Better than 54% of US hospitals | |
| VBP total performance scoreFY 2026 | 46.46 | 29.5 | 31.07 | Better than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 46 | 48 | 63.33 | 50 | 35 | 47.5 |
| VBP clinical outcomes weighted domain score | 11.5 | 12 | 15.83 | 12.5 | 8.75 | 11.88 |
| VBP efficiency and cost reduction domain score | 50 | Not Available | 70 | 70 | 60 | 60 |
| VBP efficiency and cost reduction weighted domain score | 12.5 | Not Available | 17.5 | 17.5 | 15 | 15 |
| VBP person and community engagement domain score | 43 | Not Available | Not Available | 20 | 31 | 35 |
| VBP person and community engagement weighted domain score | 10.75 | Not Available | Not Available | 5 | 7.75 | 8.75 |
| VBP safety domain score | 48 | Not Available | Not Available | 50 | 34 | 43.33 |
| VBP safety weighted domain score | 12 | Not Available | Not Available | 12.5 | 8.5 | 10.83 |
| VBP total performance score | 46.75 | Not Available | Not Available | 47.5 | 40 | 46.46 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 102 cases | 0.9897 | 0.9995 | 1.003 | Better than 57% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 140 cases | 1.029 | 0.9969 | 1.012 | Worse than 75% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 633 cases | 1.052 | 0.9983 | 1.011 | Worse than 80% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 447 cases | 1.08 | 0.9955 | 1.009 | Worse than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.05 | 1.041 | 0.9813 | 0.9488 | 0.9642 | 0.9897 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9622 | 1.07 | 1.07 | 1.027 | 1.018 | 1.029 |
| READM-30-HF-HRRP | 1.031 | 1.119 | 1.092 | 1.063 | 1.052 | 1.052 |
| READM-30-HIP-KNEE-HRRP | 1.222 | 1.197 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.019 | 1.017 | 1.039 | 1.079 | 1.098 | 1.08 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Paulding Medical Center | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.656 | 0.489 | 0.6612 | Worse than 67% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.313 | 0.346 | 0.3286 | Better than 55% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.167 | 0.559 | 0.6574 | Better than 83% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.15 | 0.6405 | 0.8117 | Worse than 83% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.966 | 0.9628 | 1.068 | Worse than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.76 | 0.7945 | 1.054 | Better than 52% of US hospitals | |
| Total HAC scoreFY 2026 | -0.062 | -0.0453 | 0.04361 | Better than 51% 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 | No | No | No |
| Total HAC score | -0.286 | -0.2282 | 0 | -0.4878 | -0.2601 | -0.062 |
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.
The Joint Commission (since 2024)
Accreditation
None
Medical school affiliation
Other
Ownership type
83
Medicare-certified beds
35
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Paulding Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
9,820
Inpatient discharges
Medicare 23%, Medicaid 3%
38,567
Inpatient days
94% of available bed days used
1,177
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 842395). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Paulding Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 9,281 | 1,645 | 27,641 | 38,567 |
| Discharges | 2,212 | 329 | 7,279 | 9,820 |
| Average length of stay | 4.2 days | 5.0 days | 3.8 days | 3.9 days |
| Average daily census | 25.4 | 4.5 | 75.7 | 105.7 |
14,291
Medicare Advantage days
3,146 discharges
1,120
Medicaid managed care days
3,352
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 104 | 36,060 | 8,774 | 95% |
| Intensive care unit | 8 | 2,507 | 507 | 86% |
| Skilled nursing facility | 182 | 25,809 | 3,620 | 39% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842395, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Paulding Medical Center treats Medicare patients for most often, in 2024. 1,598 Medicare discharges in 46 published DRGs; 5% surgical; 75% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 212 | $116,754 | $12,562 | $18,797 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 165 | $77,669 | $7,765 | $12,505 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 86 | $87,637 | $8,009 | $14,110 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 71 | $87,219 | $9,688 | $14,042 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 58 | $45,359 | $4,015 | $7,303 | 0.79 |
| Renal failure with CCMS-DRG 683, medical | 49 | $51,344 | $4,723 | $8,266 | 0.90 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 48 | $74,020 | $5,581 | $11,917 | 1.03 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 46 | $57,503 | $5,517 | $9,258 | 0.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 44 | $80,321 | $7,644 | $12,932 | 1.32 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $100,291 | $9,748 | $16,147 | 1.59 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $39,987 | $3,784 | $6,438 | 0.81 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 41 | $84,065 | $6,503 | $13,534 | 1.10 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $86,493 | $8,942 | $13,925 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 36 | $65,706 | $7,207 | $10,579 | 1.17 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 34 | $63,795 | $5,867 | $10,271 | 1.08 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $77,184 | $9,374 | $12,427 | 1.65 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 32 | $68,491 | $3,678 | $11,027 | 0.90 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $44,860 | $3,717 | $7,222 | 0.74 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $99,015 | $7,418 | $15,941 | 1.23 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 30 | $43,124 | $3,879 | $6,943 | 0.78 |
See all 46 Medicare inpatient DRGs at Paulding Medical Center
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) Paulding Medical Center billed Medicare for most in 2024: 1,221 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 294 | 274 | $29,744 | $1,922 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 163 | 97 | $23,513 | $1,659 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 100 | 100 | $29,582 | $2,173 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 71 | 64 | $32,917 | $3,772 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 67 | 67 | $18,310 | $1,199 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 60 | $40,455 | $4,264 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 56 | 47 | $26,541 | $2,393 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 42 | $22,772 | $1,505 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 31 | $79,089 | $8,569 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 29 | 28 | $32,315 | $2,194 | $2,405 |
See all 27 Medicare outpatient services at Paulding Medical Center
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 Paulding Medical Center 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 4,003 in 2020 to 5,294 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30157 | 1,184 | 22% | 5,009 | $115.2M | 56% | 61% |
| 30132 | 1,070 | 20% | 4,757 | $107.6M | 54% | 55% |
| 30127 | 755 | 14% | 3,184 | $69.4M | 26% | 26% |
| 30141 | 739 | 14% | 3,172 | $70.3M | 61% | 60% |
| 30134 | 320 | 6% | 1,498 | $34.6M | 18% | 17% |
| 30101 | 264 | 5% | 1,032 | $24.5M | 11% | 12% |
| 30153 | 230 | 4% | 995 | $23M | 18% | 16% |
| 30064 | 112 | 2% | 421 | $8.8M | 5% | 5% |
| 30180 | 95 | 2% | 473 | $10M | 5% | 4% |
| 30179 | 77 | 1% | 363 | $7.7M | 8% | 8% |
| 30152 | 74 | 1% | 330 | $6.4M | 5% | 5% |
| 30135 | 58 | 1% | 246 | $5.4M | 2% | 1% |
| 30122 | 40 | 1% | 180 | $3.9M | 5% | 5% |
| 30125 | 36 | 1% | 134 | $3.6M | 2% | 1% |
| 30106 | 31 | 1% | 138 | $2.6M | 3% | 4% |
| 30120 | 25 | 0% | 109 | $2.5M | 1% | 1% |
| 30104 | 24 | 0% | 143 | $2.3M | 8% | 5% |
| 30168 | 24 | 0% | 128 | $2.2M | 3% | 2% |
| 30126 | 23 | 0% | 125 | $2.9M | 2% | 1% |
| 30080 | 17 | 0% | 51 | $1.6M | 2% | |
| 30187 | 16 | 0% | 52 | $1.7M | 4% | |
| 30102 | 15 | 0% | 71 | $1.3M | 1% | 1% |
| 30144 | 15 | 0% | 82 | $1.6M | 1% | 2% |
| 30110 | 14 | 0% | 75 | $1.6M | 2% | 2% |
| 30082 | 13 | 0% | 40 | $958,947 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 5,294 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 Paulding Medical Center reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
35
Registered nurses
10
Licensed practical nurses
1
Nurse anesthetists (CRNAs)
3
Pharmacists
2
Respiratory therapists
1
Physical therapists
10
Occupational therapists
1
Speech pathologists and audiologists
1
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
1
Medical technologists
10
Dietitians
1
Social workers
1
Psychologists
140
Other personnel
Source: CMS Provider of Services file.
857 clinicians who bill Medicare list Paulding Medical Center 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.
Gary Simon, M.D.
Orthopaedic Surgery Physician
NPI 1467440107
See commercial rates for Gary Simon, M.D.Anthony Carantzas, M.D.
Orthopaedic Surgery Physician
NPI 1790770477
See commercial rates for Anthony Carantzas, M.D.Nithi Anand, MD
Neurology Physician
NPI 1346287760
See commercial rates for Nithi Anand, MDKeith Lamberson, M.D
Orthopaedic Surgery Physician
NPI 1033112040
See commercial rates for Keith Lamberson, M.DFreddy Achecar, M.D.
Orthopaedic Surgery Physician
NPI 1447245394
See commercial rates for Freddy Achecar, M.D.Orrin Scott Swayze, M.D.
Orthopaedic Surgery Physician
NPI 1588667521
See commercial rates for Orrin Scott Swayze, M.D.Ritesh Kohli, M.D.
Rheumatology Physician
NPI 1497061972
See commercial rates for Ritesh Kohli, M.D.Minesh Nandi, MD
Hematology & Oncology Physician
NPI 1306376421
See commercial rates for Minesh Nandi, MDRichard Maguire, M.D
Orthopaedic Surgery Physician
NPI 1861408254
See commercial rates for Richard Maguire, M.DVivek Nautiyal, MD
Cardiovascular Disease Physician
NPI 1487882429
See commercial rates for Vivek Nautiyal, MDRichard Boe, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1013327642
See commercial rates for Richard Boe, MDRichard Burris, MD
Orthopaedic Surgery Physician
NPI 1548420359
See commercial rates for Richard Burris, MDJohn Day, M.D.
Orthopaedic Surgery Physician
NPI 1295738227
See commercial rates for John Day, M.D.Jeffrey Proctor, M.D.
Urology Physician
NPI 1902900459
See commercial rates for Jeffrey Proctor, M.D.Todd Sacks, M.D.
Orthopaedic Surgery Physician
NPI 1437147220
See commercial rates for Todd Sacks, M.D.Hans Lee, M.D.
Cardiovascular Disease Physician
NPI 1881690857
See commercial rates for Hans Lee, M.D.Samish Dhungana, MD
Neurology Physician
NPI 1316275035
See commercial rates for Samish Dhungana, MDHardik Bhansali, M.D.
Cardiovascular Disease Physician
NPI 1164671327
See commercial rates for Hardik Bhansali, M.D.Wesley Miller, DO
Physical Medicine & Rehabilitation Physician
NPI 1861847527
See commercial rates for Wesley Miller, DOPhilip Louden, MD
Diagnostic Radiology Physician
NPI 1467795591
See commercial rates for Philip Louden, MDBryan Chang, MD
Diagnostic Radiology Physician
NPI 1154740017
See commercial rates for Bryan Chang, MDFrank Corrigan, MD
Interventional Cardiology Physician
NPI 1932348885
See commercial rates for Frank Corrigan, MDKeirsun Crockett, MD
Diagnostic Radiology Physician
NPI 1750678967
See commercial rates for Keirsun Crockett, MDTiffany Boulanger, AGACNP
Acute Care Nurse Practitioner
NPI 1700308509
See commercial rates for Tiffany Boulanger, AGACNPSource: 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 Paulding Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.9B | 597.6% |
| Inpatient | $896.5M | 276.6% |
| Outpatient | $1B | 321.1% |
| Contractual allowances and discounts | -$1.6B | -497.6% |
| Net patient revenue | $324.1M | 100.0% |
| Operating expenses | -$318.1M | -98.1% |
| Operating income from patient care | $6M | 1.9% |
| Other income | $38M | 11.7% |
| Investment income | $161,532 | 0.0% |
| COVID-19 relief funding | $1.2M | 0.4% |
| Other | $36.7M | 11.3% |
| Other expenses | -$55,199 | -0.0% |
| Net income | $44M | 13.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $292.8M | 15.1% |
| Medicaid (including managed care) | $118.4M | 6.1% |
| Other payers and self-pay | $1.5B | 78.8% |
| Total charges | $1.9B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842395, settled without audit. 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 Paulding Medical Center's latest cost report.
1.9%
Operating margin
Operating income from patient care / net patient revenue
12.2%
Total margin
Net income / net patient revenue plus other income
16.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$43.30
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
19.1%
Return on assets
Net income for a year / total assets
42.6%
Return on equity
Net income for a year / fund balance
0.93
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.90
Current ratio
Current assets / current liabilities
1.61
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
52 days
Days in patient receivables
Net patient receivables / daily net patient revenue
35 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.57
Asset turnover
Total revenue for a year / total assets
8.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 842395, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Paulding Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $230.8M in total assets and a $103.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $32,036 | 0.0% |
| Patient receivables, net | $46.2M | 20.0% |
| Inventory | $5.5M | 2.4% |
| Total current assets | $54.5M | 23.6% |
| Property and equipment, net of depreciation | $173.6M | 75.2% |
| Investments and other assets | $2.6M | 1.1% |
| Total assets | $230.8M | 100.0% |
| Current liabilities | $28.7M | 12.4% |
| Long-term debt | $96M | 41.6% |
| Total liabilities | $127.3M | 55.2% |
| Fund balance (net assets) | $103.4M | 44.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842395, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Paulding Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$22.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$29.7M
Bad debt
Patient bills written off as uncollectible, at charges
$8.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$205,057
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$28.3M
Total unreimbursed and uncompensated care
8.9% 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 842395, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Paulding Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $201.2M | $248.1M | $257.9M | $288.5M | $307.9M | $324.1M |
| Operating expenses | $178.2M | $202.2M | $236.8M | $262.6M | $298M | $318.1M |
| Operating margin | 11.5% | 18.5% | 8.2% | 9.0% | 3.2% | 1.9% |
| Net income | $39.8M | $61.2M | $46.1M | $35.8M | $27.1M | $44M |
| Total assets | $167.3M | $174.6M | $169.1M | $182M | $192M | $230.8M |
| Discharges | 8,206 | 8,509 | 8,448 | 9,318 | 9,982 | 9,820 |
| Inpatient days | 30,106 | 35,913 | 37,874 | 37,119 | 37,940 | 38,567 |
| Medicare Advantage days | 8,081 | 9,504 | 11,101 | 12,078 | 13,281 | 14,291 |
| Beds | 294 | 294 | 294 | 294 | 294 | 294 |
| Employees (FTE) | 826 | 884 | 964 | 1,093 | 1,134 | 1,177 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842395, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Paulding Medical Center 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 | $16M | $36.7M | $255.3M | 0.14 | 7,454 |
| Operating room | $9.2M | $21.2M | $152.2M | 0.14 | 4,613 |
| Medical supplies charged to patient | $19.6M | $46.1M | 0.42 | 694 | |
| Radiology-diagnostic | $9.5M | $19.6M | $268.2M | 0.07 | 3,687 |
| Drugs charged to patients | $19M | $104.7M | 0.18 | ||
| Laboratory | $3.8M | $16.2M | $204.8M | 0.08 | 3,358 |
| Respiratory therapy | $4.2M | $8.5M | $73.3M | 0.12 | 521 |
| Physical therapy | $4.3M | $8.5M | $28.7M | 0.30 | 862 |
| Cardiac catheterization | $4.5M | $8.4M | $104.1M | 0.08 | 1,372 |
| Impl. dev. charged to patients | $8M | $28.2M | 0.28 | ||
| Ct scan | $1.6M | $7.5M | $250.4M | 0.03 | 1,194 |
| Observation beds (non-distinct part | $5.7M | $33.8M | 0.17 | ||
| Radioisotope | $499,209 | $1.7M | $15.4M | 0.11 | 1,721 |
| Electroencephalography | $513,326 | $1.7M | $8.3M | 0.20 | |
| Renal dialysis | $1M | $17.8M | 0.06 | ||
| Anesthesiology | $57,504 | $259,056 | $52.3M | 0.00 | 202 |
| Electrocardiology | $28,097 | $114,576 | $24.3M | 0.00 | 252 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $23.7M | $67M | $229.4M | 0.29 | 46,329 |
| Skilled nursing facility | $4.5M | $23.1M | $6.6M | 3.48 | 53,819 |
| Intensive care unit | $4.5M | $10.9M | $33.2M | 0.33 | 4,316 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $8.4M | $54.1M | 178,880 | $47.08 | 9,161 |
| Employee benefits department | $221,245 | $43.1M | 2,848 | $77.68 | 830 |
| Cap rel costs-mvble equip | $10.8M | ||||
| Cap rel costs-bldg & fixt | $6M | 311,038 | |||
| Operation of plant | $1.1M | $5.5M | 26,869 | $39.36 | 135,330 |
| Pharmacy | $4.4M | $4.8M | 77,708 | $56.51 | 6,491 |
| Dietary | $3.4M | $4.8M | 150,749 | $22.58 | 8,499 |
| Nursing administration | $2.4M | $3.6M | 41,451 | $58.31 | 5,788 |
| Housekeeping | $2.6M | $3.4M | 120,564 | $21.37 | 1,312 |
| Central services & supply | $1.1M | $2.6M | 39,776 | $27.75 | 9,321 |
| Social service | $1.7M | $1.9M | 32,497 | $51.99 | 202 |
| Laundry & linen service | $1.8M | 2,835 | |||
| Medical records & library | $672,086 | 146 | |||
| Cafeteria | $123,137 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842395, settled without audit. 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 Paulding Medical Center for an inpatient stay.
1.49
Case mix index
Higher than 27% 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).
12.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,222
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 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.39 | 1.39 | 1.57 | 1.54 | 1.50 | 1.48 | 1.49 |
| Wage index | 0.931 | 0.939 | 0.936 | 0.983 | 1.017 | 0.990 | 0.998 |
| Readmissions adjustment | -0.67% | -0.91% | -1.56% | -0.85% | -0.91% | -1.02% | -1.05% |
| Value-based purchasing adjustment | +0.24% | +1.00% | +1.00% | -0.47% | +2.51% | +1.58% | +1.20% |
| Medicare inpatient stays | 2,676 | 2,676 | 2,286 | 2,289 | 2,492 | 2,266 | 2,222 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Paulding Medical Center reports to Medicare as owners or with operational control.
WellStar Health System Inc
5% or greater direct ownership interest, 100%, since 1993
WellStar Health System Inc
Operational/managerial control, since 1993
Sources: CMS Hospital All Owners.
The officers and board members on Paulding Medical Center'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.
| Name | Title |
|---|---|
| Candice Saunders | President & CEO |
| Anthony J Budzinski | EVP & CFO |
| Kem Mullins | EVP Ambulatory Ops & Bus Dev |
| Leo Reichert | EVP & General Counsel |
| Richard Capps | EVP Chief Info & Digital Offcr |
| David Jones | EVP Chief Human Resource Offr |
| Julie Teer | SVP & Wellstar Foundation Pres |
| Beth Kost | SVP Chief Compliance Officer |
| Susan Grant | Chief Experience Off & Cne |
Board members: Paul Douglassmd, Arif Azizmd, James L Hornsby, and 56 more on the return.
Source: IRS Form 990 Part VII filed by Paulding Medical Center Inc (EIN 58-2095884), via the IRS e-file data. A health system's return can cover several hospitals.
Helipad
Wellstar Paulding Pediatric Emergency Dept
FAA location ID 41GE, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Paulding subacute nursing unit
CCN 115258, certified 1966, Medicare prospective payment
Source: Worksheet S-2 Part I of Paulding Medical Center's latest Medicare cost report (HCRIS).
About Paulding Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Paulding Medical Center range from $604 to $3,976 across 4 insurers. Blue Cross Blue Shield's rate is $1,190. The median at nearby comparable hospitals is $939. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Paulding Medical Center range from $400 to $4,549 across 4 insurers. Cigna's rate is $676. The median at nearby comparable hospitals is $916. 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 Paulding Medical Center range from $3,437 to $5,272 across 4 insurers. Blue Cross Blue Shield's rate is $4,082. The median at nearby comparable hospitals is $3,610. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Paulding Medical Center range from $101 to $252 across 4 insurers. Aetna's rate is $126. The median at nearby comparable hospitals is $227. What a patient pays depends on their plan's deductible, coinsurance and network status.
Paulding Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Paulding Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Paulding Medical Center's base inpatient payments by an estimated 1.05% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (212 discharges), heart failure and shock with mcc (165 discharges), simple pneumonia and pleurisy with mcc (86 discharges).
Paulding Medical Center's Medicare case mix index is 1.49 for fiscal year 2027, higher than 27% of hospitals paid under the inpatient prospective payment system.
Paulding Medical Center reported 9,820 inpatient discharges and 38,567 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Paulding Medical Center reported 1,177 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Paulding Medical Center reported $324.1M in net patient revenue on $1.9B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 1.9%, and net income of $44M.
Paulding Medical Center reported $28.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $22.1M of charity care at cost.
Paulding Medical Center's Medicare enrollment lists Joseph A Reppert as Senior Vice President Of Finance since 2024. Its 2022 IRS Form 990 lists Candice Saunders as President & CEO.
Insurers' price transparency files list Paulding Medical Center under employer identification number 58-2095884 (WellStar Paulding Hospital). 64 health plans and networks list 58-2095884 for it.
857 clinicians who bill Medicare list Paulding Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (80), internal medicine physician (77), diagnostic radiology physician (72).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Paulding Medical Center, effective 2024.
In its Medicare enrollment, Paulding Medical Center reports WellStar Health System Inc as 5% or greater direct ownership interest (100%).
CMS lists 20 services at Paulding Medical Center, including Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Paulding Medical Center came from ZIP codes 30157 (1,184), 30132 (1,070), 30127 (755).
Paulding Medical Center has 294 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 83 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Paulding Medical Center is located at 2518 Jimmy Lee Smith Parkway, Hiram, GA 30141. Its main phone number is (470) 644-7000.
Paulding Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 110042.
The National Provider Identifier (NPI) on file for Paulding Medical Center is 1457329435.
Paulding Medical Center is affiliated with WellStar Health System.
Paulding Medical Center lists 35 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
376 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