Bexar County Hospital District

Doing business as University Health System

Hospital in San Antonio, TX, Medicare certification number 450213. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 450213The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Jul 1, 1966
Last certification: Jun 18, 2024
Beds: 1,034
Overall star rating: 3 of 5Care Compare
Address: 4502 Medical Dr
San Antonio, TX 78229
(210) 358-2000

NPI records for this facility (CCN to NPI Mapping) 1

Bexar County Hospital District

dba University Health
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

University Health System Inpatient rehabilitation facility, CCN 45T213, 18 measures, 1 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.71 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.67 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.07 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.96 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.28 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.82 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.69 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,460

Page 1 of 59Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Sarah Abang-Hayes, M.D.
- Family Medicine Physician
- San Antonio, TX
- NPI 1326244724
Ginnie Lee Abarbanell, MD
- Pediatric Cardiology Physician
- San Antonio, TX
- NPI 1760427371
Muhammad Samy Abdullah Abdullah, MD
- Neurology Physician
- San Antonio, TX
- NPI 1033773247
Fareeha Kaiser Abdulwali, MD
- Internal Medicine Physician
- San Antonio, TX
- NPI 1629730767
Angela Salma Abouassi, MD
- Dermatology Physician
- El Campo, TX
- NPI 1083109532
Aesha F. Aboueisha, MD
- Hospitalist Physician
- San Antonio, TX
- NPI 1225527815
Soniya Abraham
- Hospitalist Physician
- San Antonio, TX
- NPI 1275152886
Gregory Abrahamian, MD
- Transplant Surgery Physician
- San Antonio, TX
- NPI 1841201365
Laila Abu Rashed, MD
- Hospitalist Physician
- San Antonio, TX
- NPI 1093201261
Jessica B Acosta
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1063852283
Sandra Adams, MD
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1669483186
Courtney Amanda Adamski, NP
- Nurse Practitioner
- San Antonio, TX
- NPI 1023630423
Anuoluwapo Adediji, MD
- Hospitalist Physician
- San Antonio, TX
- NPI 1003474644
Oluwatobiloba Adenuga, MD
- Family Medicine Physician
- San Antonio, TX
- NPI 1245819770
Nosa E Adun
- Physician Assistant
- San Antonio, TX
- NPI 1750714184
Animesh Agarwal, MD
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1699882761
Mamta Agarwal
- Cornea and External Diseases Specialist Physician
- San Antonio, TX
- NPI 1689451353
Iyunoluwa Agboola, M.D
- Family Medicine Physician
- San Antonio, TX
- NPI 1659710044
Vijay Kumar Aggarwal, MD
- Neuroradiology Physician
- San Antonio, TX
- NPI 1861943599
Rukevwe Theodora Agho, NP
- Gerontology Nurse Practitioner
- San Antonio, TX
- NPI 1427607696
Ildiko Agoston, M.D.
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1508946872
Leticia T Aguilar, MD
- Family Medicine Physician
- San Antonio, TX
- NPI 1760451009
Carol Aime Aguirre Gonzalez, CRNA
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1104384585
Ameer K. Ahmed, MD
- Hospitalist Physician
- San Antonio, TX
- NPI 1578060737
Syed K. Ahsan, MD
- Family Medicine Physician
- San Antonio, TX
- NPI 1174703102

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.75
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 1,792 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.97
- State average 0.97 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected150.43
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 136 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.9
- State average 2.71 (computed here)
- National average 2.4
- No different than the national rate
- 40 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.7
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 29 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.6
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 85 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.6
- State average 10.52 (computed here)
- National average 11.1
- No different than the national rate
- 162 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.3
- State average 14.69 (computed here)
- National average 15.2
- No different than the national rate
- 185 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.3
- State average 12.01 (computed here)
- National average 11.9
- No different than the national rate
- 254 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
- State average 3.89 (computed here)
- National average 3.9
- No different than the national rate
- 3,580 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.15
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 6,576 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.21
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 6,682 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.61
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 2,071 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.22
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 678 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.78
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 2,029 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.56
- State average 10.06 (computed here)
- National average 9.42
- No different than the national rate
- 778 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.58
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 759 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.12
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 509 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.93
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 6,250 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.41
- State average 0.35
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.39
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.3
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.36
- State average 0.6
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 0.92
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.55
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 20.2
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 13.2
- State average 6.86 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.03
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 75
- State average 71.67 (computed here)
- National average 74.05 (computed here)
- 59 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 85
- State average 92.48 (computed here)
- National average 92.79 (computed here)
- 305 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 82
- State average 68
- National average 65
- 712 patients
- Period from 10/01/2024
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 better 384
- State average 150
- National average 168
- 382 patients
- Period from 10/01/2024
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 366
- State average 145
- National average 162
- 354 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 447
- State average 233
- National average 257
- 25 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 95
- State average 93.64 (computed here)
- National average 96.1 (computed here)
- 329 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 92
- National average 93
- 97 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 99
- State average 74
- National average 78
- 17,572 patients
- Period from 10/01/2024
Left before being seen 2
- State average 1
- National average 2
- 128,672 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 11
- State average 14
- National average 15
- 7,667 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 84
- State average 74
- National average 73
- 163 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 94
- State average 89
- National average 87
- 102 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 90
- State average 83
- National average 81
- 713 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 93
- National average 93
- 276 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (15)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.2
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 181 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.6
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 405 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 8.8
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 88 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 20.2
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 189 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -16
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 197 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.5
- State average 17.32 (computed here)
- National average 17.3
- No different than the national rate
- 395 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5
- State average 5.29 (computed here)
- National average 5.4
- No different than the national rate
- 73 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.8
- State average 10.89 (computed here)
- National average 10.7
- No different than the national rate
- 73 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected9.5
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 80 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.6
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 92 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.2
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 492 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 362 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

Other hospitals in San Antonio, TX

Southcross Hospital terminated
St Lukes Lutheran Hospital terminated
Texas Center for Infectious Disease 2303 SE Military Dr P O Box 23340 terminated
Texas Center for Infectious Disease 2303 SE Military Dr P O Box 23340
The Emergency Center at Alamo Ranch, LLC terminated
Ut Health San Antonio Multispecialty & Research Ho
Westover Hills Baptist Hospital

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.