| CONTRACTOR TYPE |
Strata ID / Contractor Name |
Provider Type* |
CMS Jurisdiction** |
State Strata** |
Total Population |
% of Contractor |
Base Sample |
Over Sample |
Total Sample |
|
|
|
|
|
|
|
|
|
|
| FI |
01: Assoc Hosp Serv, ME |
1: Hospital |
14 |
ME |
50 |
21% |
25 |
0 |
25 |
| FI |
01: Assoc Hosp Serv, ME |
2: SNF |
14 |
ME |
99 |
42% |
50 |
0 |
50 |
| FI |
01: Assoc Hosp Serv, ME |
3: RHC |
14 |
ME |
47 |
20% |
24 |
0 |
24 |
| FI |
01: Assoc Hosp Serv, ME |
5: FQHC |
14 |
MA |
1 |
0% |
1 |
0 |
1 |
| FI |
01: Assoc Hosp Serv, ME |
8: Other |
13 |
CT |
17 |
7% |
9 |
0 |
9 |
| FI |
01: Assoc Hosp Serv, ME |
8: Other |
14 |
MA |
3 |
1% |
2 |
0 |
2 |
| FI |
01: Assoc Hosp Serv, ME |
8: Other |
14 |
ME |
12 |
5% |
6 |
0 |
6 |
| FI |
01: Assoc Hosp Serv, ME |
8: Other |
14 |
NH |
3 |
1% |
2 |
0 |
2 |
| FI |
01: Assoc Hosp Serv, ME |
8: Other |
14 |
RI |
2 |
1% |
1 |
0 |
1 |
| FI |
01: Assoc Hosp Serv, ME |
8: Other |
14 |
VT |
1 |
0% |
1 |
0 |
1 |
| FI |
02: Assoc Hosp Serv, MA |
1: Hospital |
14 |
MA |
94 |
27% |
39 |
0 |
39 |
| FI |
02: Assoc Hosp Serv, MA |
2: SNF |
13 |
CT |
4 |
1% |
2 |
0 |
2 |
| FI |
02: Assoc Hosp Serv, MA |
2: SNF |
13 |
NY |
3 |
1% |
1 |
0 |
1 |
| FI |
02: Assoc Hosp Serv, MA |
2: SNF |
14 |
MA |
141 |
41% |
59 |
0 |
59 |
| FI |
02: Assoc Hosp Serv, MA |
4: ESRD |
12 |
NJ |
12 |
3% |
5 |
0 |
5 |
| FI |
02: Assoc Hosp Serv, MA |
4: ESRD |
13 |
CT |
5 |
1% |
2 |
0 |
2 |
| FI |
02: Assoc Hosp Serv, MA |
4: ESRD |
14 |
MA |
41 |
12% |
17 |
0 |
17 |
| FI |
02: Assoc Hosp Serv, MA |
4: ESRD |
14 |
ME |
10 |
3% |
4 |
0 |
4 |
| FI |
02: Assoc Hosp Serv, MA |
4: ESRD |
14 |
NH |
8 |
2% |
3 |
0 |
3 |
| FI |
02: Assoc Hosp Serv, MA |
4: ESRD |
14 |
RI |
13 |
4% |
5 |
0 |
5 |
| FI |
02: Assoc Hosp Serv, MA |
8: Other |
14 |
MA |
13 |
4% |
5 |
0 |
5 |
| FI |
03: AdminaStar Federal |
1: Hospital |
06 |
IL |
190 |
12% |
21 |
9 |
30 |
| FI |
03: AdminaStar Federal |
1: Hospital |
08 |
IN |
167 |
11% |
18 |
12 |
30 |
| FI |
03: AdminaStar Federal |
1: Hospital |
08 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
03: AdminaStar Federal |
1: Hospital |
15 |
KY |
111 |
7% |
12 |
18 |
30 |
| FI |
03: AdminaStar Federal |
1: Hospital |
15 |
OH |
225 |
14% |
24 |
6 |
30 |
| FI |
03: AdminaStar Federal |
1: Hospital |
99 |
ZZ |
7 |
0% |
1 |
0 |
1 |
| FI |
03: AdminaStar Federal |
2: SNF |
06 |
IL |
438 |
28% |
47 |
0 |
47 |
| FI |
03: AdminaStar Federal |
2: SNF |
06 |
ZZ |
13 |
1% |
1 |
0 |
1 |
| FI |
03: AdminaStar Federal |
2: SNF |
08 |
IN |
362 |
23% |
39 |
0 |
39 |
| FI |
03: AdminaStar Federal |
2: SNF |
08 |
MI |
71 |
5% |
8 |
22 |
30 |
| FI |
03: AdminaStar Federal |
2: SNF |
15 |
KY |
221 |
14% |
24 |
6 |
30 |
| FI |
03: AdminaStar Federal |
2: SNF |
15 |
OH |
854 |
55% |
92 |
0 |
92 |
| FI |
03: AdminaStar Federal |
2: SNF |
99 |
ZZ |
236 |
15% |
26 |
0 |
26 |
| FI |
03: AdminaStar Federal |
3: RHC |
99 |
ZZ |
94 |
6% |
10 |
20 |
30 |
| FI |
03: AdminaStar Federal |
4: ESRD |
06 |
IL |
72 |
5% |
8 |
22 |
30 |
| FI |
03: AdminaStar Federal |
4: ESRD |
12 |
PA |
62 |
4% |
7 |
23 |
30 |
| FI |
03: AdminaStar Federal |
4: ESRD |
12 |
ZZ |
27 |
2% |
3 |
0 |
3 |
| FI |
03: AdminaStar Federal |
4: ESRD |
15 |
OH |
97 |
6% |
10 |
20 |
30 |
| FI |
03: AdminaStar Federal |
4: ESRD |
15 |
ZZ |
42 |
3% |
5 |
0 |
5 |
| FI |
03: AdminaStar Federal |
4: ESRD |
99 |
ZZ |
100 |
6% |
11 |
0 |
11 |
| FI |
03: AdminaStar Federal |
8: Other |
06 |
IL |
63 |
4% |
7 |
0 |
7 |
| FI |
03: AdminaStar Federal |
8: Other |
15 |
KY |
82 |
5% |
9 |
0 |
9 |
| FI |
03: AdminaStar Federal |
8: Other |
15 |
OH |
109 |
7% |
12 |
0 |
12 |
| FI |
03: AdminaStar Federal |
8: Other |
99 |
ZZ |
54 |
3% |
6 |
0 |
6 |
| FI |
04: Cahaba GBA |
1: Hospital |
03 |
SD |
73 |
6% |
17 |
13 |
30 |
| FI |
04: Cahaba GBA |
1: Hospital |
03 |
ZZ |
5 |
0% |
1 |
0 |
1 |
| FI |
04: Cahaba GBA |
1: Hospital |
05 |
IA |
153 |
12% |
36 |
0 |
36 |
| FI |
04: Cahaba GBA |
1: Hospital |
05 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| FI |
04: Cahaba GBA |
1: Hospital |
10 |
AL |
112 |
9% |
26 |
4 |
30 |
| FI |
04: Cahaba GBA |
1: Hospital |
10 |
ZZ |
7 |
1% |
2 |
0 |
2 |
| FI |
04: Cahaba GBA |
1: Hospital |
99 |
ZZ |
65 |
5% |
15 |
0 |
15 |
| FI |
04: Cahaba GBA |
2: SNF |
03 |
SD |
66 |
5% |
15 |
15 |
30 |
| FI |
04: Cahaba GBA |
2: SNF |
03 |
ZZ |
22 |
2% |
5 |
0 |
5 |
| FI |
04: Cahaba GBA |
2: SNF |
05 |
IA |
323 |
25% |
75 |
0 |
75 |
| FI |
04: Cahaba GBA |
2: SNF |
05 |
ZZ |
50 |
4% |
12 |
0 |
12 |
| FI |
04: Cahaba GBA |
2: SNF |
10 |
AL |
90 |
7% |
21 |
9 |
30 |
| FI |
04: Cahaba GBA |
2: SNF |
10 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
04: Cahaba GBA |
2: SNF |
99 |
ZZ |
135 |
10% |
31 |
0 |
31 |
| FI |
04: Cahaba GBA |
3: RHC |
05 |
IA |
69 |
5% |
16 |
14 |
30 |
| FI |
04: Cahaba GBA |
3: RHC |
05 |
ZZ |
4 |
0% |
1 |
0 |
1 |
| FI |
04: Cahaba GBA |
3: RHC |
99 |
ZZ |
37 |
3% |
9 |
0 |
9 |
| FI |
04: Cahaba GBA |
8: Other |
05 |
IA |
128 |
10% |
30 |
0 |
30 |
| FI |
04: Cahaba GBA |
8: Other |
05 |
ZZ |
37 |
3% |
9 |
0 |
9 |
| FI |
04: Cahaba GBA |
8: Other |
10 |
ZZ |
76 |
6% |
18 |
0 |
18 |
| FI |
04: Cahaba GBA |
8: Other |
99 |
ZZ |
268 |
20% |
62 |
0 |
62 |
| FI |
06: PBS / BCBS Arkansas |
1: Hospital |
07 |
AR |
88 |
8% |
49 |
0 |
49 |
| FI |
06: PBS / BCBS Arkansas |
1: Hospital |
14 |
RI |
16 |
1% |
9 |
0 |
9 |
| FI |
06: PBS / BCBS Arkansas |
2: SNF |
07 |
AR |
137 |
12% |
77 |
0 |
77 |
| FI |
06: PBS / BCBS Arkansas |
2: SNF |
14 |
RI |
78 |
7% |
44 |
0 |
44 |
| FI |
06: PBS / BCBS Arkansas |
3: RHC |
05 |
MO |
1 |
0% |
1 |
0 |
1 |
| FI |
06: PBS / BCBS Arkansas |
3: RHC |
07 |
AR |
30 |
3% |
17 |
0 |
17 |
| FI |
06: PBS / BCBS Arkansas |
8: Other |
07 |
AR |
22 |
2% |
12 |
0 |
12 |
| FI |
06: PBS / BCBS Arkansas |
8: Other |
14 |
RI |
5 |
0% |
3 |
0 |
3 |
| FI |
07: First Coast Service |
1: Hospital |
09 |
FL |
154 |
27% |
49 |
0 |
49 |
| FI |
07: First Coast Service |
1: Hospital |
99 |
ZZ |
16 |
3% |
5 |
0 |
5 |
| FI |
07: First Coast Service |
2: SNF |
09 |
FL |
410 |
72% |
130 |
0 |
130 |
| FI |
07: First Coast Service |
2: SNF |
99 |
ZZ |
3 |
1% |
1 |
0 |
1 |
| FI |
07: First Coast Service |
4: ESRD |
09 |
FL |
68 |
12% |
22 |
8 |
30 |
| FI |
07: First Coast Service |
4: ESRD |
99 |
ZZ |
4 |
1% |
1 |
0 |
1 |
| FI |
07: First Coast Service |
8: Other |
09 |
FL |
603 |
106% |
191 |
0 |
191 |
| FI |
07: First Coast Service |
8: Other |
99 |
ZZ |
5 |
1% |
2 |
0 |
2 |
| FI |
08: BCBS Georgia |
1: Hospital |
10 |
GA |
144 |
3% |
26 |
0 |
26 |
| FI |
08: BCBS Georgia |
2: SNF |
10 |
GA |
101 |
2% |
18 |
0 |
18 |
| FI |
08: BCBS Georgia |
3: RHC |
10 |
GA |
45 |
1% |
8 |
0 |
8 |
| FI |
08: BCBS Georgia |
4: ESRD |
01 |
CA |
89 |
2% |
16 |
0 |
16 |
| FI |
08: BCBS Georgia |
4: ESRD |
01 |
NV |
4 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
02 |
OR |
4 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
03 |
AZ |
12 |
0% |
2 |
0 |
2 |
| FI |
08: BCBS Georgia |
4: ESRD |
03 |
MT |
4 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
04 |
CO |
2 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
04 |
NM |
8 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
04 |
OK |
5 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
04 |
TX |
39 |
1% |
7 |
0 |
7 |
| FI |
08: BCBS Georgia |
4: ESRD |
05 |
IA |
2 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
05 |
KS |
5 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
05 |
MO |
41 |
1% |
7 |
0 |
7 |
| FI |
08: BCBS Georgia |
4: ESRD |
05 |
NE |
9 |
0% |
2 |
0 |
2 |
| FI |
08: BCBS Georgia |
4: ESRD |
06 |
IL |
15 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
06 |
WI |
16 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
07 |
AR |
1 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
07 |
LA |
35 |
1% |
6 |
0 |
6 |
| FI |
08: BCBS Georgia |
4: ESRD |
07 |
MS |
5 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
08 |
IN |
4 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
08 |
MI |
17 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
09 |
FL |
65 |
1% |
12 |
0 |
12 |
| FI |
08: BCBS Georgia |
4: ESRD |
10 |
AL |
53 |
1% |
10 |
0 |
10 |
| FI |
08: BCBS Georgia |
4: ESRD |
10 |
GA |
124 |
3% |
22 |
0 |
22 |
| FI |
08: BCBS Georgia |
4: ESRD |
10 |
TN |
61 |
1% |
11 |
0 |
11 |
| FI |
08: BCBS Georgia |
4: ESRD |
11 |
NC |
18 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
11 |
SC |
39 |
1% |
7 |
0 |
7 |
| FI |
08: BCBS Georgia |
4: ESRD |
11 |
VA |
27 |
1% |
5 |
0 |
5 |
| FI |
08: BCBS Georgia |
4: ESRD |
11 |
WV |
2 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
12 |
DC |
4 |
0% |
1 |
0 |
1 |
| FI |
08: BCBS Georgia |
4: ESRD |
12 |
MD |
26 |
1% |
5 |
0 |
5 |
| FI |
08: BCBS Georgia |
4: ESRD |
12 |
NJ |
29 |
1% |
5 |
0 |
5 |
| FI |
08: BCBS Georgia |
4: ESRD |
12 |
PA |
59 |
1% |
11 |
0 |
11 |
| FI |
08: BCBS Georgia |
4: ESRD |
13 |
CT |
14 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
13 |
NY |
12 |
0% |
2 |
0 |
2 |
| FI |
08: BCBS Georgia |
4: ESRD |
14 |
MA |
19 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
14 |
ME |
2 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
14 |
NH |
1 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
14 |
RI |
2 |
0% |
0 |
0 |
0 |
| FI |
08: BCBS Georgia |
4: ESRD |
15 |
KY |
18 |
0% |
3 |
0 |
3 |
| FI |
08: BCBS Georgia |
4: ESRD |
15 |
OH |
34 |
1% |
6 |
0 |
6 |
| FI |
08: BCBS Georgia |
8: Other |
10 |
GA |
59 |
1% |
11 |
0 |
11 |
| FI |
09: BCBS of Kansas |
1: Hospital |
05 |
KS |
147 |
10% |
85 |
0 |
85 |
| FI |
09: BCBS of Kansas |
2: SNF |
04 |
OK |
1 |
0% |
1 |
0 |
1 |
| FI |
09: BCBS of Kansas |
2: SNF |
05 |
KS |
130 |
9% |
75 |
0 |
75 |
| FI |
09: BCBS of Kansas |
2: SNF |
05 |
MO |
6 |
0% |
3 |
0 |
3 |
| FI |
09: BCBS of Kansas |
2: SNF |
07 |
AR |
1 |
0% |
1 |
0 |
1 |
| FI |
09: BCBS of Kansas |
3: RHC |
05 |
KS |
102 |
7% |
59 |
0 |
59 |
| FI |
09: BCBS of Kansas |
3: RHC |
05 |
NE |
1 |
0% |
1 |
0 |
1 |
| FI |
09: BCBS of Kansas |
4: ESRD |
05 |
KS |
11 |
1% |
6 |
0 |
6 |
| FI |
09: BCBS of Kansas |
8: Other |
05 |
KS |
15 |
1% |
9 |
0 |
9 |
| FI |
09: BCBS of Kansas |
8: Other |
05 |
MO |
1 |
0% |
1 |
0 |
1 |
| FI |
11: Trispan Health Service |
1: Hospital |
05 |
MO |
64 |
4% |
18 |
12 |
30 |
| FI |
11: Trispan Health Service |
1: Hospital |
07 |
LA |
162 |
9% |
45 |
0 |
45 |
| FI |
11: Trispan Health Service |
1: Hospital |
07 |
MS |
95 |
5% |
26 |
4 |
30 |
| FI |
11: Trispan Health Service |
1: Hospital |
99 |
ZZ |
5 |
0% |
1 |
0 |
1 |
| FI |
11: Trispan Health Service |
2: SNF |
05 |
MO |
271 |
15% |
75 |
0 |
75 |
| FI |
11: Trispan Health Service |
2: SNF |
05 |
ZZ |
10 |
1% |
3 |
0 |
3 |
| FI |
11: Trispan Health Service |
2: SNF |
07 |
LA |
248 |
14% |
68 |
0 |
68 |
| FI |
11: Trispan Health Service |
2: SNF |
07 |
MS |
129 |
7% |
36 |
0 |
36 |
| FI |
11: Trispan Health Service |
2: SNF |
07 |
ZZ |
29 |
2% |
8 |
0 |
8 |
| FI |
11: Trispan Health Service |
2: SNF |
99 |
ZZ |
39 |
2% |
11 |
0 |
11 |
| FI |
11: Trispan Health Service |
3: RHC |
05 |
MO |
80 |
4% |
22 |
8 |
30 |
| FI |
11: Trispan Health Service |
3: RHC |
07 |
MS |
64 |
4% |
18 |
12 |
30 |
| FI |
11: Trispan Health Service |
3: RHC |
07 |
ZZ |
36 |
2% |
10 |
0 |
10 |
| FI |
11: Trispan Health Service |
3: RHC |
99 |
ZZ |
2 |
0% |
1 |
0 |
1 |
| FI |
11: Trispan Health Service |
4: ESRD |
07 |
ZZ |
50 |
3% |
14 |
16 |
30 |
| FI |
11: Trispan Health Service |
4: ESRD |
99 |
ZZ |
9 |
1% |
2 |
0 |
2 |
| FI |
11: Trispan Health Service |
8: Other |
07 |
LA |
81 |
5% |
22 |
0 |
22 |
| FI |
11: Trispan Health Service |
8: Other |
07 |
ZZ |
46 |
3% |
13 |
0 |
13 |
| FI |
11: Trispan Health Service |
8: Other |
99 |
ZZ |
30 |
2% |
8 |
0 |
8 |
| FI |
13: BCBS Nebraska |
1: Hospital |
05 |
NE |
84 |
35% |
49 |
0 |
49 |
| FI |
13: BCBS Nebraska |
2: SNF |
05 |
NE |
11 |
5% |
6 |
0 |
6 |
| FI |
13: BCBS Nebraska |
3: RHC |
05 |
NE |
76 |
31% |
44 |
0 |
44 |
| FI |
13: BCBS Nebraska |
4: ESRD |
05 |
NE |
5 |
2% |
3 |
0 |
3 |
| FI |
13: BCBS Nebraska |
8: Other |
05 |
NE |
6 |
2% |
3 |
0 |
3 |
| FI |
14: Chisholm Adm Service |
1: Hospital |
04 |
OK |
122 |
469% |
67 |
0 |
67 |
| FI |
14: Chisholm Adm Service |
2: SNF |
04 |
OK |
22 |
85% |
12 |
0 |
12 |
| FI |
14: Chisholm Adm Service |
3: RHC |
04 |
OK |
21 |
81% |
12 |
0 |
12 |
| FI |
14: Chisholm Adm Service |
8: Other |
04 |
OK |
20 |
77% |
11 |
0 |
11 |
| FI |
15: Palmetto, GBA |
1: Hospital |
11 |
NC |
127 |
25% |
56 |
0 |
56 |
| FI |
15: Palmetto, GBA |
1: Hospital |
11 |
SC |
55 |
11% |
24 |
6 |
30 |
| FI |
15: Palmetto, GBA |
2: SNF |
11 |
NC |
293 |
58% |
130 |
0 |
130 |
| FI |
15: Palmetto, GBA |
2: SNF |
11 |
SC |
113 |
22% |
50 |
0 |
50 |
| FI |
15: Palmetto, GBA |
2: SNF |
11 |
ZZ |
4 |
1% |
2 |
0 |
2 |
| FI |
15: Palmetto, GBA |
2: SNF |
99 |
ZZ |
3 |
1% |
1 |
0 |
1 |
| FI |
15: Palmetto, GBA |
4: ESRD |
11 |
NC |
85 |
17% |
38 |
0 |
38 |
| FI |
15: Palmetto, GBA |
4: ESRD |
11 |
ZZ |
45 |
9% |
20 |
0 |
20 |
| FI |
15: Palmetto, GBA |
8: Other |
11 |
NC |
67 |
13% |
30 |
0 |
30 |
| FI |
15: Palmetto, GBA |
8: Other |
11 |
SC |
55 |
11% |
24 |
0 |
24 |
| FI |
15: Palmetto, GBA |
8: Other |
99 |
ZZ |
53 |
11% |
24 |
0 |
24 |
| FI |
16: Riverbend, GBA |
1: Hospital |
10 |
TN |
118 |
3% |
18 |
12 |
30 |
| FI |
16: Riverbend, GBA |
1: Hospital |
10 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
16: Riverbend, GBA |
1: Hospital |
12 |
NJ |
131 |
4% |
20 |
10 |
30 |
| FI |
16: Riverbend, GBA |
1: Hospital |
99 |
ZZ |
6 |
0% |
1 |
0 |
1 |
| FI |
16: Riverbend, GBA |
2: SNF |
10 |
TN |
195 |
5% |
29 |
1 |
30 |
| FI |
16: Riverbend, GBA |
2: SNF |
10 |
ZZ |
8 |
0% |
1 |
0 |
1 |
| FI |
16: Riverbend, GBA |
2: SNF |
12 |
NJ |
222 |
6% |
33 |
0 |
33 |
| FI |
16: Riverbend, GBA |
2: SNF |
12 |
ZZ |
18 |
0% |
3 |
0 |
3 |
| FI |
16: Riverbend, GBA |
2: SNF |
99 |
ZZ |
268 |
7% |
40 |
0 |
40 |
| FI |
16: Riverbend, GBA |
3: RHC |
01 |
CA |
129 |
3% |
19 |
11 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
02 |
WA |
59 |
2% |
9 |
21 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
02 |
ZZ |
56 |
2% |
8 |
0 |
8 |
| FI |
16: Riverbend, GBA |
3: RHC |
05 |
IA |
69 |
2% |
10 |
20 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
05 |
KS |
69 |
2% |
10 |
20 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
05 |
MO |
153 |
4% |
23 |
7 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
05 |
ZZ |
25 |
1% |
4 |
0 |
4 |
| FI |
16: Riverbend, GBA |
3: RHC |
06 |
IL |
147 |
4% |
22 |
8 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
06 |
ZZ |
50 |
1% |
7 |
0 |
7 |
| FI |
16: Riverbend, GBA |
3: RHC |
07 |
MS |
71 |
2% |
11 |
19 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
08 |
MI |
81 |
2% |
12 |
18 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
08 |
ZZ |
37 |
1% |
6 |
0 |
6 |
| FI |
16: Riverbend, GBA |
3: RHC |
09 |
FL |
74 |
2% |
11 |
19 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
10 |
ZZ |
116 |
3% |
17 |
13 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
11 |
NC |
75 |
2% |
11 |
19 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
11 |
SC |
66 |
2% |
10 |
20 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
15 |
KY |
82 |
2% |
12 |
18 |
30 |
| FI |
16: Riverbend, GBA |
3: RHC |
15 |
ZZ |
8 |
0% |
1 |
0 |
1 |
| FI |
16: Riverbend, GBA |
3: RHC |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| FI |
16: Riverbend, GBA |
4: ESRD |
10 |
ZZ |
118 |
3% |
18 |
12 |
30 |
| FI |
16: Riverbend, GBA |
4: ESRD |
99 |
ZZ |
74 |
2% |
11 |
0 |
11 |
| FI |
16: Riverbend, GBA |
8: Other |
10 |
TN |
73 |
2% |
11 |
0 |
11 |
| FI |
16: Riverbend, GBA |
8: Other |
10 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
16: Riverbend, GBA |
8: Other |
12 |
NJ |
62 |
2% |
9 |
0 |
9 |
| FI |
16: Riverbend, GBA |
8: Other |
99 |
ZZ |
16 |
0% |
2 |
0 |
2 |
| FI |
18: COSVI |
1: Hospital |
09 |
PR |
63 |
54% |
27 |
0 |
27 |
| FI |
18: COSVI |
1: Hospital |
09 |
VI |
4 |
3% |
2 |
0 |
2 |
| FI |
18: COSVI |
2: SNF |
09 |
PR |
6 |
5% |
3 |
0 |
3 |
| FI |
18: COSVI |
4: ESRD |
09 |
PR |
9 |
8% |
4 |
0 |
4 |
| FI |
18: COSVI |
4: ESRD |
09 |
VI |
1 |
1% |
0 |
0 |
0 |
| FI |
18: COSVI |
5: FQHC |
09 |
PR |
1 |
1% |
0 |
0 |
0 |
| FI |
18: COSVI |
8: Other |
09 |
PR |
8 |
7% |
3 |
0 |
3 |
| FI |
19: Empire Medicare Service |
1: Hospital |
13 |
NY |
335 |
20% |
88 |
0 |
88 |
| FI |
19: Empire Medicare Service |
1: Hospital |
13 |
ZZ |
51 |
3% |
13 |
0 |
13 |
| FI |
19: Empire Medicare Service |
1: Hospital |
99 |
ZZ |
10 |
1% |
3 |
0 |
3 |
| FI |
19: Empire Medicare Service |
2: SNF |
13 |
CT |
214 |
13% |
56 |
0 |
56 |
| FI |
19: Empire Medicare Service |
2: SNF |
13 |
NY |
644 |
38% |
169 |
0 |
169 |
| FI |
19: Empire Medicare Service |
2: SNF |
99 |
ZZ |
72 |
4% |
19 |
0 |
19 |
| FI |
19: Empire Medicare Service |
4: ESRD |
13 |
NY |
121 |
7% |
32 |
0 |
32 |
| FI |
19: Empire Medicare Service |
4: ESRD |
13 |
ZZ |
6 |
0% |
2 |
0 |
2 |
| FI |
19: Empire Medicare Service |
4: ESRD |
99 |
ZZ |
4 |
0% |
1 |
0 |
1 |
| FI |
19: Empire Medicare Service |
8: Other |
13 |
ZZ |
54 |
3% |
14 |
0 |
14 |
| FI |
19: Empire Medicare Service |
8: Other |
99 |
ZZ |
13 |
1% |
3 |
0 |
3 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
01 |
CA |
152 |
5% |
11 |
19 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
01 |
ZZ |
45 |
2% |
3 |
0 |
3 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
04 |
TX |
169 |
6% |
12 |
18 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
04 |
ZZ |
94 |
3% |
7 |
0 |
7 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
05 |
MO |
101 |
3% |
7 |
23 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
05 |
ZZ |
37 |
1% |
3 |
0 |
3 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
07 |
LA |
79 |
3% |
6 |
24 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
07 |
ZZ |
37 |
1% |
3 |
0 |
3 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
09 |
FL |
79 |
3% |
6 |
24 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
10 |
ZZ |
83 |
3% |
6 |
24 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
12 |
PA |
69 |
2% |
5 |
25 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
12 |
ZZ |
18 |
1% |
1 |
0 |
1 |
| FI |
20: Mutual Omaha-Medicare Div |
1: Hospital |
99 |
ZZ |
266 |
9% |
20 |
0 |
20 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
01 |
CA |
678 |
23% |
50 |
0 |
50 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
01 |
ZZ |
20 |
1% |
1 |
0 |
1 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
02 |
WA |
110 |
4% |
8 |
22 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
02 |
ZZ |
47 |
2% |
3 |
0 |
3 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
03 |
ZZ |
73 |
2% |
5 |
25 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
04 |
OK |
227 |
8% |
17 |
13 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
04 |
TX |
648 |
22% |
48 |
0 |
48 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
04 |
ZZ |
61 |
2% |
4 |
0 |
4 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
05 |
IA |
66 |
2% |
5 |
25 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
05 |
MO |
150 |
5% |
11 |
19 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
05 |
NE |
110 |
4% |
8 |
22 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
05 |
ZZ |
53 |
2% |
4 |
0 |
4 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
06 |
IL |
197 |
7% |
14 |
16 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
06 |
ZZ |
19 |
1% |
1 |
0 |
1 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
07 |
ZZ |
60 |
2% |
4 |
26 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
08 |
ZZ |
92 |
3% |
7 |
23 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
09 |
FL |
120 |
4% |
9 |
21 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
09 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
10 |
AL |
105 |
4% |
8 |
22 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
10 |
GA |
207 |
7% |
15 |
15 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
10 |
TN |
82 |
3% |
6 |
24 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
11 |
NC |
76 |
3% |
6 |
24 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
11 |
ZZ |
57 |
2% |
4 |
0 |
4 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
12 |
MD |
102 |
3% |
7 |
23 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
12 |
NJ |
103 |
3% |
8 |
22 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
12 |
ZZ |
68 |
2% |
5 |
0 |
5 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
14 |
MA |
192 |
7% |
14 |
16 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
14 |
ZZ |
18 |
1% |
1 |
0 |
1 |
| FI |
20: Mutual Omaha-Medicare Div |
2: SNF |
99 |
ZZ |
61 |
2% |
4 |
0 |
4 |
| FI |
20: Mutual Omaha-Medicare Div |
3: RHC |
05 |
ZZ |
72 |
2% |
5 |
25 |
30 |
| FI |
20: Mutual Omaha-Medicare Div |
3: RHC |
99 |
ZZ |
84 |
3% |
6 |
0 |
6 |
| FI |
20: Mutual Omaha-Medicare Div |
8: Other |
04 |
ZZ |
76 |
3% |
6 |
0 |
6 |
| FI |
20: Mutual Omaha-Medicare Div |
8: Other |
99 |
ZZ |
182 |
6% |
13 |
0 |
13 |
| FI |
21: Anthem Health Plans of NH |
1: Hospital |
14 |
NH |
31 |
8% |
16 |
0 |
16 |
| FI |
21: Anthem Health Plans of NH |
1: Hospital |
14 |
VT |
23 |
6% |
12 |
0 |
12 |
| FI |
21: Anthem Health Plans of NH |
2: SNF |
14 |
NH |
46 |
12% |
23 |
0 |
23 |
| FI |
21: Anthem Health Plans of NH |
2: SNF |
14 |
VT |
32 |
8% |
16 |
0 |
16 |
| FI |
21: Anthem Health Plans of NH |
3: RHC |
14 |
NH |
17 |
4% |
9 |
0 |
9 |
| FI |
21: Anthem Health Plans of NH |
3: RHC |
14 |
VT |
17 |
4% |
9 |
0 |
9 |
| FI |
21: Anthem Health Plans of NH |
4: ESRD |
14 |
NH |
1 |
0% |
1 |
0 |
1 |
| FI |
21: Anthem Health Plans of NH |
4: ESRD |
14 |
VT |
1 |
0% |
1 |
0 |
1 |
| FI |
21: Anthem Health Plans of NH |
8: Other |
14 |
MA |
1 |
0% |
1 |
0 |
1 |
| FI |
21: Anthem Health Plans of NH |
8: Other |
14 |
NH |
8 |
2% |
4 |
0 |
4 |
| FI |
21: Anthem Health Plans of NH |
8: Other |
14 |
VT |
1 |
0% |
1 |
0 |
1 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
02 |
OR |
59 |
2% |
18 |
12 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
02 |
WA |
97 |
4% |
29 |
1 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
02 |
ZZ |
57 |
2% |
17 |
0 |
17 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
03 |
UT |
45 |
2% |
14 |
16 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
03 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
06 |
MN |
177 |
7% |
53 |
0 |
53 |
| FI |
22: Noridian Adm Serv, LLC |
1: Hospital |
99 |
ZZ |
2 |
0% |
1 |
0 |
1 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
02 |
OR |
83 |
3% |
25 |
5 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
02 |
WA |
73 |
3% |
22 |
8 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
02 |
ZZ |
43 |
2% |
13 |
0 |
13 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
03 |
UT |
54 |
2% |
16 |
14 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
03 |
ZZ |
10 |
0% |
3 |
0 |
3 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
06 |
MN |
309 |
12% |
93 |
0 |
93 |
| FI |
22: Noridian Adm Serv, LLC |
2: SNF |
99 |
ZZ |
19 |
1% |
6 |
0 |
6 |
| FI |
22: Noridian Adm Serv, LLC |
3: RHC |
02 |
WA |
50 |
2% |
15 |
15 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
3: RHC |
02 |
ZZ |
32 |
1% |
10 |
0 |
10 |
| FI |
22: Noridian Adm Serv, LLC |
3: RHC |
06 |
MN |
46 |
2% |
14 |
16 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
3: RHC |
99 |
ZZ |
7 |
0% |
2 |
0 |
2 |
| FI |
22: Noridian Adm Serv, LLC |
4: ESRD |
02 |
ZZ |
66 |
3% |
20 |
10 |
30 |
| FI |
22: Noridian Adm Serv, LLC |
4: ESRD |
99 |
ZZ |
18 |
1% |
5 |
0 |
5 |
| FI |
22: Noridian Adm Serv, LLC |
8: Other |
99 |
ZZ |
85 |
3% |
26 |
0 |
26 |
| FI |
24: TrailBlazer Health Enterpr |
1: Hospital |
04 |
TX |
377 |
12% |
49 |
0 |
49 |
| FI |
24: TrailBlazer Health Enterpr |
1: Hospital |
04 |
ZZ |
94 |
3% |
12 |
0 |
12 |
| FI |
24: TrailBlazer Health Enterpr |
1: Hospital |
99 |
ZZ |
51 |
2% |
7 |
0 |
7 |
| FI |
24: TrailBlazer Health Enterpr |
2: SNF |
04 |
CO |
85 |
3% |
11 |
19 |
30 |
| FI |
24: TrailBlazer Health Enterpr |
2: SNF |
04 |
TX |
289 |
9% |
37 |
0 |
37 |
| FI |
24: TrailBlazer Health Enterpr |
2: SNF |
04 |
ZZ |
63 |
2% |
8 |
0 |
8 |
| FI |
24: TrailBlazer Health Enterpr |
2: SNF |
99 |
ZZ |
116 |
4% |
15 |
0 |
15 |
| FI |
24: TrailBlazer Health Enterpr |
3: RHC |
04 |
TX |
301 |
10% |
39 |
0 |
39 |
| FI |
24: TrailBlazer Health Enterpr |
3: RHC |
04 |
ZZ |
61 |
2% |
8 |
0 |
8 |
| FI |
24: TrailBlazer Health Enterpr |
3: RHC |
99 |
ZZ |
143 |
5% |
19 |
0 |
19 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
01 |
CA |
92 |
3% |
12 |
18 |
30 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
01 |
ZZ |
16 |
1% |
2 |
0 |
2 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
04 |
TX |
281 |
9% |
36 |
0 |
36 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
04 |
ZZ |
95 |
3% |
12 |
0 |
12 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
05 |
ZZ |
85 |
3% |
11 |
19 |
30 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
06 |
ZZ |
101 |
3% |
13 |
17 |
30 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
07 |
LA |
98 |
3% |
13 |
17 |
30 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
07 |
ZZ |
67 |
2% |
9 |
0 |
9 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
09 |
FL |
91 |
3% |
12 |
18 |
30 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
09 |
ZZ |
18 |
1% |
2 |
0 |
2 |
| FI |
24: TrailBlazer Health Enterpr |
4: ESRD |
99 |
ZZ |
301 |
10% |
39 |
0 |
39 |
| FI |
24: TrailBlazer Health Enterpr |
8: Other |
04 |
TX |
184 |
6% |
24 |
0 |
24 |
| FI |
24: TrailBlazer Health Enterpr |
8: Other |
04 |
ZZ |
72 |
2% |
9 |
0 |
9 |
| FI |
24: TrailBlazer Health Enterpr |
8: Other |
99 |
ZZ |
4 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
1: Hospital |
01 |
CA |
289 |
5% |
17 |
13 |
30 |
| FI |
25: United Government Serv, LL |
1: Hospital |
01 |
ZZ |
42 |
1% |
3 |
0 |
3 |
| FI |
25: United Government Serv, LL |
1: Hospital |
06 |
WI |
184 |
3% |
11 |
19 |
30 |
| FI |
25: United Government Serv, LL |
1: Hospital |
08 |
MI |
191 |
3% |
11 |
19 |
30 |
| FI |
25: United Government Serv, LL |
1: Hospital |
11 |
VA |
114 |
2% |
7 |
23 |
30 |
| FI |
25: United Government Serv, LL |
1: Hospital |
11 |
WV |
56 |
1% |
3 |
27 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
01 |
CA |
451 |
8% |
27 |
3 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
01 |
ZZ |
41 |
1% |
2 |
0 |
2 |
| FI |
25: United Government Serv, LL |
2: SNF |
05 |
ZZ |
68 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
06 |
WI |
324 |
5% |
19 |
11 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
06 |
ZZ |
40 |
1% |
2 |
0 |
2 |
| FI |
25: United Government Serv, LL |
2: SNF |
08 |
MI |
275 |
5% |
16 |
14 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
08 |
ZZ |
44 |
1% |
3 |
0 |
3 |
| FI |
25: United Government Serv, LL |
2: SNF |
11 |
VA |
194 |
3% |
12 |
18 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
11 |
WV |
89 |
1% |
5 |
25 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
11 |
ZZ |
15 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
2: SNF |
12 |
PA |
65 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
2: SNF |
12 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| FI |
25: United Government Serv, LL |
2: SNF |
99 |
ZZ |
219 |
4% |
13 |
0 |
13 |
| FI |
25: United Government Serv, LL |
3: RHC |
01 |
CA |
89 |
1% |
5 |
25 |
30 |
| FI |
25: United Government Serv, LL |
3: RHC |
01 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| FI |
25: United Government Serv, LL |
3: RHC |
08 |
MI |
69 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
3: RHC |
08 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| FI |
25: United Government Serv, LL |
3: RHC |
99 |
ZZ |
60 |
1% |
4 |
0 |
4 |
| FI |
25: United Government Serv, LL |
4: ESRD |
01 |
CA |
186 |
3% |
11 |
19 |
30 |
| FI |
25: United Government Serv, LL |
4: ESRD |
01 |
ZZ |
17 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
4: ESRD |
06 |
ZZ |
68 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
4: ESRD |
08 |
ZZ |
54 |
1% |
3 |
27 |
30 |
| FI |
25: United Government Serv, LL |
4: ESRD |
11 |
ZZ |
57 |
1% |
3 |
27 |
30 |
| FI |
25: United Government Serv, LL |
4: ESRD |
99 |
ZZ |
152 |
3% |
9 |
0 |
9 |
| FI |
25: United Government Serv, LL |
5: FQHC |
01 |
CA |
341 |
6% |
20 |
10 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
01 |
ZZ |
38 |
1% |
2 |
0 |
2 |
| FI |
25: United Government Serv, LL |
5: FQHC |
02 |
WA |
78 |
1% |
5 |
25 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
02 |
ZZ |
89 |
1% |
5 |
0 |
5 |
| FI |
25: United Government Serv, LL |
5: FQHC |
03 |
ZZ |
117 |
2% |
7 |
23 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
04 |
CO |
58 |
1% |
3 |
27 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
04 |
NM |
85 |
1% |
5 |
25 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
04 |
TX |
117 |
2% |
7 |
23 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
04 |
ZZ |
22 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
5: FQHC |
05 |
MO |
64 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
05 |
ZZ |
42 |
1% |
3 |
0 |
3 |
| FI |
25: United Government Serv, LL |
5: FQHC |
06 |
IL |
154 |
3% |
9 |
21 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
06 |
ZZ |
36 |
1% |
2 |
0 |
2 |
| FI |
25: United Government Serv, LL |
5: FQHC |
07 |
MS |
73 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
07 |
ZZ |
85 |
1% |
5 |
0 |
5 |
| FI |
25: United Government Serv, LL |
5: FQHC |
08 |
MI |
78 |
1% |
5 |
25 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
08 |
ZZ |
23 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
5: FQHC |
09 |
FL |
97 |
2% |
6 |
24 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
09 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| FI |
25: United Government Serv, LL |
5: FQHC |
10 |
AL |
71 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
10 |
GA |
64 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
10 |
TN |
68 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
11 |
NC |
72 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
11 |
SC |
58 |
1% |
3 |
27 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
11 |
VA |
53 |
1% |
3 |
27 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
11 |
WV |
75 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
12 |
PA |
118 |
2% |
7 |
23 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
12 |
ZZ |
89 |
1% |
5 |
0 |
5 |
| FI |
25: United Government Serv, LL |
5: FQHC |
13 |
NY |
82 |
1% |
5 |
25 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
13 |
ZZ |
17 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
5: FQHC |
14 |
ZZ |
138 |
2% |
8 |
22 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
15 |
OH |
74 |
1% |
4 |
26 |
30 |
| FI |
25: United Government Serv, LL |
5: FQHC |
15 |
ZZ |
39 |
1% |
2 |
0 |
2 |
| FI |
25: United Government Serv, LL |
8: Other |
01 |
CA |
147 |
2% |
9 |
0 |
9 |
| FI |
25: United Government Serv, LL |
8: Other |
01 |
ZZ |
13 |
0% |
1 |
0 |
1 |
| FI |
25: United Government Serv, LL |
8: Other |
06 |
ZZ |
93 |
2% |
6 |
0 |
6 |
| FI |
25: United Government Serv, LL |
8: Other |
08 |
MI |
264 |
4% |
16 |
0 |
16 |
| FI |
25: United Government Serv, LL |
8: Other |
11 |
VA |
72 |
1% |
4 |
0 |
4 |
| FI |
25: United Government Serv, LL |
8: Other |
11 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| FI |
25: United Government Serv, LL |
8: Other |
99 |
ZZ |
20 |
0% |
1 |
0 |
1 |
| FI |
26: Highmark Medicare Service |
1: Hospital |
12 |
MD |
72 |
16% |
16 |
14 |
30 |
| FI |
26: Highmark Medicare Service |
1: Hospital |
12 |
PA |
190 |
43% |
42 |
0 |
42 |
| FI |
26: Highmark Medicare Service |
1: Hospital |
12 |
ZZ |
11 |
3% |
2 |
0 |
2 |
| FI |
26: Highmark Medicare Service |
1: Hospital |
99 |
ZZ |
16 |
4% |
4 |
0 |
4 |
| FI |
26: Highmark Medicare Service |
2: SNF |
04 |
ZZ |
66 |
15% |
15 |
15 |
30 |
| FI |
26: Highmark Medicare Service |
2: SNF |
09 |
FL |
56 |
13% |
13 |
17 |
30 |
| FI |
26: Highmark Medicare Service |
2: SNF |
12 |
MD |
104 |
24% |
23 |
7 |
30 |
| FI |
26: Highmark Medicare Service |
2: SNF |
12 |
PA |
553 |
127% |
124 |
0 |
124 |
| FI |
26: Highmark Medicare Service |
2: SNF |
12 |
ZZ |
43 |
10% |
10 |
0 |
10 |
| FI |
26: Highmark Medicare Service |
2: SNF |
99 |
ZZ |
249 |
57% |
56 |
0 |
56 |
| FI |
26: Highmark Medicare Service |
3: RHC |
11 |
ZZ |
79 |
18% |
18 |
12 |
30 |
| FI |
26: Highmark Medicare Service |
3: RHC |
99 |
ZZ |
48 |
11% |
11 |
0 |
11 |
| FI |
26: Highmark Medicare Service |
4: ESRD |
12 |
ZZ |
69 |
16% |
15 |
15 |
30 |
| FI |
26: Highmark Medicare Service |
4: ESRD |
99 |
ZZ |
13 |
3% |
3 |
0 |
3 |
| FI |
26: Highmark Medicare Service |
8: Other |
12 |
PA |
133 |
30% |
30 |
0 |
30 |
| FI |
26: Highmark Medicare Service |
8: Other |
12 |
ZZ |
64 |
15% |
14 |
0 |
14 |
| FI |
26: Highmark Medicare Service |
8: Other |
99 |
ZZ |
23 |
5% |
5 |
0 |
5 |
| FI A MAC |
27: Noridian - J3 |
1: Hospital |
01 |
CA |
1 |
0% |
1 |
0 |
1 |
| FI A MAC |
27: Noridian - J3 |
1: Hospital |
03 |
AZ |
57 |
12% |
31 |
0 |
31 |
| FI A MAC |
27: Noridian - J3 |
1: Hospital |
03 |
MT |
68 |
14% |
37 |
0 |
37 |
| FI A MAC |
27: Noridian - J3 |
1: Hospital |
03 |
WY |
27 |
5% |
15 |
0 |
15 |
| FI A MAC |
27: Noridian - J3 |
2: SNF |
03 |
AZ |
49 |
10% |
27 |
0 |
27 |
| FI A MAC |
27: Noridian - J3 |
2: SNF |
03 |
MT |
76 |
15% |
42 |
0 |
42 |
| FI A MAC |
27: Noridian - J3 |
2: SNF |
03 |
WY |
17 |
3% |
9 |
0 |
9 |
| FI A MAC |
27: Noridian - J3 |
2: SNF |
04 |
TX |
14 |
3% |
8 |
0 |
8 |
| FI A MAC |
27: Noridian - J3 |
3: RHC |
03 |
AZ |
10 |
2% |
6 |
0 |
6 |
| FI A MAC |
27: Noridian - J3 |
3: RHC |
03 |
MT |
37 |
7% |
20 |
0 |
20 |
| FI A MAC |
27: Noridian - J3 |
3: RHC |
03 |
WY |
9 |
2% |
5 |
0 |
5 |
| FI A MAC |
27: Noridian - J3 |
4: ESRD |
03 |
AZ |
40 |
8% |
22 |
0 |
22 |
| FI A MAC |
27: Noridian - J3 |
4: ESRD |
03 |
MT |
2 |
0% |
1 |
0 |
1 |
| FI A MAC |
27: Noridian - J3 |
4: ESRD |
03 |
WY |
1 |
0% |
1 |
0 |
1 |
| FI A MAC |
27: Noridian - J3 |
8: Other |
01 |
NV |
1 |
0% |
1 |
0 |
1 |
| FI A MAC |
27: Noridian - J3 |
8: Other |
03 |
AZ |
23 |
5% |
13 |
0 |
13 |
| FI A MAC |
27: Noridian - J3 |
8: Other |
03 |
MT |
4 |
1% |
2 |
0 |
2 |
| FI A MAC |
27: Noridian - J3 |
8: Other |
03 |
WY |
2 |
0% |
1 |
0 |
1 |
| FI Subtotals |
|
|
|
|
35,316 |
|
6,326 |
2,258 |
8,584 |
|
|
|
|
|
|
|
|
|
|
| Carrier |
40: AdminaStar Federal |
09: Physician |
08 |
IN |
3,460 |
34% |
134 |
0 |
134 |
| Carrier |
40: AdminaStar Federal |
09: Physician |
15 |
KY |
2,878 |
28% |
112 |
0 |
112 |
| Carrier |
40: AdminaStar Federal |
09: Physician |
15 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
40: AdminaStar Federal |
09: Physician |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
40: AdminaStar Federal |
10: Licen Pra |
08 |
IN |
2,056 |
20% |
80 |
0 |
80 |
| Carrier |
40: AdminaStar Federal |
10: Licen Pra |
15 |
KY |
1,298 |
13% |
50 |
0 |
50 |
| Carrier |
40: AdminaStar Federal |
10: Licen Pra |
15 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
40: AdminaStar Federal |
10: Licen Pra |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
40: AdminaStar Federal |
11: Ambulance |
08 |
IN |
223 |
2% |
9 |
21 |
30 |
| Carrier |
40: AdminaStar Federal |
11: Ambulance |
15 |
KY |
166 |
2% |
6 |
24 |
30 |
| Carrier |
40: AdminaStar Federal |
12: Lab |
99 |
ZZ |
50 |
0% |
2 |
28 |
30 |
| Carrier |
40: AdminaStar Federal |
13: Other |
08 |
IN |
81 |
1% |
3 |
0 |
3 |
| Carrier |
40: AdminaStar Federal |
13: Other |
15 |
KY |
80 |
1% |
3 |
0 |
3 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
04 |
NM |
1,025 |
5% |
19 |
11 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
04 |
OK |
2,537 |
12% |
47 |
0 |
47 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
04 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
05 |
MO |
2,659 |
12% |
49 |
0 |
49 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
05 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
07 |
AR |
2,007 |
9% |
37 |
0 |
37 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
07 |
LA |
4,189 |
19% |
77 |
0 |
77 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
14 |
RI |
1,012 |
5% |
19 |
11 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
09: Physician |
99 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
04 |
NM |
739 |
3% |
14 |
16 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
04 |
OK |
1,386 |
6% |
26 |
4 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
05 |
MO |
1,825 |
8% |
34 |
0 |
34 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
05 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
07 |
AR |
1,095 |
5% |
20 |
10 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
07 |
LA |
1,445 |
7% |
27 |
3 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
10: Licen Pra |
14 |
RI |
655 |
3% |
12 |
18 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
04 |
NM |
63 |
0% |
1 |
29 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
04 |
OK |
125 |
1% |
2 |
28 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
05 |
MO |
109 |
1% |
2 |
28 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
07 |
AR |
89 |
0% |
2 |
28 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
07 |
ZZ |
40 |
0% |
1 |
0 |
1 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
14 |
RI |
57 |
0% |
1 |
29 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
11: Ambulance |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
41: P B S/BCBS Arkansas |
12: Lab |
99 |
ZZ |
87 |
0% |
2 |
28 |
30 |
| Carrier |
41: P B S/BCBS Arkansas |
13: Other |
04 |
OK |
94 |
0% |
2 |
0 |
2 |
| Carrier |
41: P B S/BCBS Arkansas |
13: Other |
04 |
ZZ |
27 |
0% |
0 |
0 |
0 |
| Carrier |
41: P B S/BCBS Arkansas |
13: Other |
05 |
MO |
149 |
1% |
3 |
0 |
3 |
| Carrier |
41: P B S/BCBS Arkansas |
13: Other |
07 |
AR |
67 |
0% |
1 |
0 |
1 |
| Carrier |
41: P B S/BCBS Arkansas |
13: Other |
07 |
LA |
135 |
1% |
2 |
0 |
2 |
| Carrier |
41: P B S/BCBS Arkansas |
13: Other |
99 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| Carrier |
42: Cahaba GBA |
09: Physician |
07 |
MS |
1,949 |
12% |
49 |
0 |
49 |
| Carrier |
42: Cahaba GBA |
09: Physician |
07 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
42: Cahaba GBA |
09: Physician |
10 |
AL |
2,964 |
19% |
75 |
0 |
75 |
| Carrier |
42: Cahaba GBA |
09: Physician |
10 |
GA |
5,577 |
35% |
141 |
0 |
141 |
| Carrier |
42: Cahaba GBA |
09: Physician |
10 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| Carrier |
42: Cahaba GBA |
09: Physician |
99 |
ZZ |
8 |
0% |
0 |
0 |
0 |
| Carrier |
42: Cahaba GBA |
10: Licen Pra |
07 |
MS |
755 |
5% |
19 |
11 |
30 |
| Carrier |
42: Cahaba GBA |
10: Licen Pra |
10 |
AL |
1,173 |
7% |
30 |
0 |
30 |
| Carrier |
42: Cahaba GBA |
10: Licen Pra |
10 |
GA |
2,653 |
17% |
67 |
0 |
67 |
| Carrier |
42: Cahaba GBA |
10: Licen Pra |
10 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
42: Cahaba GBA |
10: Licen Pra |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
42: Cahaba GBA |
11: Ambulance |
10 |
AL |
128 |
1% |
3 |
27 |
30 |
| Carrier |
42: Cahaba GBA |
11: Ambulance |
10 |
GA |
157 |
1% |
4 |
26 |
30 |
| Carrier |
42: Cahaba GBA |
11: Ambulance |
99 |
ZZ |
30 |
0% |
1 |
0 |
1 |
| Carrier |
42: Cahaba GBA |
12: Lab |
99 |
ZZ |
60 |
0% |
2 |
28 |
30 |
| Carrier |
42: Cahaba GBA |
13: Other |
07 |
MS |
56 |
0% |
1 |
0 |
1 |
| Carrier |
42: Cahaba GBA |
13: Other |
10 |
AL |
115 |
1% |
3 |
0 |
3 |
| Carrier |
42: Cahaba GBA |
13: Other |
10 |
GA |
221 |
1% |
6 |
0 |
6 |
| Carrier |
42: Cahaba GBA |
13: Other |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
43: First Coast S O |
09: Physician |
09 |
FL |
17,512 |
56% |
224 |
0 |
224 |
| Carrier |
43: First Coast S O |
09: Physician |
13 |
CT |
2,881 |
9% |
37 |
0 |
37 |
| Carrier |
43: First Coast S O |
09: Physician |
13 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
43: First Coast S O |
09: Physician |
99 |
ZZ |
11 |
0% |
0 |
0 |
0 |
| Carrier |
43: First Coast S O |
10: Licen Pra |
09 |
FL |
7,585 |
24% |
97 |
0 |
97 |
| Carrier |
43: First Coast S O |
10: Licen Pra |
13 |
CT |
2,068 |
7% |
26 |
4 |
30 |
| Carrier |
43: First Coast S O |
10: Licen Pra |
13 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
43: First Coast S O |
10: Licen Pra |
99 |
ZZ |
4 |
0% |
0 |
0 |
0 |
| Carrier |
43: First Coast S O |
11: Ambulance |
09 |
FL |
166 |
1% |
2 |
28 |
30 |
| Carrier |
43: First Coast S O |
11: Ambulance |
13 |
CT |
130 |
0% |
2 |
28 |
30 |
| Carrier |
43: First Coast S O |
12: Lab |
09 |
FL |
123 |
0% |
2 |
28 |
30 |
| Carrier |
43: First Coast S O |
12: Lab |
99 |
ZZ |
14 |
0% |
0 |
0 |
0 |
| Carrier |
43: First Coast S O |
13: Other |
09 |
FL |
704 |
2% |
9 |
0 |
9 |
| Carrier |
43: First Coast S O |
13: Other |
13 |
CT |
57 |
0% |
1 |
0 |
1 |
| Carrier |
43: First Coast S O |
13: Other |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
44: BCBS, Kansas |
09: Physician |
05 |
KS |
1,643 |
46% |
184 |
0 |
184 |
| Carrier |
44: BCBS, Kansas |
09: Physician |
05 |
ZZ |
11 |
0% |
1 |
0 |
1 |
| Carrier |
44: BCBS, Kansas |
09: Physician |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
44: BCBS, Kansas |
10: Licen Pra |
05 |
KS |
1,636 |
46% |
183 |
0 |
183 |
| Carrier |
44: BCBS, Kansas |
10: Licen Pra |
05 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
44: BCBS, Kansas |
10: Licen Pra |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
44: BCBS, Kansas |
11: Ambulance |
05 |
KS |
134 |
4% |
15 |
15 |
30 |
| Carrier |
44: BCBS, Kansas |
13: Other |
05 |
KS |
135 |
4% |
15 |
0 |
15 |
| Carrier |
44: BCBS, Kansas |
13: Other |
05 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
01 |
CA |
1,122 |
4% |
14 |
16 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
01 |
HI |
223 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
01 |
NV |
917 |
3% |
12 |
18 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
02 |
AK |
147 |
0% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
02 |
OR |
1,317 |
4% |
17 |
13 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
02 |
WA |
1,841 |
6% |
24 |
6 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
02 |
ZZ |
47 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
03 |
AZ |
2,435 |
8% |
31 |
0 |
31 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
03 |
UT |
70 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
03 |
ZZ |
42 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
04 |
CO |
69 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
04 |
NM |
77 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
04 |
OK |
231 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
04 |
TX |
745 |
2% |
10 |
20 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
05 |
IA |
769 |
2% |
10 |
20 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
05 |
KS |
55 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
05 |
MO |
646 |
2% |
8 |
22 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
05 |
NE |
681 |
2% |
9 |
21 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
06 |
IL |
275 |
1% |
4 |
26 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
06 |
ZZ |
46 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
07 |
AR |
89 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
07 |
LA |
311 |
1% |
4 |
26 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
07 |
MS |
158 |
1% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
08 |
IN |
264 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
08 |
MI |
298 |
1% |
4 |
26 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
09 |
FL |
679 |
2% |
9 |
21 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
09 |
ZZ |
9 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
10 |
GA |
178 |
1% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
10 |
TN |
173 |
1% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
10 |
ZZ |
43 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
11 |
NC |
99 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
11 |
SC |
93 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
11 |
VA |
629 |
2% |
8 |
22 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
11 |
WV |
1,086 |
3% |
14 |
16 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
12 |
DC |
263 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
12 |
DE |
504 |
2% |
6 |
24 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
12 |
MD |
911 |
3% |
12 |
18 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
12 |
NJ |
424 |
1% |
5 |
25 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
12 |
PA |
828 |
3% |
11 |
19 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
13 |
CT |
111 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
13 |
NY |
1,063 |
3% |
14 |
16 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
14 |
MA |
294 |
1% |
4 |
26 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
14 |
ME |
584 |
2% |
7 |
23 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
14 |
NH |
363 |
1% |
5 |
25 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
14 |
RI |
60 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
14 |
VT |
251 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
15 |
KY |
120 |
0% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
09: Physician |
15 |
OH |
394 |
1% |
5 |
25 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
01 |
CA |
278 |
1% |
4 |
26 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
01 |
NV |
209 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
01 |
ZZ |
26 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
02 |
OR |
437 |
1% |
6 |
24 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
02 |
WA |
908 |
3% |
12 |
18 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
02 |
ZZ |
63 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
03 |
AZ |
613 |
2% |
8 |
22 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
03 |
UT |
59 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
03 |
ZZ |
66 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
04 |
OK |
57 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
04 |
TX |
232 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
04 |
ZZ |
85 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
05 |
IA |
613 |
2% |
8 |
22 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
05 |
KS |
68 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
05 |
MO |
357 |
1% |
5 |
25 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
05 |
NE |
388 |
1% |
5 |
25 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
06 |
IL |
177 |
1% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
06 |
MN |
59 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
06 |
ZZ |
41 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
07 |
LA |
55 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
07 |
MS |
59 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
07 |
ZZ |
40 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
08 |
IN |
136 |
0% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
08 |
MI |
137 |
0% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
09 |
FL |
182 |
1% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
10 |
GA |
56 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
10 |
TN |
75 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
10 |
ZZ |
23 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
11 |
VA |
111 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
11 |
WV |
262 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
11 |
ZZ |
89 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
12 |
DE |
95 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
12 |
MD |
126 |
0% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
12 |
NJ |
157 |
1% |
2 |
28 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
12 |
PA |
467 |
1% |
6 |
24 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
12 |
ZZ |
31 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
13 |
NY |
285 |
1% |
4 |
26 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
13 |
ZZ |
20 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
14 |
MA |
99 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
14 |
ME |
227 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
14 |
NH |
102 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
14 |
VT |
71 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
14 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
15 |
KY |
62 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
10: Licen Pra |
15 |
OH |
228 |
1% |
3 |
27 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
02 |
OR |
61 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
02 |
WA |
84 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
02 |
ZZ |
8 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
03 |
AZ |
60 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
03 |
ZZ |
8 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
05 |
IA |
108 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
05 |
NE |
84 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
05 |
ZZ |
55 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
11 |
WV |
98 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
11 |
ZZ |
11 |
0% |
0 |
0 |
0 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
12 |
ZZ |
66 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
14 |
ME |
65 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
14 |
ZZ |
83 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
11: Ambulance |
99 |
ZZ |
87 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
12: Lab |
99 |
ZZ |
103 |
0% |
1 |
29 |
30 |
| Carrier |
46: Palmetto GBA RRB |
13: Other |
02 |
WA |
59 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
13: Other |
02 |
ZZ |
40 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
13: Other |
05 |
ZZ |
65 |
0% |
1 |
0 |
1 |
| Carrier |
46: Palmetto GBA RRB |
13: Other |
99 |
ZZ |
180 |
1% |
2 |
0 |
2 |
| Carrier |
47: Palmetto GBA |
09: Physician |
11 |
SC |
2,307 |
14% |
57 |
0 |
57 |
| Carrier |
47: Palmetto GBA |
09: Physician |
11 |
ZZ |
14 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
09: Physician |
15 |
OH |
7,430 |
46% |
182 |
0 |
182 |
| Carrier |
47: Palmetto GBA |
09: Physician |
15 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
09: Physician |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
10: Licen Pra |
11 |
SC |
1,313 |
8% |
32 |
0 |
32 |
| Carrier |
47: Palmetto GBA |
10: Licen Pra |
11 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
10: Licen Pra |
15 |
OH |
4,044 |
25% |
99 |
0 |
99 |
| Carrier |
47: Palmetto GBA |
10: Licen Pra |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
11: Ambulance |
11 |
SC |
110 |
1% |
3 |
27 |
30 |
| Carrier |
47: Palmetto GBA |
11: Ambulance |
15 |
OH |
697 |
4% |
17 |
13 |
30 |
| Carrier |
47: Palmetto GBA |
11: Ambulance |
99 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
13: Other |
11 |
SC |
69 |
0% |
2 |
0 |
2 |
| Carrier |
47: Palmetto GBA |
13: Other |
11 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
47: Palmetto GBA |
13: Other |
15 |
OH |
323 |
2% |
8 |
0 |
8 |
| Carrier |
48: CIGNA Gov Serv |
09: Physician |
02 |
ID |
1,081 |
7% |
26 |
4 |
30 |
| Carrier |
48: CIGNA Gov Serv |
09: Physician |
02 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
48: CIGNA Gov Serv |
09: Physician |
10 |
TN |
4,346 |
27% |
106 |
0 |
106 |
| Carrier |
48: CIGNA Gov Serv |
09: Physician |
11 |
NC |
4,537 |
28% |
111 |
0 |
111 |
| Carrier |
48: CIGNA Gov Serv |
09: Physician |
11 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
48: CIGNA Gov Serv |
09: Physician |
99 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| Carrier |
48: CIGNA Gov Serv |
10: Licen Pra |
02 |
ID |
787 |
5% |
19 |
11 |
30 |
| Carrier |
48: CIGNA Gov Serv |
10: Licen Pra |
10 |
TN |
2,268 |
14% |
55 |
0 |
55 |
| Carrier |
48: CIGNA Gov Serv |
10: Licen Pra |
11 |
NC |
2,670 |
16% |
65 |
0 |
65 |
| Carrier |
48: CIGNA Gov Serv |
10: Licen Pra |
11 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
48: CIGNA Gov Serv |
10: Licen Pra |
99 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| Carrier |
48: CIGNA Gov Serv |
11: Ambulance |
02 |
ID |
69 |
0% |
2 |
28 |
30 |
| Carrier |
48: CIGNA Gov Serv |
11: Ambulance |
10 |
TN |
102 |
1% |
2 |
28 |
30 |
| Carrier |
48: CIGNA Gov Serv |
11: Ambulance |
11 |
NC |
173 |
1% |
4 |
26 |
30 |
| Carrier |
48: CIGNA Gov Serv |
11: Ambulance |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
48: CIGNA Gov Serv |
12: Lab |
99 |
ZZ |
61 |
0% |
1 |
29 |
30 |
| Carrier |
48: CIGNA Gov Serv |
13: Other |
10 |
TN |
116 |
1% |
3 |
0 |
3 |
| Carrier |
48: CIGNA Gov Serv |
13: Other |
11 |
NC |
120 |
1% |
3 |
0 |
3 |
| Carrier |
48: CIGNA Gov Serv |
13: Other |
99 |
ZZ |
31 |
0% |
1 |
0 |
1 |
| Carrier |
49: Empire Medical S |
09: Physician |
12 |
NJ |
10,444 |
22% |
87 |
0 |
87 |
| Carrier |
49: Empire Medical S |
09: Physician |
12 |
ZZ |
10 |
0% |
0 |
0 |
0 |
| Carrier |
49: Empire Medical S |
09: Physician |
13 |
NY |
19,847 |
41% |
165 |
0 |
165 |
| Carrier |
49: Empire Medical S |
09: Physician |
13 |
ZZ |
9 |
0% |
0 |
0 |
0 |
| Carrier |
49: Empire Medical S |
09: Physician |
99 |
ZZ |
9 |
0% |
0 |
0 |
0 |
| Carrier |
49: Empire Medical S |
10: Licen Pra |
12 |
NJ |
6,473 |
13% |
54 |
0 |
54 |
| Carrier |
49: Empire Medical S |
10: Licen Pra |
12 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| Carrier |
49: Empire Medical S |
10: Licen Pra |
13 |
NY |
10,741 |
22% |
89 |
0 |
89 |
| Carrier |
49: Empire Medical S |
10: Licen Pra |
13 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
49: Empire Medical S |
10: Licen Pra |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
49: Empire Medical S |
11: Ambulance |
12 |
NJ |
180 |
0% |
1 |
29 |
30 |
| Carrier |
49: Empire Medical S |
11: Ambulance |
13 |
NY |
134 |
0% |
1 |
29 |
30 |
| Carrier |
49: Empire Medical S |
12: Lab |
99 |
ZZ |
105 |
0% |
1 |
29 |
30 |
| Carrier |
49: Empire Medical S |
13: Other |
12 |
NJ |
182 |
0% |
2 |
0 |
2 |
| Carrier |
49: Empire Medical S |
13: Other |
99 |
ZZ |
40 |
0% |
0 |
0 |
0 |
| Carrier |
50: GHI Carrier Serv |
09: Physician |
13 |
NY |
2,554 |
71% |
282 |
0 |
282 |
| Carrier |
50: GHI Carrier Serv |
10: Licen Pra |
13 |
NY |
1,028 |
28% |
114 |
0 |
114 |
| Carrier |
50: GHI Carrier Serv |
13: Other |
99 |
ZZ |
39 |
1% |
4 |
0 |
4 |
| Carrier |
51: HealthNow NY |
09: Physician |
13 |
NY |
4,112 |
55% |
220 |
0 |
220 |
| Carrier |
51: HealthNow NY |
09: Physician |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
51: HealthNow NY |
10: Licen Pra |
13 |
NY |
3,051 |
41% |
163 |
0 |
163 |
| Carrier |
51: HealthNow NY |
10: Licen Pra |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
51: HealthNow NY |
11: Ambulance |
13 |
NY |
253 |
3% |
14 |
16 |
30 |
| Carrier |
51: HealthNow NY |
11: Ambulance |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
51: HealthNow NY |
13: Other |
13 |
NY |
59 |
1% |
3 |
0 |
3 |
| Carrier |
52: HGSAdmin (Highmark) |
09: Physician |
12 |
PA |
8,932 |
52% |
209 |
0 |
209 |
| Carrier |
52: HGSAdmin (Highmark) |
09: Physician |
12 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| Carrier |
52: HGSAdmin (Highmark) |
09: Physician |
99 |
ZZ |
12 |
0% |
0 |
0 |
0 |
| Carrier |
52: HGSAdmin (Highmark) |
10: Licen Pra |
12 |
PA |
7,026 |
41% |
165 |
0 |
165 |
| Carrier |
52: HGSAdmin (Highmark) |
10: Licen Pra |
12 |
ZZ |
6 |
0% |
0 |
0 |
0 |
| Carrier |
52: HGSAdmin (Highmark) |
10: Licen Pra |
99 |
ZZ |
8 |
0% |
0 |
0 |
0 |
| Carrier |
52: HGSAdmin (Highmark) |
11: Ambulance |
12 |
PA |
888 |
5% |
21 |
9 |
30 |
| Carrier |
52: HGSAdmin (Highmark) |
13: Other |
12 |
PA |
192 |
1% |
4 |
0 |
4 |
| Carrier |
52: HGSAdmin (Highmark) |
12: Lab |
99 |
ZZ |
4 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
09: Physician |
01 |
CA |
28,424 |
43% |
171 |
0 |
171 |
| Carrier |
53: NHIC |
09: Physician |
01 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
09: Physician |
14 |
MA |
13,389 |
20% |
81 |
0 |
81 |
| Carrier |
53: NHIC |
09: Physician |
14 |
ZZ |
5 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
09: Physician |
99 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
10: Licen Pra |
01 |
CA |
15,082 |
23% |
91 |
0 |
91 |
| Carrier |
53: NHIC |
10: Licen Pra |
14 |
MA |
7,835 |
12% |
47 |
0 |
47 |
| Carrier |
53: NHIC |
10: Licen Pra |
14 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
10: Licen Pra |
99 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
11: Ambulance |
01 |
CA |
257 |
0% |
2 |
28 |
30 |
| Carrier |
53: NHIC |
11: Ambulance |
14 |
MA |
268 |
0% |
2 |
28 |
30 |
| Carrier |
53: NHIC |
12: Lab |
01 |
CA |
206 |
0% |
1 |
29 |
30 |
| Carrier |
53: NHIC |
12: Lab |
99 |
ZZ |
37 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
13: Other |
01 |
CA |
699 |
1% |
4 |
0 |
4 |
| Carrier |
53: NHIC |
13: Other |
14 |
MA |
110 |
0% |
1 |
0 |
1 |
| Carrier |
53: NHIC |
13: Other |
14 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
53: NHIC |
13: Other |
99 |
ZZ |
8 |
0% |
0 |
0 |
0 |
| Carrier |
54: Noridian MIC |
09: Physician |
03 |
ND |
225 |
3% |
12 |
18 |
30 |
| Carrier |
54: Noridian MIC |
09: Physician |
03 |
SD |
385 |
5% |
20 |
10 |
30 |
| Carrier |
54: Noridian MIC |
09: Physician |
03 |
WY |
419 |
6% |
22 |
8 |
30 |
| Carrier |
54: Noridian MIC |
09: Physician |
03 |
ZZ |
5 |
0% |
0 |
0 |
0 |
| Carrier |
54: Noridian MIC |
09: Physician |
04 |
CO |
2,888 |
38% |
152 |
0 |
152 |
| Carrier |
54: Noridian MIC |
09: Physician |
99 |
ZZ |
5 |
0% |
0 |
0 |
0 |
| Carrier |
54: Noridian MIC |
10: Licen Pra |
03 |
ND |
318 |
4% |
17 |
13 |
30 |
| Carrier |
54: Noridian MIC |
10: Licen Pra |
03 |
SD |
423 |
6% |
22 |
8 |
30 |
| Carrier |
54: Noridian MIC |
10: Licen Pra |
03 |
WY |
281 |
4% |
15 |
15 |
30 |
| Carrier |
54: Noridian MIC |
10: Licen Pra |
04 |
CO |
2,045 |
27% |
108 |
0 |
108 |
| Carrier |
54: Noridian MIC |
10: Licen Pra |
04 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
54: Noridian MIC |
10: Licen Pra |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
54: Noridian MIC |
11: Ambulance |
03 |
ND |
112 |
1% |
6 |
24 |
30 |
| Carrier |
54: Noridian MIC |
11: Ambulance |
03 |
SD |
102 |
1% |
5 |
25 |
30 |
| Carrier |
54: Noridian MIC |
11: Ambulance |
03 |
ZZ |
26 |
0% |
1 |
0 |
1 |
| Carrier |
54: Noridian MIC |
11: Ambulance |
04 |
CO |
142 |
2% |
7 |
23 |
30 |
| Carrier |
54: Noridian MIC |
11: Ambulance |
04 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
54: Noridian MIC |
13: Other |
03 |
ZZ |
86 |
1% |
5 |
0 |
5 |
| Carrier |
54: Noridian MIC |
13: Other |
04 |
CO |
122 |
2% |
6 |
0 |
6 |
| Carrier |
54: Noridian MIC |
13: Other |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
04 |
TX |
15,559 |
46% |
186 |
0 |
186 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
04 |
ZZ |
37 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
11 |
VA |
3,077 |
9% |
37 |
0 |
37 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
11 |
ZZ |
5 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
12 |
MD |
3,165 |
9% |
38 |
0 |
38 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
12 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
09: Physician |
99 |
ZZ |
67 |
0% |
1 |
0 |
1 |
| Carrier |
56: Trailblazer, Part B |
10: Licen Pra |
04 |
TX |
6,480 |
19% |
77 |
0 |
77 |
| Carrier |
56: Trailblazer, Part B |
10: Licen Pra |
11 |
VA |
1,938 |
6% |
23 |
7 |
30 |
| Carrier |
56: Trailblazer, Part B |
10: Licen Pra |
12 |
MD |
1,425 |
4% |
17 |
13 |
30 |
| Carrier |
56: Trailblazer, Part B |
10: Licen Pra |
12 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
10: Licen Pra |
99 |
ZZ |
5 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
11: Ambulance |
04 |
TX |
698 |
2% |
8 |
22 |
30 |
| Carrier |
56: Trailblazer, Part B |
11: Ambulance |
04 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
11: Ambulance |
11 |
VA |
128 |
0% |
2 |
28 |
30 |
| Carrier |
56: Trailblazer, Part B |
11: Ambulance |
12 |
MD |
122 |
0% |
1 |
29 |
30 |
| Carrier |
56: Trailblazer, Part B |
12: Lab |
04 |
TX |
131 |
0% |
2 |
28 |
30 |
| Carrier |
56: Trailblazer, Part B |
12: Lab |
99 |
ZZ |
39 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
13: Other |
04 |
TX |
530 |
2% |
6 |
0 |
6 |
| Carrier |
56: Trailblazer, Part B |
13: Other |
04 |
ZZ |
3 |
0% |
0 |
0 |
0 |
| Carrier |
56: Trailblazer, Part B |
13: Other |
11 |
VA |
64 |
0% |
1 |
0 |
1 |
| Carrier |
56: Trailblazer, Part B |
13: Other |
99 |
ZZ |
61 |
0% |
1 |
0 |
1 |
| Carrier |
57: Triple S, Inc. |
09: Physician |
09 |
PR |
5,681 |
79% |
317 |
0 |
317 |
| Carrier |
57: Triple S, Inc. |
09: Physician |
09 |
VI |
116 |
2% |
6 |
24 |
30 |
| Carrier |
57: Triple S, Inc. |
09: Physician |
99 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
57: Triple S, Inc. |
10: Licen Pra |
09 |
PR |
587 |
8% |
33 |
0 |
33 |
| Carrier |
57: Triple S, Inc. |
10: Licen Pra |
09 |
ZZ |
21 |
0% |
1 |
0 |
1 |
| Carrier |
57: Triple S, Inc. |
11: Ambulance |
09 |
PR |
170 |
2% |
9 |
21 |
30 |
| Carrier |
57: Triple S, Inc. |
11: Ambulance |
09 |
ZZ |
2 |
0% |
0 |
0 |
0 |
| Carrier |
57: Triple S, Inc. |
12: Lab |
09 |
PR |
550 |
8% |
31 |
0 |
31 |
| Carrier |
57: Triple S, Inc. |
12: Lab |
09 |
ZZ |
7 |
0% |
0 |
0 |
0 |
| Carrier |
57: Triple S, Inc. |
13: Other |
99 |
ZZ |
37 |
1% |
2 |
0 |
2 |
| Carrier |
58: Wisconsin Phy Serv |
09: Physician |
06 |
IL |
8,507 |
25% |
98 |
0 |
98 |
| Carrier |
58: Wisconsin Phy Serv |
09: Physician |
06 |
MN |
1,099 |
3% |
13 |
17 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
09: Physician |
06 |
WI |
2,085 |
6% |
24 |
6 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
09: Physician |
08 |
MI |
7,205 |
21% |
83 |
0 |
83 |
| Carrier |
58: Wisconsin Phy Serv |
09: Physician |
99 |
ZZ |
9 |
0% |
0 |
0 |
0 |
| Carrier |
58: Wisconsin Phy Serv |
10: Licen Pra |
06 |
IL |
5,036 |
15% |
58 |
0 |
58 |
| Carrier |
58: Wisconsin Phy Serv |
10: Licen Pra |
06 |
MN |
2,287 |
7% |
26 |
4 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
10: Licen Pra |
06 |
WI |
1,993 |
6% |
23 |
7 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
10: Licen Pra |
08 |
MI |
4,620 |
13% |
53 |
0 |
53 |
| Carrier |
58: Wisconsin Phy Serv |
10: Licen Pra |
99 |
ZZ |
4 |
0% |
0 |
0 |
0 |
| Carrier |
58: Wisconsin Phy Serv |
11: Ambulance |
06 |
IL |
547 |
2% |
6 |
24 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
11: Ambulance |
06 |
MN |
175 |
1% |
2 |
28 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
11: Ambulance |
06 |
WI |
363 |
1% |
4 |
26 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
11: Ambulance |
08 |
MI |
263 |
1% |
3 |
27 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
11: Ambulance |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier |
58: Wisconsin Phy Serv |
12: Lab |
06 |
ZZ |
60 |
0% |
1 |
29 |
30 |
| Carrier |
58: Wisconsin Phy Serv |
12: Lab |
99 |
ZZ |
26 |
0% |
0 |
0 |
0 |
| Carrier |
58: Wisconsin Phy Serv |
13: Other |
06 |
IL |
219 |
1% |
3 |
0 |
3 |
| Carrier |
58: Wisconsin Phy Serv |
13: Other |
06 |
MN |
55 |
0% |
1 |
0 |
1 |
| Carrier |
58: Wisconsin Phy Serv |
13: Other |
06 |
WI |
64 |
0% |
1 |
0 |
1 |
| Carrier |
58: Wisconsin Phy Serv |
13: Other |
08 |
MI |
79 |
0% |
1 |
0 |
1 |
| Carrier |
58: Wisconsin Phy Serv |
13: Other |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier - B MAC |
59: Noridian - J3 |
09: Physician |
03 |
MT |
640 |
18% |
71 |
0 |
71 |
| Carrier - B MAC |
59: Noridian - J3 |
09: Physician |
03 |
UT |
1,099 |
31% |
122 |
0 |
122 |
| Carrier - B MAC |
59: Noridian - J3 |
09: Physician |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier - B MAC |
59: Noridian - J3 |
10: Licen Pra |
03 |
MT |
720 |
20% |
80 |
0 |
80 |
| Carrier - B MAC |
59: Noridian - J3 |
10: Licen Pra |
03 |
UT |
872 |
24% |
97 |
0 |
97 |
| Carrier - B MAC |
59: Noridian - J3 |
11: Ambulance |
03 |
MT |
88 |
2% |
10 |
20 |
30 |
| Carrier - B MAC |
59: Noridian - J3 |
11: Ambulance |
03 |
UT |
65 |
2% |
7 |
23 |
30 |
| Carrier - B MAC |
59: Noridian - J3 |
11: Ambulance |
99 |
ZZ |
1 |
0% |
0 |
0 |
0 |
| Carrier - B MAC |
59: Noridian - J3 |
13: Other |
03 |
MT |
60 |
2% |
7 |
0 |
7 |
| Carrier - B MAC |
59: Noridian - J3 |
13: Other |
03 |
ZZ |
44 |
1% |
5 |
0 |
5 |
| Carrier Subtotals |
|
|
|
|
375,890 |
|
7,200 |
3,598 |
10,798 |
|
|
|
|
|
|
|
|
|
|
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
A |
PA |
242 |
11% |
43 |
0 |
43 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
A |
ZZ |
107 |
5% |
19 |
0 |
19 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
B |
AR |
86 |
4% |
15 |
15 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
B |
CO |
115 |
5% |
20 |
10 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
B |
VA |
144 |
6% |
26 |
4 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
B |
WV |
52 |
2% |
9 |
21 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
B |
ZZ |
109 |
5% |
19 |
0 |
19 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
C |
ZZ |
56 |
2% |
10 |
20 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
CA |
69 |
3% |
12 |
18 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
IA |
85 |
4% |
15 |
15 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
KS |
126 |
6% |
22 |
8 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
MO |
147 |
7% |
26 |
4 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
NE |
55 |
2% |
10 |
20 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
UT |
52 |
2% |
9 |
21 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
6: HHA |
D |
ZZ |
175 |
8% |
31 |
0 |
31 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
A |
PA |
115 |
5% |
20 |
10 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
A |
ZZ |
37 |
2% |
7 |
0 |
7 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
B |
CO |
40 |
2% |
7 |
23 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
B |
VA |
47 |
2% |
8 |
22 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
B |
ZZ |
36 |
2% |
6 |
0 |
6 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
D |
IA |
68 |
3% |
12 |
18 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
D |
KS |
45 |
2% |
8 |
22 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
D |
MO |
74 |
3% |
13 |
17 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
D |
UT |
52 |
2% |
9 |
21 |
30 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
D |
ZZ |
120 |
5% |
21 |
0 |
21 |
| RHHI |
71: Cahaba GBA (RHHI Services) |
7: Hospice |
Z |
ZZ |
2 |
0% |
0 |
0 |
0 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
AL |
132 |
2% |
9 |
21 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
AR |
85 |
1% |
6 |
24 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
FL |
621 |
11% |
43 |
0 |
43 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
GA |
92 |
2% |
6 |
24 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
LA |
216 |
4% |
15 |
15 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
MS |
56 |
1% |
4 |
26 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
NC |
155 |
3% |
11 |
19 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
NM |
62 |
1% |
4 |
26 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
OK |
187 |
3% |
13 |
17 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
SC |
68 |
1% |
5 |
25 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
TN |
124 |
2% |
9 |
21 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
TX |
1520 |
26% |
105 |
0 |
105 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
B |
ZZ |
30 |
1% |
2 |
0 |
2 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
C |
IL |
363 |
6% |
25 |
5 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
C |
IN |
143 |
2% |
10 |
20 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
C |
KY |
94 |
2% |
6 |
24 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
C |
OH |
351 |
6% |
24 |
6 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
C |
ZZ |
6 |
0% |
0 |
0 |
0 |
| RHHI |
72: Palmetto GBA (RHHI Service |
6: HHA |
Z |
ZZ |
57 |
1% |
4 |
0 |
4 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
AL |
108 |
2% |
7 |
23 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
GA |
94 |
2% |
6 |
24 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
LA |
93 |
2% |
6 |
24 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
MS |
96 |
2% |
7 |
23 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
NC |
79 |
1% |
5 |
25 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
OK |
135 |
2% |
9 |
21 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
SC |
52 |
1% |
4 |
26 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
TN |
55 |
1% |
4 |
26 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
TX |
228 |
4% |
16 |
14 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
B |
ZZ |
141 |
2% |
10 |
0 |
10 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
C |
IL |
98 |
2% |
7 |
23 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
C |
IN |
76 |
1% |
5 |
25 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
C |
OH |
93 |
2% |
6 |
24 |
30 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
C |
ZZ |
35 |
1% |
2 |
0 |
2 |
| RHHI |
72: Palmetto GBA (RHHI Service |
7: Hospice |
Z |
ZZ |
69 |
1% |
5 |
0 |
5 |
| RHHI |
73: United Government Services |
6: HHA |
A |
NY |
158 |
7% |
27 |
3 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
A |
ZZ |
60 |
3% |
10 |
0 |
10 |
| RHHI |
73: United Government Services |
6: HHA |
B |
PR |
48 |
2% |
8 |
22 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
B |
ZZ |
34 |
1% |
6 |
0 |
6 |
| RHHI |
73: United Government Services |
6: HHA |
C |
MI |
280 |
12% |
47 |
0 |
47 |
| RHHI |
73: United Government Services |
6: HHA |
C |
MN |
146 |
6% |
25 |
5 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
C |
WI |
103 |
4% |
17 |
13 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
C |
ZZ |
17 |
1% |
3 |
0 |
3 |
| RHHI |
73: United Government Services |
6: HHA |
D |
AZ |
45 |
2% |
8 |
22 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
D |
CA |
524 |
22% |
88 |
0 |
88 |
| RHHI |
73: United Government Services |
6: HHA |
D |
NV |
54 |
2% |
9 |
21 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
D |
OR |
53 |
2% |
9 |
21 |
30 |
| RHHI |
73: United Government Services |
6: HHA |
D |
ZZ |
123 |
5% |
21 |
0 |
21 |
| RHHI |
73: United Government Services |
7: Hospice |
A |
NY |
49 |
2% |
8 |
22 |
30 |
| RHHI |
73: United Government Services |
7: Hospice |
A |
ZZ |
53 |
2% |
9 |
0 |
9 |
| RHHI |
73: United Government Services |
7: Hospice |
B |
ZZ |
63 |
3% |
11 |
19 |
30 |
| RHHI |
73: United Government Services |
7: Hospice |
C |
MI |
88 |
4% |
15 |
15 |
30 |
| RHHI |
73: United Government Services |
7: Hospice |
C |
MN |
62 |
3% |
10 |
20 |
30 |
| RHHI |
73: United Government Services |
7: Hospice |
C |
WI |
52 |
2% |
9 |
21 |
30 |
| RHHI |
73: United Government Services |
7: Hospice |
C |
ZZ |
13 |
1% |
2 |
0 |
2 |
| RHHI |
73: United Government Services |
7: Hospice |
D |
CA |
170 |
7% |
29 |
1 |
30 |
| RHHI |
73: United Government Services |
7: Hospice |
D |
ZZ |
175 |
7% |
30 |
0 |
30 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
CT |
60 |
16% |
35 |
0 |
35 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
DE |
1 |
0% |
1 |
0 |
1 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
MA |
94 |
26% |
55 |
0 |
55 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
MD |
1 |
0% |
1 |
0 |
1 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
ME |
24 |
7% |
14 |
0 |
14 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
NH |
30 |
8% |
18 |
0 |
18 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
RI |
16 |
4% |
9 |
0 |
9 |
| RHHI |
70: Associated Hospital Servic |
6: HHA |
A |
VT |
12 |
3% |
7 |
0 |
7 |
| RHHI |
70: Associated Hospital Servic |
7: Hospice |
A |
CT |
28 |
8% |
13 |
0 |
13 |
| RHHI |
70: Associated Hospital Servic |
7: Hospice |
A |
MA |
48 |
13% |
22 |
0 |
22 |
| RHHI |
70: Associated Hospital Servic |
7: Hospice |
A |
ME |
17 |
5% |
8 |
0 |
8 |
| RHHI |
70: Associated Hospital Servic |
7: Hospice |
A |
NH |
18 |
5% |
8 |
0 |
8 |
| RHHI |
70: Associated Hospital Servic |
7: Hospice |
A |
RI |
8 |
2% |
4 |
0 |
4 |
| RHHI |
70: Associated Hospital Servic |
7: Hospice |
A |
VT |
10 |
3% |
5 |
0 |
5 |
| RHHI Subtotals |
|
|
|
|
10,807 |
|
1,400 |
1,043 |
2,443 |
|
|
|
|
|
|
|
|
|
|
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
MA |
111 |
4% |
14 |
16 |
30 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
MD |
67 |
2% |
9 |
21 |
30 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
ME |
95 |
3% |
12 |
18 |
30 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
NH |
51 |
2% |
7 |
23 |
30 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
NJ |
79 |
3% |
10 |
20 |
30 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
NY |
202 |
7% |
26 |
4 |
30 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
PA |
243 |
8% |
31 |
0 |
31 |
| DMAC |
80: NHIC - A, DMERC |
14: Physician |
A |
ZZ |
124 |
4% |
16 |
0 |
16 |
| DMAC |
80: NHIC - A, DMERC |
15: Supplier |
A |
MD |
54 |
2% |
7 |
23 |
30 |
| DMAC |
80: NHIC - A, DMERC |
15: Supplier |
A |
NJ |
87 |
3% |
11 |
19 |
30 |
| DMAC |
80: NHIC - A, DMERC |
15: Supplier |
A |
NY |
175 |
6% |
23 |
7 |
30 |
| DMAC |
80: NHIC - A, DMERC |
15: Supplier |
A |
PA |
123 |
4% |
16 |
14 |
30 |
| DMAC |
80: NHIC - A, DMERC |
15: Supplier |
A |
ZZ |
93 |
3% |
12 |
0 |
12 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
CT |
53 |
2% |
7 |
0 |
7 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
MA |
92 |
3% |
12 |
0 |
12 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
MD |
92 |
3% |
12 |
0 |
12 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
NJ |
288 |
9% |
37 |
0 |
37 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
NY |
520 |
17% |
67 |
0 |
67 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
PA |
449 |
15% |
58 |
0 |
58 |
| DMAC |
80: NHIC - A, DMERC |
16: Other |
A |
ZZ |
98 |
3% |
13 |
0 |
13 |
| DMAC |
81: ASF - B, DMERC |
14: Physician |
C |
IL |
56 |
3% |
11 |
19 |
30 |
| DMAC |
81: ASF - B, DMERC |
14: Physician |
C |
IN |
73 |
4% |
14 |
16 |
30 |
| DMAC |
81: ASF - B, DMERC |
14: Physician |
C |
MI |
69 |
3% |
13 |
17 |
30 |
| DMAC |
81: ASF - B, DMERC |
14: Physician |
C |
OH |
123 |
6% |
24 |
6 |
30 |
| DMAC |
81: ASF - B, DMERC |
14: Physician |
C |
ZZ |
61 |
3% |
12 |
0 |
12 |
| DMAC |
81: ASF - B, DMERC |
15: Supplier |
C |
IL |
109 |
5% |
21 |
9 |
30 |
| DMAC |
81: ASF - B, DMERC |
15: Supplier |
C |
KY |
60 |
3% |
12 |
18 |
30 |
| DMAC |
81: ASF - B, DMERC |
15: Supplier |
C |
MI |
148 |
7% |
28 |
2 |
30 |
| DMAC |
81: ASF - B, DMERC |
15: Supplier |
C |
OH |
117 |
6% |
22 |
8 |
30 |
| DMAC |
81: ASF - B, DMERC |
15: Supplier |
C |
ZZ |
72 |
3% |
14 |
0 |
14 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
IL |
209 |
10% |
40 |
0 |
40 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
IN |
68 |
3% |
13 |
0 |
13 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
KY |
201 |
10% |
39 |
0 |
39 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
MI |
274 |
13% |
53 |
0 |
53 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
MN |
92 |
4% |
18 |
0 |
18 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
OH |
258 |
12% |
50 |
0 |
50 |
| DMAC |
81: ASF - B, DMERC |
16: Other |
C |
WI |
92 |
4% |
18 |
0 |
18 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
AR |
45 |
1% |
3 |
27 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
FL |
125 |
2% |
9 |
21 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
MS |
52 |
1% |
4 |
26 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
OK |
95 |
2% |
7 |
23 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
TX |
90 |
2% |
7 |
23 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
VA |
67 |
1% |
5 |
25 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
WV |
81 |
2% |
6 |
24 |
30 |
| DMAC |
82: Palmetto - C DMERC |
14: Physician |
B |
ZZ |
219 |
4% |
16 |
0 |
16 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
AL |
69 |
1% |
5 |
25 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
AR |
51 |
1% |
4 |
26 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
FL |
539 |
10% |
40 |
0 |
40 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
GA |
111 |
2% |
8 |
22 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
LA |
99 |
2% |
7 |
23 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
MS |
53 |
1% |
4 |
26 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
NC |
107 |
2% |
8 |
22 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
OK |
63 |
1% |
5 |
25 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
PR |
252 |
5% |
19 |
11 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
SC |
52 |
1% |
4 |
26 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
TN |
82 |
2% |
6 |
24 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
TX |
357 |
7% |
27 |
3 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
VA |
70 |
1% |
5 |
25 |
30 |
| DMAC |
82: Palmetto - C DMERC |
15: Supplier |
B |
ZZ |
79 |
1% |
6 |
0 |
6 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
AL |
164 |
3% |
12 |
0 |
12 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
AR |
134 |
2% |
10 |
0 |
10 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
FL |
444 |
8% |
33 |
0 |
33 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
GA |
219 |
4% |
16 |
0 |
16 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
LA |
211 |
4% |
16 |
0 |
16 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
MS |
157 |
3% |
12 |
0 |
12 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
NC |
163 |
3% |
12 |
0 |
12 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
OK |
86 |
2% |
6 |
0 |
6 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
PR |
144 |
3% |
11 |
0 |
11 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
SC |
110 |
2% |
8 |
0 |
8 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
TN |
203 |
4% |
15 |
0 |
15 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
TX |
319 |
6% |
24 |
0 |
24 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
VA |
137 |
3% |
10 |
0 |
10 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
WV |
88 |
2% |
7 |
0 |
7 |
| DMAC |
82: Palmetto - C DMERC |
16: Other |
B |
ZZ |
51 |
1% |
4 |
0 |
4 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
AZ |
129 |
4% |
15 |
15 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
CA |
259 |
8% |
30 |
0 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
HI |
67 |
2% |
8 |
22 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
IA |
174 |
5% |
20 |
10 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
NE |
83 |
2% |
10 |
20 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
NV |
68 |
2% |
8 |
22 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
OR |
134 |
4% |
16 |
14 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
WA |
257 |
8% |
30 |
0 |
30 |
| DMAC |
83: Noridian -D, DMERC |
14: Physician |
D |
ZZ |
111 |
3% |
13 |
0 |
13 |
| DMAC |
83: Noridian -D, DMERC |
15: Supplier |
D |
CA |
395 |
12% |
46 |
0 |
46 |
| DMAC |
83: Noridian -D, DMERC |
15: Supplier |
D |
MO |
53 |
2% |
6 |
24 |
30 |
| DMAC |
83: Noridian -D, DMERC |
15: Supplier |
D |
ZZ |
226 |
7% |
27 |
0 |
27 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
CA |
611 |
18% |
72 |
0 |
72 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
IA |
131 |
4% |
15 |
0 |
15 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
KS |
77 |
2% |
9 |
0 |
9 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
MO |
140 |
4% |
16 |
0 |
16 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
NE |
103 |
3% |
12 |
0 |
12 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
WA |
91 |
3% |
11 |
0 |
11 |
| DMAC |
83: Noridian -D, DMERC |
16: Other |
D |
ZZ |
298 |
9% |
35 |
0 |
35 |
| DMAC Subtotals |
|
|
|
|
13,973 |
|
1,600 |
814 |
2,414 |
|
|
|
|
|
|
|
|
|
|
| Total |
|
|
|
|
435,986 |
|
16,526 |
7,713 |
24,239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
** If there are an insufficient number of providers in the "cell," then the substrata are collapsed (as indicated by 99 in the jurisdiction column, and by ZZ in the State column) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* Provider Type abbreviations |
|
|
|
|
|
|
|
|
|
ESRD = Dialysis facilities |
|
|
|
|
|
|
|
|
|
FQHC = Federally Qualified Health Clinic |
|
|
|
|
|
|
|
|
|
HHA = Home Health Agency |
|
|
|
|
|
|
|
|
|
Licen Pra is short for "Licensed Practitioners" |
|
|
|
|
|
|
|
|
|
Other Carrier include other Part B providers, such as Mammography screening centers |
|
|
|
|
|
|
|
|
|
Other FI include other Part A providers, such as mental health clinics |
|
|
|
|
|
|
|
|
|
RHC = Rural Health Clinics |
|
|
|
|
|
|
|
|
|
SNF = Skilled Nursing Facility |
|
|
|
|
|
|
|