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CBO Purchased Care, Program Oversight and InformaticsDepartment of Informatics (10N3B)Purpose of ReportThe purpose of the report to is to capture the total amount disbursed, total unique Veterans, totalbilled charge, total VA amount Paid, and total number of claims using the Central Fee Files & Fee BasisClaims System (FBCS) for the Indian Health & Tribal Health ProgramIndian Health / Tribal Health ProgramTransaction throughLast Updated:12/31/20152/4/2016Extracted by:Jamie CittyNational DataTotal Disbursement for entire IHS/THP Program Agmt Date to FYTD 33,076,333.61Total Disbursement by Program - Agrmt Date to FYTDProgramTotal DisbursedTotal Unique VetsIHSTHP 16,936,815.91 16,135,210.704,1852,308Total Disbursement of Out of System Retropayments (only) payments are included in above totalsTotal Disbursement - Out of System Retropayments (only) 19,795.23ProgramTotal DisbursedTotal Unique VetsIHSTHP 15,488.23 0.0063806,421Total Unique Veterans - Out of System Retropayments(only)721Total Unique Vets by ProgramTotal Disbursed by Program 17,000,000.00Total Unique Veterans for entire IHS/THP Program Agmt Date to FYTD4,500 16,936,815.914,1854,000 16,800,000.003,500 16,600,000.003,000 16,400,000.002,3082,500 16,135,210.70 16,200,000.002,0001,500 16,000,000.001,000 15,800,000.00500 15,600,000.000IHSTHPIHSIHS/THP Monthly ReportTHP1 of 16
FYFY12FY13FY14FY15FY16Total Disbursed 2,195.23 1,779,455.07 11,087,780.51 16,074,167.50 4,151,367.07Total Uniques37083,7074,9862,702Total Disbursed by FYIHS Disbursed IHS Uniques THP Disbursed 0.000 2,195.23 402,085.41537 1,377,369.66 7,206,445.762,960 3,881,334.75 7,852,965.943,079 8,221,201.56 1,481,851.571,548 2,669,515.50Total Disbursed by FYTHP Uniques31717571,9461,161Total Unique Veterans by FY 18,000,000.006,000 16,000,000.005,000 14,000,000.00 12,000,000.004,000 10,000,000.003,000 8,000,000.00 6,000,000.002,000 4,000,000.001,000 2,000,000.00 0.000FY12FY13IHS DisbursedFY14FY15FY16FY12FY14IHS UniquesIHSTHPTotalTotal 327,75790,10491,097749700FY15FY16THP UniquesTotal Outpatient Claims by ProgramTotal Inpatient Claims by Program800FY13THP HP Monthly ReportTHP2 of 16
Total Disbursed by VISN by V16V17V18V19V20V21V22V23Total Disbursed 33,214.00 0.00 0.00 0.00 0.00 0.00 15,637.63 0.00 0.00 0.00 0.00 0.00 89,084.03 1,026.00 0.00 5,891,487.85 8,954,559.12 12,401,791.72 32,174.83 485,040.18 11131,160IHS Disbursed 33,202.00 0.00 0.00 0.00 0.00 0.00 15,592.63 0.00 0.00 0.00 0.00 0.00 89,039.03 0.00 0.00 5,609,962.98 5,308,041.76 339,635.69 0.00 397,164.89 5,128,688.70IHS Uniques130000060000042001,6871,0941370891,136THP Disbursed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 275,515.87 3,643,920.13 12,057,455.03 32,174.83 87,839.29 38,305.55THP Uniques0000000000000001601,359731112524Out of System RetropaymentsTotal DisbursedUnique Veterans 12.00 0.00 0.00 0.00 0.00 0.00 45.00 0.00 0.00 0.00 0.00 0.00 45.00 1,026.00 0.00 6,009.00 2,597.23 4,701.00 0.00 36.00 5,094.001000002000003480262959402204VISN Total Unique Veterans by ProgramVISN Total Disbursed by Program 14,000,000.003,000 12,000,000.002,500 10,000,000.002,000 8,000,000.001,500 6,000,000.001,000 4,000,000.00500 2,000,000.00 0.000V01V07V15V16IHS DisbursedV18V19V20V21V22V23V01V07V15THP DisbursedV16V18IHS UniquesV19V20V21V22V23THP UniquesTotal Claims by VISN by Program by Patient Total utpatient102000005900000383Total Claims0000000000000Inpatient0000000000000IHS/THP Monthly ReportOutpatient00000000000003 of 16
Total Claims by VISN by Program by Patient TypeIHSVISNTotal 13220,3761,28901,33520,671Total Outpatient0070110,37116,19689272128Total Outpatient Claims by ProgramTota Inpatient Claims by t Health and Wellness Center (Houlton Band of Maliseet Indians )Mashpee Wampanoag Tribal Health (mashpee Wampanoag)Micmac Health ServicesPassamaquoddy Health CenterSt. Regis Mohawk Health ServicesCatawba Service UnitHannahville Potawatomi Indian CommunityLac Vieux Desert Health Clinic and Pharmacy (Lac Vieux Desert (LVD) Band of Lake Superior Chippewa Indians)Stockbridge Munsee Health and WellnessHaskell Indian Health CenterPrairie Band Potawatomi Health Center (Prairie Band Potawatomi)White Cloud Health CenterAbsentee Shawnee Tribal Health Authority, Inc. (Absentee Shawnee Tribe)Chitimacha Health Clinic (Chitimacha Tribe of Louisiana)Anadarko Indian Health CenterBlack Hawk Health Center (Sac and Fox Nation)Carnegie Indian Health CenterHealth Centers & Hospitals of Cherokee NationChickasaw Nation Division of HealthChoctaw Health Center (Mississippi Band of Choctaw)Choctaw Nation (OLD AGREEMENT)/Choctaw Nation Health Care Center (Choctaw Nation) (NEW AGREEMENT)Citizen Potawatomi Nation Health Clinic (Citizen Potawatomi Nation)IHS/THP Monthly ReportV18V19V20V21V22V23THPAgreement H-0001VA623-THP-0001 /VA256-13-H-0287VA256-16-H-0013Agreement Date to FYTDTotal DisbursedUnique Vets 0.000 1,340.001 31,874.0012 0.000 0.000 15,637.636 0.000 0.000 0.000 89,084.0342 0.000 0.000 0.000 0.000 107,793.5037 43,719.1125 15,120.949 1,481,477.94535 397,570.37192 0.00174 1,297,100.26 0.002660Total Total DisbursedUnique Vets 0.000 1,340.001 1,300.001 0.000 0.000 0.000 0.000 0.000 0.000 10,307.4817 0.000 0.000 0.000 0.000 15,933.2925 33,306.7323 1,518.953 355,349.53275 52,153.0885 0.000 124,884.76 0.0013204 of 16
436436436660660660436NAMEClaremore Indian HospitalClinton Indian Health CenterEl Reno Indian Health CenterIndian Health Care Resource Center (IHCRC) of TulsaKanza Health Center (Kaw Nation)Lawton Indian HospitalMuscogee (Creek) Nation Health System (Muscogee (Creek) Nation of Oklahoma)Northeastern Tribal Health System (NTHS)Oklahoma City Indian HealthPawhuska Indian Health CenterPawnee Indian Health Service (Pawnee Service Unit)Watonga Indian Health CenterWewoka Indian Health CenterWhite Eagle Health Center (White Eagle - Ponca Tribe of Oklahoma)Wyandotte Bearskin Health CenterAcoma, Canoncito, Laguna Indian Hospital (ACL)Albuquerque Indian Health CenterCanoncito Health CenterChinle Service UnitCochiti Health CenterCrownpoint Service UnitDulce Health Center (Jicarilla)Fort Defiance Indian Hospital Board, Inc.Fort Yuma Indian Health CenterGallup Service UnitHopi Health Care CenterIsleta Health CenterJemez Health Center (Pueblo of Jemez)Kayenta Service UnitLaguna Health CenterMescalero Indian Health ServiceNative American Cardiology ProgramParker Indian HospitalPeach Springs Health CenterPhoenix Indian Medical CenterSan Carlos Indian HospitalSan Felipe Health CenterSan Simon Health CenterSan Xavier Health CenterSanta Ana Health CenterSanta Clara Health CenterSanta Fe Indian HospitalSanta Rosa Health CenterSanto Domingo Health Center (Kewa Pueblo Health Corp)Sells Service UnitShiprock (Northern Navajo) Service UnitTaos/Picuris Health CenterTuba City Regional Health Corporation (Navajo Nation)Wassaja Memorial Health Center (Fort McDowell Yavapai Nation)Whiteriver Indian HospitalWinslow Indian Health Care Center (WIHCC)Zia Health CenterZuni Indian Health ServiceBrowning PHS Indian Hospital (Blackfeet Service Unit)Citizen Potawatomi Nation Health Clinic (Citizen Potawatomi Nation)Crow/Northern Cheyenne HospitalCSKT Tribal Health & Human Services (Confederated Salish and Kootenai Tribes)Fort Belknap HospitalFt. Duchesne Health CenterFt. Hall Health CenterNewe Medical Clinic (Ely Shoshone)Northern Cheyenne Health Center (Lame Deer)Agreement 017VA 259-14-C-0216VA-666-IHS-0076IHS/THP Monthly ReportAgreement Date to FYTDTotal DisbursedUnique Vets 768,572.48234 58,921.0617 31,656.6610 27,134.6527 0.000 353,208.7091 328,636.26172 56,772.3536 27,772.5523 165,872.4027 546,013.8772 3,151.132 120,689.6216 13,673.7215 0.000 242,077.1975 29,553.7835 37,370.8613 743,470.95252 17,431.846 571,780.16154 35,309.0418 0.000 23,945.787 1,289,968.73384 385,353.3687 0.000 28,010.9232 50,468.9813 120.881 25,800.333 6,026.0015 221,170.0840 35,092.9011 778,644.38271 214,695.6050 2,077.433 13,851.318 39,385.3813 311.101 51,094.1414 73,411.4633 10,592.164 0.000 93,872.8031 547,599.47295 112,672.3827 134,025.9572 0.000 20,306.922 113,479.0059 1,512.002 325,820.9550 891,621.41116 0.000 377,631.8970 205,169.3589 178,839.2642 8,986.3914 253,026.1664 0.000 374,308.8550Total 975482332113601525FY16Total DisbursedUnique Vets 42,205.6854 825.821 7,219.707 4,550.006 0.000 64,979.0153 58,174.0586 54,233.6936 5,555.009 1,035.002 55,986.2339 0.000 5,598.0912 654.002 0.000 27,840.4226 0.000 6,629.046 48,808.0987 0.000 49,224.8456 1,341.044 0.000 1,920.463 91,062.03124 21,315.5632 0.000 5,613.558 3,641.594 0.000 350.001 335.001 12,558.4216 1,283.085 46,319.6260 1,840.934 0.000 2,465.844 3,475.676 0.000 16,496.426 26,306.8518 1,747.312 0.000 1,770.433 50,524.7099 5,885.928 18,464.4422 0.000 0.000 16,719.0022 0.000 37,073.9425 70,895.9268 0.000 41,044.7438 16,488.9326 9,433.9115 8,086.3913 12,862.7822 0.000 10,837.34165 of 16
612662662654664593605NAMERocky Boy Health Center (Chippewa Cree Tribe in Montana)Southern Bands Health Center (Elko)Southern Ute Indian Tribe Health CenterUtah Navajo Health System, Inc.Ute Mountain Ute Health Center (Towoac)Verne E. Gibbs Health Center (Fort Peck)Wind River Health CenterAlaska Native Tribal Med CtrAleutian Pribilof Islands AssociationAnnette Island Service Unit/MetlakatlaArctic Slope Native Association LimitedAthabascan Tribal GovernmentBenewah Medical Wellness Center (Coeur d' Alene)Bristol Bay Area Health CorporationChemawa Indian Health CenterChickaloon Village Traditional CouncilChugachmuitColville Health CenterConfederated Tribes of Grand Ronde Health and Wellness CenterYellowhawk Tribal Health Center (Umatilla)Copper River Native AssociationCow Creek Health and Wellness Center (Cow Creek Band of Umpqua Tribe of Indians)David C. Wynecoop (Wellpinit) Health CenterEastern Aleutian Tribes, Inc.Kenaitze Indian TribeKIC Tribal Health - Ketchikan Indian CommunityKodiak Area Native AssociationLake Roosevelt Community Health Centers (Colville)Maniilaq AssociationMount Sandford Tribal ConsortiumNative Village of EklutnaIlanka Community Health Center (Native Village of Eyak)Native Village of TananaNimiipuu Health (Nez Perce Tribe)Ninilchik Community ClinicNorton Sound Health CorporationOmak Tribal Health ClinicOwyhee Community Health Facility (Shoshone-Paiute Tribe)Seldovia Village TribeSiletz Community Health Clinic (Confederated Tribes of Siletz Indians)Sophie Trettevick Indian Health Center (Makah Tribe)Southcentral FoundationSoutheast Alaska Regional Health ConsortiumTanana Chiefs ConferenceWarm Springs Service UnitWhite Swan Dental ClinicYakama Indian Health CenterYakutat Tlingit TribeYukon-Kuskokwim Health CorporationCentral Valley Indian Health, Inc.Consolidated Tribal Health ProgramGreenville Rancheria Tribal Health ProgramKaruk Tribal Health and Human Service ProgramKimaw Medical Center (Hoopa Valley Tribe)Lake County Tribal Health ConsortiumPit River Health ServiceSonoma County Indian Health Project (SCIHP)United Indian Health Services, Inc.Yerington Paiute Tribal Health ClinicIndian Health Council, Inc.Irene Benn Medical Center (Moapa)Riverside-San Bernardino County Indian Health, Inc.Agreement NumberVA IHS-0059VA262-16-S-0052IHS/THP Monthly ReportAgreement Date to FYTDTotal DisbursedUnique Vets 93,845.1238 191,112.2834 0.000 2,800.001 10,523.934 434,262.0896 365,385.1865 9,584,538.05443 0.000 0.000 128,181.5214 15,370.477 0.000 4,945.986 64,808.9521 0.000 0.000 81,936.6731 31,049.1921 19,516.009 8,560.073 0.000 25,099.0912 1,082.002 94,190.2114 183,830.1731 221,115.4229 0.000 15,366.853 0.000 0.000 24,393.675 0.000 57,461.6020 0.000 123,542.2610 36,316.5211 0.000 14,040.073 0.000 0.000 169,131.4585 100,085.4823 1,184,722.85140 53,847.2740 0.000 77,747.1926 1,623.001 79,289.7230 0.000 0.000 0.000 0.000 0.000 16,790.002 0.000 0.000 15,384.839 0.000 84,825.2920 12,348.532 0.000Total 1003573188000005400350264350FY16Total DisbursedUnique Vets 15,911.9923 23,403.4019 0.000 0.000 0.000 34,860.4445 23,592.8833 1,584,792.53246 0.000 0.000 24,641.006 4,208.272 0.000 601.001 1,703.346 0.000 0.000 11,465.0011 5,235.008 1,370.003 2,404.001 0.000 90.971 0.000 22,489.009 15,626.0014 12,020.008 0.000 2,755.942 0.000 0.000 601.001 0.000 8,035.0012 0.000 2,404.003 3,850.004 0.000 5,412.002 0.000 0.000 24,961.8122 25,997.939 132,761.5488 0.000 0.000 1,605.363 0.000 7,174.5110 0.000 0.000 0.000 0.000 0.000 2,435.001 0.000 0.000 4,373.893 0.000 12,731.137 739.161 0.0006 of 16
nta Ynez Tribal Health ClinicSouthern Indian Health Council, Inc.Toiyabe Indian Health ClinicCass Lake HospitalCheyenne River Service Unit - Eagle Butte PHS Indian HospitalFlandreau Santee Sioux Tribe (FSST)Fond du Lac ReservationFort Thompson IHS Health CenterFort Yates IHS HospitalKyle Health CenterLac Courte OreillesLower Brule IHS Health CenterMcLaughlin Health CenterMeskwaki Tribal Health (Sac and Fox Tribe of the Mississippi in Iowa))Pine Ridge Indian Health ServicePonca of NebraskaQuentin N. Burdick Memorial Health Care Facility (Belcourt/ Turtle Mountain Band)Rapid City IHS Hospital (Rapid City Service Unit)Red Cliff Community Health Center (Red Cliff)Red Lake HospitalRosebud IHS HospitalWoodrow Wilson Keeble Memorial Health Care Center (Sisseton Wahpeton Oyate)Spirit Lake Health Center (Ft. Totten)Wanblee Indian Health Service CenterWhite Earth Health CenterWinnebago IHS HospitalWagner Healthcare Center – IHS (Yankton-Wagner Service Unit)Agreement 38-IHS-0004Grand TotalAgreement Date to FYTDTotal DisbursedUnique Vets 0.000 2,738.003 312.001 415,860.65117 734,017.96138 18,467.295 13,348.6614 89,741.9821 143,033.2363 116,306.0335 0.000 101,083.3026 207,440.9549 6,489.605 756,309.94165 10,835.000 388,992.06104 213,569.7190 75,173.720 448,890.5942 442,783.63126 304,937.9290 227,479.2032 70,985.3224 109,239.5949 86,665.3538 197,189.0740 629635635635623NAMEMaliseet Health and Wellness Center (Houlton Band of Maliseet Indians )Mashpee Wampanoag Tribal Health (mashpee Wampanoag)Micmac Health ServicesPassamaquoddy Health CenterSt. Regis Mohawk Health ServicesCatawba Service UnitHannahville Potawatomi Indian CommunityLac Vieux Desert Health Clinic and Pharmacy (Lac Vieux Desert (LVD) Band of Lake Superior Chippewa Indians)Stockbridge Munsee Health and WellnessHaskell Indian Health CenterPrairie Band Potawatomi Health Center (Prairie Band Potawatomi)White Cloud Health CenterAbsentee Shawnee Tribal Health Authority, Inc. (Absentee Shawnee Tribe)Chitimacha Health Clinic (Chitimacha Tribe of Louisiana)Anadarko Indian Health CenterBlack Hawk Health Center (Sac and Fox Nation)Carnegie Indian Health CenterHealth Centers & Hospitals of Cherokee NationAgreement 35-IHS-0039VA256-14-H-0005FY15Total Disbursed 0.00 0.00 14,494.00 0.00 0.00 5,664.58 0.00 0.00 0.00 76,376.45 0.00 0.00 0.00 0.00 70,928.68 10,412.38 6,653.82 P-0001 H-0006VA-635-IHS-0037VISNVISN1616635586Chickasaw Nation Division of HealthChoctaw Health Center (Mississippi Band of octaw Nation (OLD AGREEMENT)/Choctaw Nation Health Care Center (Choctaw Nation) (NEW AGREEMENT)Citizen Potawatomi Nation Health Clinic (Citizen Potawatomi Nation)Claremore Indian HospitalClinton Indian Health CenterEl Reno Indian Health CenterIndian Health Care Resource Center (IHCRC) of TulsaKanza Health Center (Kaw Nation)Lawton Indian HospitalIHS/THP Monthly ReportUnique Vets00900400041000Total 8017311640164295632935349971591,097FY16Total DisbursedUnique Vets 0.000 350.001 0.000 61,736.4354 63,234.8467 11,694.005 1,482.203 25,024.7910 23,636.5528 17,528.097 0.000 8,106.6311 15,940.4715 1,005.001 123,518.9388 10,835.0016 5,223.947 778.613 75,173.7225 49,533.3860 33,347.5038 10,547.6414 16,096.6911 3,015.006 335.001 5,973.8913 5,973.8913 4,158,119.571,470FY15 - Retroactive PymtsTotal DisbursedUnique Vets 0.000 0.000 0.000 0.000 0.000 45.002 0.000 0.000 0.000 45.003 0.000 0.000 0.000104485152 0.00 0.00 0.00 0.000000 308,616.21 0.00152245 0.00 0.0000 622,342.69 0.00 334,076.50 15,592.84 23,161.96 22,584.65 0.00 198,279.53158 120.007121026065154 0.00 75.00 0.00 0.00 210.00 0.000200907 of 16
436436660575575575436NAMEMuscogee (Creek) Nation Health System (Muscogee (Creek) Nation of Oklahoma)Northeastern Tribal Health System (NTHS)Oklahoma City Indian HealthPawhuska Indian Health CenterPawnee Indian Health Service (Pawnee Service Unit)Watonga Indian Health CenterWewoka Indian Health CenterWhite Eagle Health Center (White Eagle - Ponca Tribe of Oklahoma)Wyandotte Bearskin Health CenterAcoma, Canoncito, Laguna Indian Hospital (ACL)Albuquerque Indian Health CenterCanoncito Health CenterChinle Service UnitCochiti Health CenterCrownpoint Service UnitDulce Health Center (Jicarilla)Fort Defiance Indian Hospital Board, Inc.Fort Yuma Indian Health CenterGallup Service UnitHopi Health Care CenterIsleta Health CenterJemez Health Center (Pueblo of Jemez)Kayenta Service UnitLaguna Health CenterMescalero Indian Health ServiceNative American Cardiology ProgramParker Indian HospitalPeach Springs Health CenterPhoenix Indian Medical CenterSan Carlos Indian HospitalSan Felipe Health CenterSan Simon Health CenterSan Xavier Health CenterSanta Ana Health CenterSanta Clara Health CenterSanta Fe Indian HospitalSanta Rosa Health CenterSanto Domingo Health Center (Kewa Pueblo Health Corp)Sells Service UnitShiprock (Northern Navajo) Service UnitTaos/Picuris Health CenterTuba City Regional Health Corporation (Navajo Nation)Wassaja Memorial Health Center (Fort McDowell Yavapai Nation)Whiteriver Indian HospitalWinslow Indian Health Care Center (WIHCC)Zia Health CenterZuni Indian Health ServiceBrowning PHS Indian Hospital (Blackfeet Service Unit)Citizen Potawatomi Nation Health Clinic (Citizen Potawatomi Nation)Crow/Northern Cheyenne HospitalCSKT Tribal Health & Human Services (Confederated Salish and Kootenai Tribes)Fort Belknap HospitalFt. Duchesne Health CenterFt. Hall Health CenterNewe Medical Clinic (Ely Shoshone)Northern Cheyenne Health Center (Lame Deer)Rocky Boy Health Center (Chippewa Cree Tribe in Montana)Southern Bands Health Center (Elko)Southern Ute Indian Tribe Health CenterUtah Navajo Health System, Inc.Ute Mountain Ute Health Center (Towoac)Verne E. Gibbs Health Center (Fort Peck)Agreement -660-IHS-0017VA 259-14-C-0216VA-666-IHS-0076VA -C-0291VA-575-IHS-0056VA-436-IHS-0075IHS/THP Monthly ReportFY15Total Disbursed 245,646.21 2,538.66 22,217.55 79,225.33 212,784.60 312.00 55,129.66 6,446.74 0.00 80,777.02 18,626.78 18,707.69 369,810.24 7,254.17 260,806.45 12,005.00 0.00 21,685.93 839,643.17 180,487.08 0.00 22,397.37 16,830.93 0.00 15,736.33 2,580.00 85,933.82 22,162.65 361,887.06 158,882.66 312.00 4,561.66 20,256.03 11.10 7,789.90 1,234.08 4,312.85 0.00 56,918.51 248,199.34 57,391.07 115,561.51 0.00 14,606.92 94,888.00 0.00 162,577.09 311,078.05 0.00 171,097.23 188,680.42 58,416.63 0.00 92,047.44 0.00 130,057.22 77,933.13 100,616.70 0.00 2,800.00 9,293.61 137,384.83Unique 482FY15 - Retroactive PymtsTotal DisbursedUnique Vets 0.000 0.000 30.001 165.008 0.000 0.000 105.004 0.000 0.000 120.004 0.000 0.000 1,020.0036 0.000 645.0026 0.000 0.000 30.002 270.0011 525.0024 0.000 0.000 45.002 0.000 30.002 15.001 390.009 0.000 315.0012 315.0012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 45.003 345.0018 120.004 0.000 0.000 0.000 0.000 0.000 135.009 525.0010 0.000 405.0011 0.000 45.003 0.000 20.231 0.000 525.0017 0.000 60.004 0.000 0.000 0.000 180.0098 of 16
605691664605437568438NAMEWind River Health CenterAlaska Native Tribal Med CtrAleutian Pribilof Islands AssociationAnnette Island Service Unit/MetlakatlaArctic Slope Native Association LimitedAthabascan Tribal GovernmentBenewah Medical Wellness Center (Coeur d' Alene)Bristol Bay Area Health CorporationChemawa Indian Health CenterChickaloon Village Traditional CouncilChugachmuitColville Health CenterConfederated Tribes of Grand Ronde Health and Wellness CenterYellowhawk Tribal Health Center (Umatilla)Copper River Native AssociationCow Creek Health and Wellness Center (Cow Creek Band of Umpqua Tribe of Indians)David C. Wynecoop (Wellpinit) Health CenterEastern Aleutian Tribes, Inc.Kenaitze Indian TribeKIC Tribal Health - Ketchikan Indian CommunityKodiak Area Native AssociationLake Roosevelt Community Health Centers (Colville)Maniilaq AssociationMount Sandford Tribal ConsortiumNative Village of EklutnaIlanka Community Health Center (Native Village of Eyak)Native Village of TananaNimiipuu Health (Nez Perce Tribe)Ninilchik Community ClinicNorton Sound Health CorporationOmak Tribal Health ClinicOwyhee Community Health Facility (Shoshone-Paiute Tribe)Seldovia Village TribeSiletz Community Health Clinic (Confederated Tribes of Siletz Indians)Sophie Trettevick Indian Health Center (Makah Tribe)Southcentral FoundationSoutheast Alaska Regional Health ConsortiumTanana Chiefs ConferenceWarm Springs Service UnitWhite Swan Dental ClinicYakama Indian Health CenterYakutat Tlingit TribeYukon-Kuskokwim Health CorporationCentral Valley Indian Health, Inc.Consolidated Tribal Health ProgramGreenville Rancheria Tribal Health ProgramKaruk Tribal Health and Human Service ProgramKimaw Medical Center (Hoopa Valley Tribe)Lake County Tribal Health ConsortiumPit River Health ServiceSonoma County Indian Health Project (SCIHP)United Indian Health Services, Inc.Yerington Paiute Tribal Health ClinicIndian Health Council, Inc.Irene Benn Medical Center (Moapa)Riverside-San Bernardino County Indian Health, Inc.Santa Ynez Tribal Health ClinicSouthern Indian Health Council, Inc.Toiyabe Indian Health ClinicCass Lake HospitalCheyenne River Service Unit - Eagle Butte PHS Indian HospitalFlandreau Santee Sioux Tribe (FSST)Agreement 58VA-568-IHS-0007VA263-14-X-0152IHS/THP Monthly ReportFY15Total Disbursed 151,097.19 4,035,871.76 0.00 0.00 69,652.64 4,624.20 0.00 3,828.00 26,936.20 0.00 0.00 1,137.98 17,201.19 4,055.00 6,156.07 0.00 4,070.19 541.00 59,888.55 74,334.47 91,919.45 0.00 12,068.73 0.00 0.00 8,573.26 0.00 49,426.60 0.00 115,754.26 32,466.52 0.00 6,464.07 0.00 0.00 111,497.67 25,713.00 604,916.38 4,940.30 0.00 35,630.60 0.00 64,589.47 0.00 0.00 0.00 0.00 0.00 14,355.00 0.00 0.00 11,010.94 0.00 32,740.00 8,123.54 0.00 0.00 1,734.00 312.00 301,032.51 268,542.33 6,773.29Unique 181251701602700000200901220031881083FY15 - Retroactive PymtsTotal DisbursedUnique Vets 285.0012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 370.0010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 825.0015 780.0024 0.0009 of 16
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19 Citizen Potawatomi Nation Health Clinic (Citizen Potawatomi Nation) VA256-16-H-0013 0.00 0 0 0.00 0 Total Claims by VISN by Program by Patient Type VISN IHS THP Agreement Date to FYTD FY16 0 100 200 300 400 500 600 700 800 V01 V07 V15 V16 V18 V19 V20 V21 V22 V23 Tota Inpatient Claims by Program IHS THP 0 5000 10000 15000 20000
