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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,total billed charge, total VA amount Paid, and total number of claims using the Central Fee Files& Fee Basis Claims System (FBCS) for the Indian Health & Tribal Health ProgramIndian Health / Tribal Health ProgramTransaction throughLast Updated:10/31/201511/24/2015Extracted by:Jenaya LeeNational DataTotal Disbursement for entire IHS/THP Program Agmt Date to FYTD 30,565,091.71Total Disbursement by Program - Agrmt Date to FYTDProgramTotal DisbursedTotal Unique VetsIHSTHP 15,938,051.91 14,627,039.704,0732,221Total Disbursement of Out of System Retropayments (only) payments are included in above totalsTotal Disbursement - Out of System Retropayments (only) 38,427.00ProgramTotal DisbursedTotal Unique VetsIHSTHP 22,021.00 16,406.009724106,226Total Unique Veterans - Out of SystemRetropayments (only)1,382Total Unique Vets by ProgramTotal Disbursed by Program4,500 16,500,000.00 16,000,000.00Total Unique Veterans for entire IHS/THPProgram - Agmt Date to FYTD4,0734,000 15,938,051.913,5003,000 15,500,000.002,500 15,000,000.00 14,627,039.70 14,500,000.002,2212,0001,5001,000 14,000,000.00500 13,500,000.000IHSTHPIHSIHS/THP Monthly ReportTHP1 of 16
FYFY12FY13FY14FY15FY16Total Disbursed 2,195.23 1,779,455.07 11,362,895.76 16,075,836.60 1,344,708.95Total Disbursed by FYTotal Uniques IHS Disbursed IHS Uniques THP DisbursedTHP Uniques3 0.000 2,195.233708 402,085.41537 1,377,369.661713,745 7,206,445.762,961 4,156,450.007954,988 7,852,965.943,080 8,222,870.661,9471,470 476,554.80746 868,154.15726Total Disbursed by FYTotal 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 6THP UniquesOutpatient60,37926,70687,085Total Outpatient Claims by ProgramTotal Inpatient Claims by Program70,0001,000867900FY13THP HP Monthly ReportTHP2 of 16
Total Disbursed by VISN by V16V17V18V19V20V21V22V23Total Disbursed 31,874.00 0.00 0.00 0.00 0.00 0.00 15,661.63 0.00 0.00 0.00 0.00 0.00 81,793.62 5,261,153.97 0.00 5,908,402.74 3,222,112.82 11,088,822.92 29,724.83 91,093.53 211271,140IHS Disbursed 31,862.00 0.00 0.00 0.00 0.00 0.00 15,592.63 0.00 0.00 0.00 0.00 0.00 81,724.62 2,089,433.74 0.00 5,646,832.31 2,922,628.14 322,404.18 0.00 11,609.37 4,793,943.92Out of System RetropaymentsIHS Uniques12000006000004152601,717529132021,117THP 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 3,170,262.23 0.00 252,727.43 295,388.68 10,749,988.74 29,724.83 79,448.16 33,093.63THP Uniques00000000000001,1750150127710112523Total Disbursed 12.00 0.00 0.00 0.00 0.00 0.00 69.00 0.00 0.00 0.00 0.00 0.00 69.00 1,458.00 0.00 8,843.00 4,096.00 16,430.00 0.00 36.00 7,414.00Unique Veterans100000300000367040016241102333VISN Total Unique Veterans by ProgramVISN Total Disbursed by Program2,0001,8001,6001,4001,2001,0008006004002000 12,000,000.00 10,000,000.00 8,000,000.00 6,000,000.00 4,000,000.00 2,000,000.00 0.00V01V07V15V16IHS DisbursedV18V19V20V21V22V23V01V07V15THP DisbursedV16V18IHS UniquesV19V20V21V22V23THP UniquesTotal Claims by VISN by Program by Patient Total tpatient98000005900000359Total Claims0000000000000Inpatient0000000000000IHS/THP Monthly ReportOutpatient00000000000003 of 16
Total Claims by VISN by Program by Patient TypeIHSVISNTotal 1018,74512,3761,27303419,894Total 9001Outpatient9,57406551,22814,79585251118Total Outpatient Claims by ProgramTota Inpatient Claims by et 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)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)Claremore Indian HospitalClinton Indian Health CenterEl Reno Indian Health CenterIHS/THP Monthly ReportV18V19V20V21V22V23THPAgreement -0001 35-IHS-0042Agreement Date to FYTDTotal DisbursedUnique VetsTotal Claims 0.0000 0.0000 31,874.001298 0.0000 0.0000 15,661.63659 0.0000 0.0000 0.0000 81,793.6241359 0.0000 0.0000 0.0000 100,708.6436467 19,646.871563 15,120.94959 1,238,904.415214012 364,568.021741029 0.001740 1,233,361.40 734,287.78 58,430.24 24,832.82288226171036292803224139FY16Total DisbursedUnique Vets 0.000 0.000 1,300.001 0.000 0.000 0.000 0.000 0.000 0.000 2,993.0710 0.000 0.000 0.000 8,792.4320 9,234.4912 1,518.953 112,776.00199 19,150.7339 0.000 61,145.90 7,856.98 335.00 355.867619124 of 16
660660436436660575575NAMEIndian 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)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.Agreement -436-IHS-0074VA-660-IHS-0033VA-660-IHS-0017VA 259-14-C-0216VA-666-IHS-0076VA -C-0291IHS/THP Monthly ReportAgreement Date to FYTDTotal DisbursedUnique VetsTotal Claims 24,334.652673 0.0000 315,222.56801217 290,815.53162784 10,006.281169 24,987.552337 165,888.4027595 506,766.12671552 3,151.13213 117,100.9132376 13,019.721560 0.0000 221,663.0873843 29,553.7835109 30,741.821199 705,343.282432431 17,431.84669 541,079.891511467 34,753.0017114 0.0000 22,743.41782 1,214,213.183733490 365,679.29831251 0.0000 28,010.923267 47,186.3913166 120.8812 25,466.33382 6,011.001519 214,107.0940850 34,144.8211160 732,827.762601949 214,863.6050742 2,077.4337 13,851.31852 39,385.3813183 311.1012 34,597.7213208 48,187.9729280 10,455.30472 0.0000 92,932.0731385 513,016.752882207 108,580.6327398 121,256.5165279 0.0000 20,306.92235 103,460.0055314 1,512.0025 312,530.29491174 836,667.431133422 355,449.36661318 205,169.3588754 169,429.3540787 6,730.001121 243,115.91631107 0.0000 369,714.35501515 87,419.3338466 174,155.1333792 0.0000 2,800.0018FY16Total DisbursedUnique Vets 1,750.004 0.000 26,880.8735 20,353.3243 7,467.628 2,770.005 1,035.002 16,650.4827 0.000 1,953.384 0.000 0.000 7,362.3112 0.000 0.000 10,136.4235 0.000 18,180.5725 670.002 0.000 702.091 15,162.4833 947.494 0.000 5,613.558 335.001 0.000 0.000 335.001 5,287.4310 335.001 335.001 1,840.934 0.000 2,465.844 3,475.676 0.000 0.000 1,083.362 1,610.452 0.000 805.703 15,757.9836 1,730.176 5,695.009 0.000 0.000 6,700.0012 0.000 23,711.2821 15,245.9441 18,646.2126 16,488.9325 0.000 5,830.0010 2,949.769 0.000 5,962.8413 9,486.2019 6,414.259 0.000 0.0005 of 16
664593691664605437568NAMEUte 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)Santa Ynez Tribal Health ClinicSouthern Indian Health Council, Inc.Toiyabe Indian Health ClinicCass Lake HospitalCheyenne River Service Unit - Eagle Butte PHS Indian HospitalAgreement 25VA-437-IHS-0058VA-568-IHS-0007IHS/THP Monthly ReportAgreement Date to FYTDTotal DisbursedUnique VetsTotal Claims 10,523.93445 411,105.91942151 349,832.77631230 8,459,905.3543011147 0.0000 0.0000 104,742.5214199 15,407.47726 0.00018 4,344.98510 63,651.7921265 0.0000 0.0000 70,471.6726251 27,214.191878 18,481.00861 6,156.07211 0.0000 25,008.1212104 1,082.0022 80,968.2114157 173,604.1730320 212,100.4229396 0.0000 13,812.91326 0.0000 0.0000 23,829.67540 0.0000 54,676.6019146 0.0000 121,739.26943 32,466.52990 0.0000 9,830.07216 0.0000 0.0000 154,158.8681254 78,493.6221167 1,131,643.471392311 53,847.2740210 0.0000 77,078.8126353 1,623.0013 72,189.2129153 0.0000 0.0000 0.0000 0.0000 0.0000 15,740.00251 0.0000 0.0000 13,984.83934 0.0000 76,784.1621244 11,609.37234 0.0000 2,388.0036 312.0011 365,515.611141515 684,357.481373224FY16Total DisbursedUnique Vets 0.000 11,608.2728 7,888.4718 451,760.83167 0.000 0.000 1,202.002 4,208.272 0.000 0.000 546.182 0.000 0.000 0.000 1,400.003 335.001 0.000 0.000 0.000 0.000 9,267.005 4,808.006 3,005.005 0.000 1,202.002 0.000 0.000 0.000 0.000 5,250.007 0.000 601.001 0.000 0.000 1,202.001 0.000 0.000 9,693.2210 4,295.077 77,499.1657 0.000 0.000 936.982 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1,385.001 0.000 0.000 2,973.893 0.000 4,690.006 0.000 0.000 0.000 0.000 10,951.3926 13,158.36256 of 16
37568437437568437636438NAMEFlandreau 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 S-0003VA-636-IHS-0049VA-438-IHS-0004Grand 3635586NAMEMaliseet 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)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)Agreement -0001 35635Choctaw Nation (OLD AGREEMENT)/Choctaw Nation Health Care Center (Choctaw Nation) (NEW AGREEMENT)Claremore 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)IHS/THP Monthly ReportAgreement Date to FYTDTotal DisbursedUnique VetsTotal Claims 14,782.29447 12,491.741454 87,623.9621396 121,286.3960559 108,960.2235493 0.0000 95,648.4126508 196,611.1847469 5,819.60518 714,605.891602297 0.0000 390,077.121041840 213,569.7190978 0.0000 420,093.11421687 433,140.911201596 299,737.12891590 215,465.9031939 68,118.7622287 110,715.5949350 81,074.4638499 194,756.1040702 30,564,795.926,22688,197FY15Total DisbursedUnique Vets 0.000 0.000 14,494.009 0.000 0.000 5,664.584 0.000 0.000 0.000 76,376.4541 0.000 0.000 0.000 70,928.6832 10,412.3810 6,653.824 1,061,156.28485 308,616.21152 0.000 622,342.69 334,076.50 15,592.84 23,161.96 22,584.65 0.00 198,279.53 245,646.21 2,538.66 22,217.55 79,225.33 212,784.60 312.00 55,129.66 6,446.74245158121026065154422245112411FY16Total DisbursedUnique Vets 8,009.004 625.282 22,906.7710 1,801.719 10,150.287 0.000 2,583.749 5,030.706 335.001 81,430.8861 0.000 6,285.0010 778.613 0.000 20,703.9019 23,424.7826 5,146.8421 4,043.399 148.441 1,675.004 335.001 3,508.9210 1,344,413.261,470FY15 - Retroactive PymtsTotal DisbursedUnique Vets 0.000 0.000 0.000 0.000 0.000 69.003 0.000 0.000 0.000 69.003 0.000 0.000 0.000 161.007 0.000 0.000 0.000 0.000 0.000 0.00 184.00 0.00 115.00 0.00 0.00 322.00 0.00 0.00 0.00 46.00 253.00 0.00 161.00 0.00080500140002110707 of 16
463463463463668463648NAMEWyandotte 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)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)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 CenterAgreement -660-IHS-0033VA-660-IHS-0017VA 259-14-C-0216VA-666-IHS-0076VA -A-0074VA-648-IHS-0013IHS/THP Monthly ReportFY15Total DisbursedUnique Vets 0.000 80,777.0241 18,626.7830 18,707.696 369,810.24184 7,254.173 260,806.45123 12,005.0011 0.000 21,685.937 839,643.17315 180,487.0867 0.000 22,397.3727 16,830.935 0.000 15,736.333 2,580.005 85,933.8225 22,162.657 361,887.06167 158,882.6642 312.001 4,561.666 20,256.0312 11.101 7,789.908 1,234.084 4,312.853 0.000 56,918.5124 248,199.34211 57,391.0723 115,561.5164 0.000 14,606.922 94,888.0052 0.000 162,577.0937 311,078.0587 171,097.2352 188,680.4286 58,416.6329 0.000 92,047.4444 0.000 130,057.2232 77,933.1336 100,616.7028 0.000 2,800.001 9,293.614 137,384.8382 151,097.1955 4,035,871.76334 0.000 0.000 69,652.6413 4,624.204 0.000 3,828.004 26,936.2016FY15 - Retroactive PymtsTotal DisbursedUnique Vets 0.000 184.008 0.000 0.000 1,564.0068 0.000 989.0043 115.005 0.000 46.002 414.0018 1,219.0053 0.000 0.000 69.003 0.000 46.002 0.000 598.0026 0.000 483.0021 483.0021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 69.003 529.0023 184.008 0.000 0.000 0.000 0.000 0.000 207.009 1,221.0033 621.0027 0.000 69.003 0.000 23.001 0.000 805.0035 0.000 92.004 0.000 0.000 0.000 276.0012 437.0019 8,399.00227 0.000 0.000 0.000 37.001 0.000 0.000 0.0008 of 16
568618438568636A8568636NAMEChickaloon 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)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)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 NebraskaAgreement -568A4-IHS-0064VA26314X0007IHS/THP Monthly ReportFY15Total DisbursedUnique Vets 0.000 0.000 1,137.984 17,201.1913 4,055.003 6,156.072 0.000 4,070.195 541.002 59,888.5513 74,334.4725 91,919.4517 0.000 12,068.731 0.000 0.000 8,573.263 0.000 49,426.6019 0.000 115,754.266 32,466.529 0.000 6,464.071 0.000 0.000 111,497.6771 25,713.008 604,916.38125 4,940.3017 0.000 35,630.6016 0.000 64,589.4727 0.000 0.000 0.000 0.000 0.000 14,355.002 0.000 0.000 11,010.949 0.000 32,740.0012 8,123.542 0.000 1,734.003 312.001 301,032.5188 268,542.33108 6,773.293 11,866.4613 15,489.7910 65,888.7746 54,141.8827 0.000 41,205.1820 84,737.0432 5,484.604 386,696.01128 0.000FY15 - Retroactive PymtsTotal DisbursedUnique Vets 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 592.0016 370.0010 0.000 0.000 0.000 0.000 37.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 296.008 111.003 2,183.0059 0.000 0.000 0.000 0.000 74.002 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 1,265.0055 1,196.0052 0.000 0.000 0.000 253.0011 92.004 0.000 253.0011 230.0010 0.000 1,104.0048 0.0009 of 16
7437568437636438NAMEQuentin N. Burdick Memorial Health Care Facility (Belcourt/ Turtle Mountain Band)Rapid City IHS Hospital (Rapid City Service Unit)Red Clif
CBO Purchased Care, Program Oversight and Informatics Department of Informatics (10N3B) Transaction through 10/31/2015 Last Updated: 11/24/2015 Extracted by: Jenaya Lee
