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2.form Monitoring 09-2014

This document provides a monitoring report of BPJS Kesehatan healthcare costs for the month of September 2014 from the Magelang main branch office. It lists 46 healthcare facilities in the region including their codes, names, number of patients served, costs submitted and reimbursed. The totals are provided for each facility for the months of January through July 2014. The report summarizes the healthcare costs submitted and reimbursed for 46 facilities in the Magelang region across 7 months to monitor BPJS Kesehatan expenditures at the local level.

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Mono Putra
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35 views20 pages

2.form Monitoring 09-2014

This document provides a monitoring report of BPJS Kesehatan healthcare costs for the month of September 2014 from the Magelang main branch office. It lists 46 healthcare facilities in the region including their codes, names, number of patients served, costs submitted and reimbursed. The totals are provided for each facility for the months of January through July 2014. The report summarizes the healthcare costs submitted and reimbursed for 46 facilities in the Magelang region across 7 months to monitor BPJS Kesehatan expenditures at the local level.

Uploaded by

Mono Putra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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MONITORING BEBAN BIAYA PELKES BPJS KESEHATAN

TINGKAT PELAYANAN : RJTL


PEMBEBANAN BULAN : SEPTEMBER 2014
CABANG UTAMA MAGELANG
KANTOR
CABANG
1

MAGELANG

NO.

KODE FASKES

NAMA FASKES
Kss

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

1120R001
1120R002
1120R003
1120R005
0145R008
0145R010
1120R006
1120R007
1119R001
0146R009
0146R008
0146R007
1119R004
1114R001
1114R004
1117R001
1118R001
1118R002
1118R003
0163R005
1116R001
0170R008
0170R010
0170R011
1116R003
1116R006

RSU KEBUMEN
PKU MUHAMMADIYAH GOMBONG
RS PALANG BIRU GOMBONG
PKU MUHAMMADIYAH SRUWENG
RS. PURWOGONDO
RS Permata Medika
RS PURBOWANGI
BP4 KEBUMEN
RSUD SARAS HUSADA
RS Panti Waluyo
RSIA Aisyiyah
RS. Palang Biru Kutoarjo
RSU PKU MUHAMADIYAH PWRJ
RSU WONOSOBO
RS ISLAM WONOSOBO
BPK RSU KAB MAGELANG
RSU TEMANGGUNG
RSK PARAKAN
RS PKU MUH TMG
RS GUNUNG SAWO
RS TIDAR MAGELANG
RS. JIWA MAGELANG
RS ISLAM KOTA MAGELANG
RS LESTARI RAHARJA
RS DR SOEDJONO MAGELANG
BP4 MAGELANG

BULAN
F

Jan-14
Biaya

Yang diajukan

Yang dibayarkan

Kss
10

4,112
1,738
122
293
18
57
256
278
7,018
2
10
305
94
3,477
369
3,574
2,848
404
162

780,583,157
679,664,290
85,937,899
49,869,393
2,796,696
10,053,299
39,499,223
48,069,300
1,568,351,140
310,744
1,642,816
52,321,808
16,653,397
901,964,685
59,820,896
592,651,534
675,724,684
65,575,725
28,617,298

780,583,157
679,664,290
85,937,899
49,685,965
2,796,696
10,053,299
39,499,223
48,069,300
1,568,351,140
310,744
1,642,816
52,321,808
16,653,397
901,964,685
59,820,896
592,651,534
675,564,210
65,575,725
28,617,298

3,772
1,973
173
536
92
162
459
315
6,303
1
22
390
120
3,019
328
3,245
2,741
643
255

5,695
2,474
66

1,391,160,399
961,342,838
11,070,530

1,391,160,399
961,342,838
11,070,530

5,670
2,663
142

5,180
187

1,179,205,259
33,897,292

1,179,205,259
33,897,292

4,325
195

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

1120O002
1120O003
1120O005
1120O004
0146O001
1119O002
1119O003
1119O005
1114O001
1114O002
1114O004
1114O005
0148O001
1117O006
1118O001
1118O002
1116O002
1116O003
1116O004
1116O005

OPTIK KENCANA KEBUMEN


OPTIK EKA KEBUMEN
OPTIK DUNIA
OPT SURYA
OPTIK KINANTI PURWOREJO
OPTIK AKUR PURWOREJO
OPTIK AKUR KUTOARJO
OPTIK SAMBAS PURWOREJO
OPTIK KUSUMA WONOSOBO
OPTIK TURIS WONOSOBO
OPTIK AKUR WONOSOBO
OPTIK SAMBAS WONOSOBO
OPTIK ISMAIL
OPTIK JAGO
OPTIK DIAN HAERANI
OPTIK INDO
OPTIK AKUR PEMUDA MAGELANG
OPTIK AKUR A YANI MAGELANG
OPTIK BEAUTY MAGELANG
OPTIK KORNEA MAGELANG

10
41
34
54
16
10
20
56
3
21
46
22
44
61
61
28
68
9

2,700,000
11,300,000
9,200,000
14,300,000
4,300,000
2,600,000
5,500,000
14,550,000
700,000
6,300,000
12,400,000
5,650,000
11,800,000
17,300,000
16,100,000
6,800,000
17,650,000
2,500,000

2,700,000
11,300,000
9,200,000
14,300,000
4,300,000
2,600,000
5,500,000
14,550,000
700,000
6,300,000
12,400,000
5,650,000
11,800,000
17,300,000
16,100,000
6,800,000
17,650,000
2,500,000

13
41
28
6
34
17
10
23
43
3
10
20
36
18
22
35
53
16
59
16

BULAN PELAYANAN
Feb-14
Biaya

Mar-14
Biaya

Yang diajukan

Yang dibayarkan

11

12

Kss
15

Apr-14
Biaya

Yang diajukan

Yang dibayarkan

16

17

Kss
20

Yang diajukan

Yang dibayarkan

21

22

746,230,558
700,499,119
78,687,189
88,546,259
14,294,224
29,316,828
71,340,835
52,291,064
1,419,672,411
155,372
3,609,061
63,786,220
19,188,736
832,045,666
54,260,987
577,021,129
632,629,545
106,258,176
45,323,454

746,230,558
700,499,119
78,687,189
88,546,259
14,294,224
29,316,828
71,340,835
52,291,064
1,419,672,411
155,372
3,609,061
63,786,220
19,188,736
832,045,666
54,260,987
577,021,129
632,629,545
106,258,176
45,323,454

4,101
2,439
299
838
154
312
587
412
7,403
6
28
593
162
3,425
413
3,755
3,102
943
412

819,895,408
842,643,909
109,027,252
136,500,139
23,797,304
49,251,168
91,091,975
66,054,808
1,698,835,603
792,452
7,030,104
94,680,615
26,063,632
916,137,162
67,131,094
645,670,524
743,796,338
151,040,292
70,600,330

819,895,408
842,643,909
109,027,252
136,500,139
23,797,304
49,251,168
91,091,975
66,054,808
1,698,835,603
792,452
7,030,104
94,680,615
26,063,632
916,137,162
67,131,094
645,670,524
743,796,338
151,040,292
70,600,330

4,460
2,824
464
928
240
386
616
381
7,794
1
94
736
256
3,778
535
4,257
3,454
1,273
590

890,134,240
909,391,692
141,576,093
152,599,452
36,703,325
60,339,845
95,779,360
61,658,099
1,771,580,561
163,901
15,318,248
117,493,000
41,106,979
955,955,791
87,329,965
723,235,572
814,830,351
203,203,348
101,769,929

890,134,240
909,391,692
141,576,093
152,599,452
36,703,325
60,339,845
95,779,360
61,658,099
1,771,580,561
163,901
15,318,248
117,493,000
41,106,979
955,955,791
87,329,965
723,235,572
814,830,351
203,203,348
101,769,929

1,413,628,050
1,055,721,412
23,783,024

1,413,628,050
1,055,721,412
23,783,024

6,335
2,834
209

1,598,857,586
1,131,828,446
35,411,389

1,598,857,586
1,131,828,446
35,411,389

6,724
3,404
160

1,672,779,031
1,362,840,403
26,820,569

1,672,779,031
1,362,840,403
26,820,569

1,022,549,087
35,392,664

1,022,549,087
35,392,664

4,633
184

1,088,157,355
33,849,024

1,088,157,355
33,849,024

5,172
202

1,171,322,261
35,740,047

1,171,322,261
35,740,047

3,800,000
10,850,000
7,000,000
1,650,000
9,050,000
4,800,000
2,700,000
5,900,000
12,100,000
900,000
2,800,000
5,900,000
10,400,000
4,900,000
6,000,000
10,000,000
13,850,000
4,000,000
16,450,000
4,600,000

3,800,000
10,850,000
7,000,000
1,650,000
9,050,000
4,800,000
2,700,000
5,900,000
12,100,000
900,000
2,800,000
5,900,000
10,400,000
4,900,000
6,000,000
10,000,000
13,850,000
4,000,000
16,450,000
4,600,000

8
45
31
4
46
17
8
25
64
2
5
23
46
29
26
57
54
23
69
15

2,650,000
12,150,000
8,000,000
1,100,000
11,850,000
4,550,000
1,650,000
6,900,000
17,800,000
600,000
1,250,000
6,750,000
12,800,000
7,400,000
7,000,000
16,050,000
14,350,000
6,200,000
18,550,000
4,400,000

2,650,000
12,150,000
8,000,000
1,100,000
11,850,000
4,550,000
1,650,000
6,900,000
17,800,000
600,000
1,250,000
6,750,000
12,800,000
7,400,000
7,000,000
16,050,000
14,350,000
6,200,000
18,550,000
4,400,000

12
35
34
4
57
15
12
26
42
2
33
51
29
35
69
71
24
64
20

3,050,000
9,600,000
9,050,000
750,000
15,100,000
4,050,000
3,050,000
6,900,000
11,750,000
600,000
9,150,000
12,550,000
7,900,000
9,350,000
18,050,000
18,450,000
6,550,000
17,400,000
4,800,000

3,050,000
9,600,000
9,050,000
750,000
15,100,000
4,050,000
3,050,000
6,900,000
11,750,000
600,000
9,150,000
12,550,000
7,900,000
9,350,000
18,050,000
18,450,000
6,550,000
17,400,000
4,800,000

May-14
Biaya
Kss
25

Jun-14
Biaya

Yang diajukan

Yang dibayarkan

26

27

Kss

Yang diajukan

Jul-14
Biaya

Yang dibayarkan

30

31

32

4,776
2,981
658
957
305
566
825
371
7,762
26
101
747
360
4,047
553
4,171
3,335
1,440
663

1,004,128,690
968,378,611
185,966,111
158,642,569
47,349,857
88,037,941
300,538,821
59,688,529
1,763,518,137
3,990,571
31,983,430
118,805,982
57,595,119
1,030,470,533
88,896,892
704,141,208
810,329,723
230,543,389
113,799,216

1,004,128,690
968,378,611
185,966,111
158,642,569
47,349,857
88,037,941
300,538,821
59,688,529
1,763,518,137
3,990,571
31,983,430
118,805,982
57,595,119
1,030,470,533
88,896,892
704,141,208
810,329,723
230,543,389
113,799,216

5,014
2,986
836
1,279
342
683
796
352
7,930
123
136
892
412
4,198
666
4,205
3,492
1,792
752

1,011,419,046
923,357,461
217,798,253
211,944,731
53,289,250
106,178,180
346,927,738
57,101,000
1,801,650,616
19,288,332
38,045,970
140,275,770
65,873,392
1,024,942,805
108,257,215
715,620,904
813,982,940
381,380,711
126,879,396

1,011,419,046
923,357,461
217,798,253
211,944,731
53,289,250
106,178,180
346,927,738
57,101,000
1,801,650,616
19,288,332
38,045,970
140,275,770
65,873,392
1,024,942,805
108,257,215
715,620,904
813,982,940
381,380,711
126,879,396

6,738
3,444
218

1,722,813,548
1,391,521,916
36,141,572

1,722,813,548
1,391,521,916
36,141,572

7,461
3,714
205

1,853,954,074
1,500,656,537
33,238,796

1,853,954,074
1,500,656,537
33,238,796

5,122
231

1,203,387,163
40,495,957

1,203,387,163
40,495,957

5,687
211

1,304,733,047
36,471,036

1,304,733,047
36,471,036

Kss
35

4,275
3,130
802
1,207
341
727
662
318
7,273
181
129
903
523
3,908
717
4,022
3,218
1,684
842
1
6,976
3,439
183
48
5,142
183

Yang diajukan
36

869,409,324
996,443,537
227,743,993
199,930,058
47,692,529
112,646,067
277,233,621
50,698,697
1,723,062,263
28,200,354
24,953,707
144,032,395
84,352,380
996,818,705
118,073,788
695,476,889
803,448,958
336,591,902
141,494,411
163,891
1,850,211,650
1,386,944,052
30,011,952
7,468,499
1,303,919,954
30,216,950

17
53
27
5
52
17
10
35
41
5
6
24
63
14
40
77
60
28
73
23

4,600,000
13,500,000
6,950,000
1,300,000
12,950,000
4,450,000
2,700,000
9,250,000
11,450,000
1,400,000
1,550,000
6,250,000
16,950,000
3,250,000
10,250,000
21,150,000
15,750,000
7,350,000
19,800,000
6,050,000

4,600,000
13,500,000
6,950,000
1,300,000
12,950,000
4,450,000
2,700,000
9,250,000
11,450,000
1,400,000
1,550,000
6,250,000
16,950,000
3,250,000
10,250,000
21,150,000
15,750,000
7,350,000
19,800,000
6,050,000

19
40
25
3
65
17
13
25
44
5
4
21
31
23
59
76
65
26
96
13

4,350,000
10,400,000
6,200,000
800,000
17,050,000
4,600,000
3,350,000
7,100,000
12,200,000
1,500,000
1,200,000
5,450,000
8,300,000
5,800,000
16,200,000
20,200,000
17,200,000
7,000,000
25,550,000
3,550,000

4,350,000
10,400,000
6,200,000
800,000
17,050,000
4,600,000
3,350,000
7,100,000
12,200,000
1,500,000
1,200,000
5,450,000
8,300,000
5,800,000
16,200,000
20,200,000
17,200,000
7,000,000
25,550,000
3,550,000

10
58
35
2
64
26
10
33
86
4
10
34
56
36
63
102
59
22
97
25

2,900,000
16,050,000
9,250,000
500,000
16,950,000
6,750,000
2,900,000
9,150,000
23,250,000
1,100,000
2,150,000
8,900,000
15,200,000
9,750,000
17,200,000
26,900,000
15,000,000
5,800,000
26,350,000
6,600,000

BULAN PELAYANAN

ul-14
Biaya

Aug-14
Biaya

Yang dibayarkan
37

869,409,324
996,443,537
227,743,993
199,930,058
47,692,529
112,646,067
277,233,621
50,698,697
1,723,062,263
28,200,354
24,953,707
144,032,395
84,352,380
996,818,705
118,073,788
695,476,889
803,448,958
336,591,902
141,494,411
163,891
1,850,211,650
1,386,944,052
30,011,952
7,468,499
1,303,919,954
30,216,950

Kss
40

Yang diajukan

Yang dibayarkan

41

42

4990
3222
942
1368
392
791
889
367
8462
203
197
958
634
4272
747
4364
3527
2103
917
26

995,443,130
977,779,493
241,943,325
227,614,294
61,126,911
122,737,310
485,240,342
58,336,135
1,889,731,791
31,635,387
59,211,824
152,739,559
101,458,803
1,047,370,108
121,516,731
748,224,230
892,788,594
451,202,897
153,764,457
4,008,965

995,443,130
977,779,493
241,943,325
227,614,294
61,126,911
122,737,310
485,240,342
58,336,135
1,889,731,791
31,635,387
59,211,824
152,739,559
101,458,803
1,047,370,108
121,516,731
748,224,230
892,788,594
451,202,897
153,764,457
4,008,965

3943
193
125

1,590,088,564
30,935,461
19,797,937

1,590,088,564
30,935,461
19,797,937

265

45,837,241

45,837,241

Ket

IBNR

Klm penuh
43

44

958,757,167
965,860,164
229,161,857
213,163,028
54,036,230
113,853,852
369,800,567
55,378,611
1,804,814,890
26,374,691
40,737,167
145,682,575
83,894,858
1,023,043,873
115,949,245
719,774,008
836,740,164
389,725,170
140,712,755
1,390,952
1,852,082,862
1,492,563,051
31,395,403
9,088,812
1,304,326,501
37,508,409

4,760
3,113
860
1,285
358
734
782
346
7,888
169
154
918
523
4,126
710
4,197
3,412
1,860
837
9
7,219
3,699
194
58
3,610
220

2,900,000
16,050,000
9,250,000
500,000
16,950,000
6,750,000
2,900,000
9,150,000
23,250,000
1,100,000
2,150,000
8,900,000
15,200,000
9,750,000
17,200,000
26,900,000
15,000,000
5,800,000
26,350,000
6,600,000

21
63
38
2
101
23
10
44
69
2
14
30
74
36
36
91
70
26
117
41

5,350,000
16,900,000
9,200,000
300,000
24,850,000
6,100,000
2,550,000
11,900,000
17,550,000
450,000
3,450,000
7,850,000
19,950,000
8,650,000
10,200,000
23,400,000
17,350,000
7,300,000
31,050,000
10,750,000

5,350,000
16,900,000
9,200,000
300,000
24,850,000
6,100,000
2,550,000
11,900,000
17,550,000
450,000
3,450,000
7,850,000
19,950,000
8,650,000
10,200,000
23,400,000
17,350,000
7,300,000
31,050,000
10,750,000

Kepala

Roni Kurnia H.P


Senior Manager

penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh
penuh

4,200,000
14,450,000
8,216,667
533,333
19,616,667
5,816,667
2,933,333
9,383,333
17,666,667
1,016,667
2,266,667
7,400,000
14,483,333
8,066,667
14,533,333
23,500,000
16,516,667
6,700,000
27,650,000
6,966,667

17
54
33
2
77
22
11
34
66
4
9
28
54
32
53
90
65
25
103
26

MONITORING BEBAN BIAYA PELKES BPJS KESEHATAN


TINGKAT PELAYANAN : RI
PEMBEBANAN BULAN :SEPTEMBER 2014
CABANG UTAMA MAGELANG

KANTOR
CABANG
1

MAGELANG

NO.

KODE FASKES

Jan-14
Biaya

NAMA FASKES
Kss

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

1120R001
1120R002
1120R003
1120R005
0145R008
0145R010
1120R006
1119R001
0146R009
0146R008
0146R007
1119R004
1114R001
1114R004
1117R001
1118R001
1118R002
1118R003
0163R005
1116R001

RSU KEBUMEN
PKU MUHAMMADIYAH GOMBONG
RS PALANG BIRU GOMBONG
PKU MUHAMMADIYAH SRUWENG
RS. PURWOGONDO
RS Permata Medika
RS PURBOWANGI
RSUD SARAS HUSADA
RS Panti Waluyo
RSIA Aisyiyah
RS. Palang Biru Kutoarjo
RSU PKU MUHAMADIYAH PWRJ
RSU WONOSOBO
RS ISLAM WONOSOBO
BPK RSU KAB MAGELANG
RSU TEMANGGUNG
RSK PARAKAN
RS PKU MUH TMG
RS GUNUNG SAWO
RS TIDAR MAGELANG

Yang diajukan
6

Yang dibayarkan Hari rwt


7

Kss
11

641
682
217
465
152
174
196
829
78
12
179
235
653
181
499
530
323
181

2,222,877,881
2,552,116,777
718,226,877
1,619,921,414
452,798,062
555,770,283
521,416,790
3,793,985,719
197,579,314
28,944,391
565,512,903
885,802,095
1,935,701,830
615,081,628
1,740,503,632
1,862,824,156
1,294,539,914
832,659,307

2,222,877,881
2,506,696,216
718,226,877
1,619,921,414
452,798,062
555,770,283
521,416,790
3,793,985,719
197,579,314
28,944,391
565,512,903
885,802,095
1,935,701,830
615,081,628
1,740,503,632
1,862,824,156
1,294,539,914
832,659,307

2,850
2,468
993
2,056
546
784
621
3,868
294
39
821
1,168
2,957
771
2,515
2,405
1,155
915

770
744
232
493
168
232
234
973
73
16
248
253
779
276
553
662
413
200

726

3,697,078,244

3,697,078,244

3,563

941

20
21
22
23

0170R008
0170R010
0170R011
1116R003
1116R006

RS. JIWA MAGELANG


RS ISLAM KOTA MAGELANG
RS LESTARI RAHARJA
RS DR SOEDJONO MAGELANG
BP4 MAGELANG

551
99

3,503,465,496
308,197,348

3,503,465,496
308,197,348

4,821
334

534
139

764
6

3,456,431,817
21,247,381

3,456,431,817
21,247,381

3,921
16

758
9

Feb-14
Biaya
Yang diajukan
12

Mar-14
Biaya

Yang dibayarkan Hari rwt


13

14

Kss
17

Yang diajukan
18

Apr-14
Biaya

Yang dibayarkan Hari rwt


19

20

Kss
23

Yang diajukan
24

2,913,570,971
2,668,554,971
855,180,993
1,804,796,209
486,405,192
733,090,665
593,957,606
4,795,868,636
175,230,713
41,353,354
801,584,028
903,009,196
2,425,852,577
923,743,041
2,030,981,539
2,208,495,763
1,734,653,929
1,132,367,829

2,913,570,971
2,668,554,971
855,180,993
1,804,796,209
486,405,192
733,090,665
593,957,606
4,795,868,636
175,230,713
41,353,354
801,584,028
903,009,196
2,425,852,577
923,743,041
2,030,981,539
2,208,495,763
1,734,653,929
1,132,367,829

3,443
2,952
1,106
2,515
567
1,044
809
5,146
303
51
1,143
1,145
3,027
1,182
3,028
3,070
1,536
1,370

854
789
291
571
195
254
253
1,094
98
28
281
279
798
291
588
734
525
283

3,239,936,936
2,668,963,544
1,028,283,410
2,023,119,425
581,030,544
753,256,446
701,809,292
5,406,589,194
265,740,125
80,851,174
965,510,738
1,062,513,180
2,452,325,821
903,100,205
2,217,524,351
2,329,491,715
2,054,522,324
1,234,123,207

3,239,936,936
2,668,963,544
1,028,283,410
2,023,119,425
581,030,544
753,256,446
701,809,292
5,406,589,194
265,740,125
80,851,174
965,510,738
1,062,513,180
2,452,325,821
903,100,205
2,217,524,351
2,329,491,715
2,054,522,324
1,234,123,207

3,631
3,185
1,446
2,671
730
1,110
930
5,579
470
104
1,201
1,417
3,571
1,527
2,941
3,046
1,935
1,470

851
818
284
562
171
243
267
1,171
72
29
274
280
839
334
586
791
470
351

3,160,365,754
2,909,076,140
1,121,178,625
2,011,710,513
498,723,945
682,136,952
770,230,494
5,442,132,261
191,811,789
85,458,397
874,800,489
1,052,081,621
2,540,536,257
1,169,443,497
2,086,930,188
2,590,547,449
1,808,641,874
1,713,469,300

4,482,965,638

4,482,965,638

4,296

912

4,568,632,452

4,568,632,452

4,427

961

4,761,224,278

3,304,911,251
434,698,736

3,304,911,251
434,698,736

7,471
462

575
144

3,848,064,303
474,233,177

3,848,064,303
474,233,177

9,362
591

731
145

4,651,533,256
447,591,344

3,525,752,228
16,920,247

3,525,752,228
16,920,247

3,931
24

852
8

4,143,941,159
20,660,125

4,143,941,159
20,660,125

4,626
27

836
8

4,038,367,077
25,267,334

Apr-14
Biaya

May-14
Biaya

Yang dibayarkan Hari rwt


25

26

Kss
29

Yang diajukan
30

Jun-14
Biaya

Yang dibayarkan Hari rwt


31

32

Kss
35

Yang diajukan

Yang dibayarkan Hari rwt

36

37

38

3,160,365,754
2,909,076,140
1,121,178,625
2,011,710,513
498,723,945
682,136,952
770,230,494
5,442,132,261
191,811,789
85,458,397
874,800,489
1,052,081,621
2,540,536,257
1,169,443,497
2,086,930,188
2,590,547,449
1,808,641,874
1,713,469,300

3,586
3,499
1,512
2,717
662
1,118
939
6,427
363
106
1,179
1,422
3,923
1,414
2,977
3,662
1,768
1,796

1,044
954
358
608
233
280
249
1,277
108
39
330
342
957
378
649
843
606
367

3,968,844,810
3,421,187,596
1,302,199,318
2,265,708,018
703,851,826
789,042,710
716,645,788
6,116,981,937
295,196,415
101,513,208
1,087,883,009
1,247,630,362
2,896,739,363
1,278,498,024
2,268,094,840
2,614,548,347
2,529,836,779
1,505,829,046

3,968,844,810
3,421,187,596
1,302,199,318
2,265,708,018
703,851,826
789,042,710
716,645,788
5,958,391,990
295,196,415
101,513,208
1,087,883,009
1,247,630,362
2,896,739,363
1,278,498,024
2,268,094,840
2,614,548,347
2,529,836,779
1,505,829,046

4,698
3,800
1,796
3,022
852
1,355
955
6,443
478
119
1,468
1,842
4,459
1,636
3,303
3,720
2,531
2,011

993
951
330
558
211
262
214
1336
130
40
346
355
931
408
607
871
572
387

3,707,764,310
3,416,264,704
1,213,586,781
2,068,727,586
653,754,023
800,413,368
635,513,804
6,492,719,234
403,435,949
123,205,657
1,226,395,030
1,302,129,623
2,899,419,597
1,378,547,029
2,176,912,166
2,971,902,824
2,216,685,543
1,507,759,659

3,707,764,310
3,416,264,704
1,213,586,781
2,068,727,586
653,754,023
800,413,368
635,513,804
6,492,719,234
403,435,949
123,205,657
1,226,395,030
1,302,129,623
2,899,419,597
1,378,547,029
2,176,912,166
2,971,902,824
2,216,685,543
1,507,759,659

4,316
3,755
1,752
2,758
885
1,306
813
6,830
575
142
1,459
1,893
4,426
1,775
3,045
3,808
2,385
2,045

4,761,224,278

599

992

5,282,186,787

5,282,186,787

5,353

1026

5,725,837,843

5,725,837,843

5,442

4,651,533,256
447,591,344

10,645
560

772
177

4,947,411,307
600,520,692

4,947,411,307
600,520,692

9,908
691

859
152

5,721,892,932
495,748,494

5,721,892,932
495,748,494

11,870
590

4,038,367,077
25,267,334

5,061
24

922
7

4,589,932,518
21,020,698

4,589,932,518
21,020,698

5,283
23

951
20

4,546,258,838
47,909,677

4,546,258,838
47,909,677

5,514
84

BULAN PELAYANAN
Jul-14
Biaya
Kss
41

1,073
888
287
626
212
266
180
1,211
90
41
353
354
882
413
664
794
543
419
20
1,021

Yang diajukan
42

4,143,860,205
3,249,006,468
1,102,992,757
2,443,806,076
652,140,114
811,812,768
546,072,936
5,799,818,102
239,321,310
112,093,864
1,247,514,948
1,290,692,392
2,611,317,213
1,454,489,586
2,558,981,930
2,718,092,462
2,138,689,219
1,779,606,857
72,654,164
5,915,377,081

Aug-14
Biaya

Yang dibayarkan Hari rwt


43

4,143,860,205
3,249,006,468
1,102,992,757
2,443,806,076
652,140,114
811,812,768
546,072,936
5,799,818,102
239,321,310
112,093,864
1,247,514,948
1,290,692,392
2,611,317,213
1,454,489,586
2,558,981,930
2,718,092,462
2,138,689,219
1,779,606,857
72,654,164
5,915,377,081

44

413
3,774
1,449
3,119
756
1,205
693
5,825
377
139
1,559
1,849
4,024
1,770
3,326
3,629
2,054
5,393

Kss
47

1011
1069
345
706
230
284
200
1387
133
41
374
393
840
403
659
691
594
487
29

Yang diajukan

Yang dibayarkan

48

49

4,167,647,405
3,720,892,638
1,383,643,980
2,841,028,714
720,070,642
835,844,363
620,965,301
6,663,834,360
404,900,718
130,455,336
1,385,120,955
1,443,964,186
2,619,205,851
1,395,609,462
2,469,215,006
3,392,176,717
2,343,822,460
1,948,707,944
109,341,630

4,167,647,405
3,720,892,638
1,383,643,980
2,841,028,714
720,070,642
835,844,363
620,965,301
6,663,834,360
404,900,718
130,455,336
1,385,120,955
1,443,964,186
2,619,205,851
1,395,609,462
2,469,215,006
3,392,176,717
2,343,822,460
1,948,707,944
109,341,630

Hari rwt Klm


penuh
50

51

101
39
17
32
133
11
50

60

19
38
84

Ket
52

732
135
34
819
24

5,041,004,512
463,047,974
128,511,080
4,313,495,674
60,757,089

Kepala

Roni Kurnia H.P


Senior Manager

5,041,004,512
463,047,974
128,511,080
4,313,495,674
60,757,089

9,452
24
123

849
169
88

5,917,532,355
554,831,439
366,883,024

5,917,532,355
554,831,439
366,883,024

93

17

52,005,718

52,005,718

11
4

IBNR
4,006,423,973
3,462,054,603
1,233,407,839
2,451,187,459
675,321,593
816,023,500
600,850,680
6,318,790,565
349,219,326
121,918,286
1,286,343,644
1,345,595,400
2,709,980,887
1,409,548,692
2,401,703,034
3,027,390,668
2,233,065,741
1,745,358,153
60,665,265
5,820,607,462

5,560,143,266
504,542,636
165,131,368
4,429,877,256
53,557,495

KODE FASKES

Jan-14
Biaya

NAMA FASKES
Kss

1120A001
1120A004
0145A008
1120A002
1120A005
1120A006
1120A007
0145A009
1119A001
0146A003
1119A004
0146A006
0146A005
1114A002
1114A005
1117A001
1118A003
1118A002
1118A004
1116A007
1116A006
0170A010
0170A009
1116A005

INST.FARM. RSU KEBUMEN


INST.FAR.BP4.KEBUMEN
IF RS. Purwogondo
IF PKU MUHAMMADIYAH GOMBONG
I.F RS PALANG BIRU GOMBONG
I.F PKU MUHAMMADIYAH SRUWENG
IF RS PURBOWANGI
IF PERMATA MEDIKA
IF RSUD SARAS HUSADA
IF. RS Palang Biru Kutoarjo
IF RSU PKU PURWOREJO
IF RS AISIYAH PWJ
IF RS PANTI WALUYO PWJ
INST.FARM. RSU WONOSOBO
IF.RS ISLAM WONOSOBO
IF. BPK RSU KAB MAGELANG
IF. RSU TEMANGGUNG
I.F.RSK PARAKAN
IF RSU PKU MUHAMMADIYAH TMG
SUB APT UK RST MAGELANG
IF RS TIDAR MAGELANG
IF.RS.JIWA MAGELANG
IF. RSI Kota Magelang
IF BP4 MAGELANG

Feb-14
Biaya

Yang diajukan

Yang dibayarkan

Kss
10

Yang diajukan
11

1,195

74,725,300

431

30,006,369

30,006,369

1,338

74,897,943

144
23
112
196

16,973,862
5,393,536
25,688,730
30,572,676

16,973,862
5,393,536
25,688,730
30,572,676

516
40
175
596

93,758,726
6,998,020
36,746,397
88,912,023

384
105
36

43,079,535
31,860,402
8,824,823

43,079,535
31,860,402
8,824,823

1,288
237
132

176,329,794
65,148,737
29,022,631

Feb-14
Biaya

Mar-14
Biaya

Yang dibayarkan
12

74,725,300

Kss
15

Apr-14
Biaya

Yang diajukan

Yang dibayarkan

16

17

Kss
15

Yang diajukan

Yang dibayarkan

16

17

937

76,449,611

76,449,611

918

81,317,681

81,317,681

18

224,429

224,429

373,318

373,318

203,094

203,094

74,897,943

1,762

110,617,777

110,617,777

1
11
8
2,099

36,168
166,469
372,042
150,635,616

36,168
166,469
372,042
150,635,616

93,758,726
6,998,020
36,746,397
88,912,023

520
49
181
594

100,679,937
10,422,905
36,124,827
98,405,485

100,679,937
10,422,905
36,124,827
98,405,485

645
53
179
633

93,575,281
8,745,622
34,251,164
106,900,858

93,575,281
8,745,622
34,251,164
106,900,858

176,329,794
65,148,737
29,022,631

1,204
332
86

202,719,761
92,570,050
18,280,582

202,719,761
92,570,050
18,280,582

1,186
376
63

183,361,445
101,001,705
11,056,018

183,361,445
101,001,705
11,056,018

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