STATE OF CALIFORNIA SCHEDULE 7 PROGRAM: NONCONTRACT COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''''''S REMUNERATION part2 pptx
STATE OF CALIFORNIA SCHEDULE 7 PROGRAM: NONCONTRACT COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''S REMUNERATION_part1 pdf
... CENTERS
37. 00 Operating Room $ 11,051,806 $ 106,344 ,79 9 0.103924 $ 5,363,295 $ 5 57, 377
37. 01 Gastro Intestinal Service 443,025 1, 170 ,465 0. 378 504 19,482 7, 374
37. 20 Cardicac Cath Lab 2 ,70 6,650 ... 52,095 ,73 6 0.159323 202,086 32,1 97
41.01 CT Scan and MRI 1, 870 ,488 36,694,158 0.050 975 444,536 22,660
43.00 Radioisotope 1 ,77 7, 070 16 ,70 6,218 0.106 372 31,812 3,384
4...
STATE OF CALIFORNIA SCHEDULE 7 PROGRAM: NONCONTRACT COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''S REMUNERATION_part2 pptx
... 523, 874
0
268,363
0
0
0
0
0
0
0
0
2,011,206
431 ,73 6
0
190,364
0
0
0
0
0
0
0
0
866,353
185, 976
0000000000 00
0 318,3 170 00000001, 574 ,211 3 37, 928
019, 577 0000000091,59019,661
000000000 07, 244,5 37 1,555,149
00000000008,335,663 1 ,78 9, 376
0
0
0
0
0
0
0
0
0
0
3 ,71 0 ,78 3
79 6, 576
0
0
0
0
0
0
0
0
0
0
293 ,73 3
63,054
0000000000 ... TOTAL $ 0 $ 0 $ 0 $ 0
(To Schedule 3)
COM...
STATE OF CALIFORNIA SCHEDULE 7 PROGRAM: NONCONTRACT COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''S REMUNERATION_part3 pdf
... 0
2,4981,18501, 277 00004,693099, 877 0
3 37, 0 17
159,864
51,935
172 ,344
0
131,648
0
2 ,71 2
7, 732
0
140,866
0
15,191
7, 206
4 ,72 9
7, 768
0
20,968
0
489
1,8 37
0
99,220
0
16, 378 7, 769 0 8, 375 0 7, 303 0 0 19 ,72 1 0 45, 173 ... B-1)
0
3 ,71 7,253 6,840,056 21,134
1 97, 201 293, 678 876
1,009, 571 1, 978 ,140 676
00
3,001,965 5,2 27, 319 5,664
194,692 61
2,904,385 6,006,546 8...
STATE OF CALIFORNIA SCHEDULE 7 PROGRAM: NONCONTRACT COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''S REMUNERATION_part4 potx
... Business Office
0
6.06
0
6. 07
0
6.08
0
6.00
Administrative and General
(5,894 ,76 4)
(434)
(290, 976 )
( 47, 7 37)
(80 ,76 0)
(5, 474 ,8 57)
7. 00
Maintenance and Repairs
(25)
(25)
8.00
Operation of Plant
(1 97, 296)
(1 97, 296)
9.00
Laundry ... 2300, 2304 and 2328
3 10A A 6.00 7 Administrative and General * 28,696, 977 ( 47, 7 37) 28,649,240 *
10A A 100.03 7 Community Relat...
STATE OF CALIFORNIA SCHEDULE 7 PROGRAM: NONCONTRACT COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''S REMUNERATION_part5 docx
... 4 ,70 5,466 (6,283) 4,699,183
10A A 37. 00 7 Operating Room 4,955,402 (45, 173 ) 4,910,229
10A A 37. 01 7 Gastro Intestinal Service 212,6 87 (76 6) 211,921
10A A 37. 02 7 Cardiac Cath Laboratory 1,1 17, 3 57 ... $101,989 $6, 478 ,220 *
10A A 4.00 7 New Capital Related Cost - Movable Equipment 5,342,064 1,633, 874 6, 975 ,938
10A A 5.00 7 Employee Benefits 23,2 97, 3 57 (5 57, 2 5...
STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part1 pot
... 0 0 0.000000 0
TOTAL $ 0 $ 0 $ 0 $ 0
(To Schedule 3)
COMPONENT OF HOSPITAL BASED
COMPUTATION OF PROFESSIONAL
TO ALL PATIENTS
RATIO OF
REMUNERATION REMUNERATION
HBP TOTAL CHARGES
TO CHARGES
CHARGES
MEDI-CAL
COST
MEDI-CAL
(Adj ... (Sum of Lines 5,10,15,20,25,30) $ 0 $ 0
(To Schedule 4)
COMPUTATION OF
MEDI-CAL INPATIENT ROUTINE SERVICE COST
This is trial version
www...
STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part2 pptx
... CHARGES
TO ALL PATIENTS
RATIO OF
REMUNERATION
MEDI-CAL
COSTCHARGES
COMPUTATION OF PROFESSIONAL
COMPONENT OF HOSPITAL BASED
REMUNERATION
(Adj )(Adj ) (Adj )
PHYSICIAN'S REMUNERATION
TO CHARGES
MEDI-CAL
This ... 3.10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0...
STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part3 pptx
...
23,401
510,192
11,068, 178
27, 603,446
23,401
23,401
628,038
23,401
5,430
12 ,77 7
3,512,462
5,0 27, 221
5,430
5,430
39,039
5,430
5,632
106, 372
2,593,514
5,292,035
5,632
5,632
5,632
32,299
283,989
9,254, 471
22 ,72 6, 875
32,299
32,299
154, 072
32,299
0
7, 803
26,515
102,628
22,2 07, 609
26,515
26,515
26,515
24,348
8, 078
125,914
1,532, 572
24,348
24,348
10 ,78 3
24,348
3,118,600
1...
STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part4 doc
... 19)
23,401
10,5 87
6,902
8, 872 ,693
36,969
77 ,824,6 37
77, 824,6 37
7,804
5,430
2,603
2,400
90,655
10,194
4,642,051
4,642,051
5,632
3,218
304,082
440,663
55,955, 476
55,955, 476
4, 976
32,299
9,551
242
1,092, 079
6,293
106,236,045
106,236,045
4,428
26,515
15,4 07
67, 914
152
124,559,091
124,559,091
24,348
1,805
48 ,78 8
11,664,392
11,664,392
4,246
5,0 17, 971
5,0 17, 971
1,909
4,...
STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part5 pot
... 6,068 ,75 8 1,106,124 7, 174 ,882
10A A 63.62 7 Family Health Center FQHC III * 5,235,592 1 ,71 3,092 6,948,684
10A A 63.63 7 Children's Health Center FQHC IV * 3,549, 578 856,995 4,406, 573
To ... provider's
depreciation schedule.
CMS Pub. 15-1, Sections 102, 2300, 2302.4, and 2304
11 10A A 63.60 7 Adult Medical Center FQHC I * $15,900,440 $3,533,3 37 $19,433 ,77 7
10A A...
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