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PHÍ phụ trợ hoạt động Phòng Giao hàng tận nơi phòng và Phòng Lao động - Gây mê X Quang - Phòng thí nghiệm đồng vị phóng xạ Phòng thí nghiệm chẩn đoán Bệnh Học Toàn bộ máu hô hấp trị liệu vật lý trị liệu Liệu Pháp Nghề Nghiệp Electrocardiology Electroencephalography | STATE OF CALIFORNIA DESIG PUB HOSP SCH 6 ADJUSTMENTS TO MEDI-CAL CHARGES Provider Name SAN FRANCISCO GENERAL HOSPITAL Fiscal Period Ended JUNE 30 2009 Provider No HSC00228W REPORTED ADJUSTMENTS Adjs 22 26 AUDITED ANCILLARY CHARGES 37.00 Operating Room 15 322 515 2 947 284 18 269 799 39.00 Delivery Room and Labor Room 1 597 863 1 596 070 1 793 40.00 Anesthesiology 11 192 897 2 435 045 13 627 942 41.00 Radiology - Diagnostic 13 318 217 462 707 13 780 924 43.00 Radioisotope 0 44.00 Laboratory 19 463 335 2 355 875 21 819 210 44.01 Laboratory Pathology 1 111 037 71 374 1 182 411 46.00 Whole Blood 1 549 612 444 250 1 993 862 49.00 Respiratory Therapy 2 728 726 538 596 3 267 322 50.00 Physical Therapy 2 067 788 1 083 916 3 151 704 51.00 Occupational Therapy 1 045 026 442 844 602 182 53.00 Electrocardiology 2 320 068 696 167 3 016 235 54.00 Electroencephalography 0 55.00 Medical Supplies Charged to Patients 21 082 150 4 440 029 25 522 179 55.01 Implantable Devices 63 025 110 879 173 904 56.00 Drugs Charged to Patients 38 694 153 5 635 508 44 329 661 57.00 Renal Dialysis 705 059 58 703 646 356 59.00 Other Ancillary Services 173 365 8 893 182 258 59.01 0 59.02 0 59.03 0 59.04 0 59.05 0 59.06 0 59.07 0 59.08 0 59.09 0 59.10 0 60.00 Clinic 5 515 0 5 515 61.00 Emergency 6 931 462 887 389 7 818 851 61.01 Psych Emergency 0 62.00 Observation Beds 0 63.60 Adult Medical Center FQHC I 0 63.61 Women s Health Center FQHC II 0 63.62 Family Health Center FQHC III 0 63.63 Children s Health Center FQHC IV 0 63.64 Urgent Care FQHC V 0 64.00 Home Program Dialysis 0 TOTAL M EDI-CAL ANCILLARY CHARGES 139 371 813 20 020 295 159 392 108 To Desig Pub Hosp Sch 5 This is trial version www.adultpdf.com STATE OF CALIFORNIA DESIG PUB HOSP SCH 7 COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN S REMUNERATION Provider Name SAN FRANCISCO GENERAL HOSPITAL Fiscal Period Ended JUNE 30 2009 Provider No HSC00228W PROFESSIONAL SERVICE COST CENTERS HBP REMUNERATION Adj TOTAL CHARGES TO ALL .
