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204-15: UMC, 3Rd Quarter Report Regarding Transportation Of 204-15 Clark County AB 225 07/01/2014 - 09/30/2014 as of 10/04/2014 ALL UNINSURED Data Data To Facility Name Accounts Charges To Facility Name Acounts Charges Sunrise Medical Center - Las Vegas 37 $ 38,373.89 Sunrise Medical Center - Las Vegas 16 $ 16,424.58 University Medical Center 16 $ 17,853.37 University Medical Center 12 $ 13,556.84 Western Arizona Regional Medical Center 15 $ 16,731.49 University Med Center 5 $ 5,827.42 Desert Springs Hospital 9 $ 9,163.29 Desert Springs Hospital 5 $ 5,212.30 Western Arizona Regional Medical University Med Center 8 $ 9,034.15 Center 4 $ 4,422.90 University Medical Center - Las Vegas 6 $ 6,257.76 Spring Valley Hospital Medical Center 2 $ 2,224.74 Spring Valley Hospital Medical Center 3 $ 3,297.24 Valley Hospital 2 $ 2,038.68 Summerlin Hospital 3 $ 3,164.34 Summerlin Hospital 2 $ 2,065.26 Valley Hospital 3 $ 3,084.60 (blank) 1 $ 1,055.20 Saint Rose Dominican Hospital Siena St. Rose San Martin Hospital 2 $ 2,628.01 Campus 1 $ 1,028.62 Saint Rose Dominican Hospital Siena Campus 2 $ 2,021.38 Centennial Hills Hospital 1 $ 1,311.72 Southern Hills Hospital 2 $ 2,018.63 Grand Total 51 $ 55,168.26 Centennial Hills Hospital 1 $ 1,311.72 (blank) 1 $ 1,055.20 Grand Total 108 $ 115,995.07 UMC 16 $ 17,853.37 14 $ 9,034.15 $ 6,257.76 30 $ 33,145.28 Total Current Account Number Charges Primary Name 20396624 1045.92 Medicaid - NV 20396625 1188.1 Amerigroup NV Claims 20405078 919.55 Medicare - NV 20405079 972.71 CCMSI 20443308 1045.92 20443309 1105.61 Medicare - NV 20443310 1019.34 Blue Cross Blue Shield of NV 20443311 1205.4 Health Plan of Nevada 20443312 1045.92 Sierra Health & Life Ins Co 20443313 1019.34 VA Southern NV Healthcare Sys 20454529 1152.24 Medicaid/Health Plan of NV 20454530 1205.4 Medicaid - NV 20454531 966.18 20454533 1125.66 20467392 966.18 20467393 1178.82 VISN 16 Consolidated Fee Unit 20509138 1019.34 VA Southern NV Healthcare Sys 20509139 1134.94 20509140 1072.5 Medicare - NV 20509141 1152.24 Aetna 20509142 1099.08 Medicaid - NV 20520507 1019.34 IEHP Health ACCESS Mcare 20520508 1079.03 20520509 1134.94 Medicare - NV 20532097 1079.03 Amerigroup NV Claims 20578309 1025.87 Teachers Health Trust 20578310 1025.87 Teachers Health Trust 20578311 1231.98 20578312 1019.34 20625920 1079.03 Progressive Insurance 20625921 939.6 Medicare - NV 20652161 1019.34 20652163 1072.5 Humana Regional Service Center 20666299 966.18 20666300 1099.08 20666301 946.13 Cigna Health Care 20701846 966.18 20728919 1152.24 20728920 1178.82 20728923 1079.03 Sierra Health & Life Ins Co 20728924 992.76 Medicare - NV 20728925 1099.08 20728926 1019.34 20739518 1079.03 Security Health Plan Mcare 20753807 1045.92 20762873 992.76 Cigna Health Care 20762874 946.13 Culinary Health Fund/ABPA 20762875 1045.92 Medicare - NV 20798739 1019.34 20822415 966.18 20822416 1072.5 20833874 966.18 Aetna 20833875 1028.62 Aetna 20847511 1052.45 20856307 999.29 20885265 1105.61 Medicare - NV 20885266 1211.93 20885267 1211.93 20885268 1152.24 20885269 1125.66 Medicare - NV 20908082 1045.92 20908083 1152.24 Kaiser Permanente 20948527 1045.92 20948528 966.18 Medicaid - NV 20971472 1072.5 United Medical Resources 20971475 966.18 Amerigroup 20971476 1099.08 Medicare - NV 20994282 1205.4 Humana Medicare Replacement Pl 20994283 919.55 21030154 1099.08 21030156 1055.2 21030157 1045.92 21040315 1311.72 21054627 919.55 Humana Regional Service Center 21054629 1045.92 Medi-Cal 21054630 1231.98 21066464 1241.26 21066465 1258.56 21105622 1105.61 Medicare - NV 21105623 1125.66 21105624 1134.94 21117382 892.97 Culinary Health Fund/ABPA 21117383 939.6 21117384 1072.5 21117386 1099.08 21117387 972.71 21117388 992.76 Medicaid/Health Plan of NV 21117389 992.76 21128900 1125.66 Medicare - NV 21138889 1079.03 CareMore Health Plan Mcare 21165465 992.76 Medicare - NV 21165466 1045.92 21165467 939.6 21165468 1152.24 Medicare - NV 21165469 1108.36 Triwest United Health 21180956 1125.66 21216529 1125.66 Health Choice of AZ 21216530 1045.92 21216532 1318.25 21216533 1019.34 21255705 1045.92 Blue Cross Blue Shield of NV 21270113 1152.24 Tricare - West 21289372 1422.61 Medicare - NV 21316154 992.76 Senior Dimensions 21316155 1028.62 21316156 1125.66 Medicare - NV 21326721 1125.66 21337972 1125.66 To Facility Name Desert Springs Hospital Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Medical Center Sunrise Medical Center - Las Vegas Western Arizona Regional Medical Center Sunrise Medical Center - Las Vegas University Medical Center Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Western Arizona Regional Medical Center Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Med Center University Medical Center - Las Vegas University Medical Center - Las Vegas University Medical Center - Las Vegas Western Arizona Regional Medical Center Summerlin Hospital Western Arizona Regional Medical Center Southern Hills Hospital Desert Springs Hospital Spring Valley Hospital Medical Center Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Med Center University Medical Center Spring Valley Hospital Medical Center University Med Center University Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Med Center University Med Center Western Arizona Regional Medical Center Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Desert Springs Hospital Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Desert Springs Hospital Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas Western Arizona Regional Medical Center University Medical Center University Med Center University Medical Center Western Arizona Regional Medical Center Sunrise Medical Center - Las Vegas Western Arizona Regional Medical Center Desert Springs Hospital Desert Springs Hospital University Medical Center Sunrise Medical Center - Las Vegas Summerlin Hospital St. Rose San Martin Hospital Sunrise Medical Center - Las Vegas University Medical Center University Medical Center Centennial Hills Hospital Sunrise Medical Center - Las Vegas Valley Hospital University Medical Center University Medical Center University Medical Center Western Arizona Regional Medical Center Western Arizona Regional Medical Center Desert Springs Hospital Sunrise Medical Center - Las Vegas Valley Hospital Spring Valley Hospital Medical Center Valley Hospital University Medical Center Sunrise Medical Center - Las Vegas Sunrise Medical Center - Las Vegas University Med Center Southern Hills Hospital Saint Rose Dominican Hospital Siena Campus Summerlin Hospital Western Arizona Regional Medical Center Western Arizona Regional Medical Center Sunrise Medical Center - Las Vegas University Medical Center Western Arizona Regional Medical Center Desert Springs Hospital University Med Center Sunrise Medical Center - Las Vegas University Medical Center Western Arizona Regional Medical Center St. Rose San Martin Hospital Desert Springs Hospital Saint Rose Dominican Hospital Siena Campus Western Arizona Regional Medical Center University Medical Center University Medical Center.
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