36C10G18R0208-1-0013005.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- Customer Care Network Region 4
- Solicitation number
- 36C10G18R02081
About this file
This spreadsheet contains historic payment data for home infusion services provided under the Customer Care Network Region 4 contract. It displays CPT codes with no VA or CMS fee schedules along with billing frequency, unique patients, billed charges, and total paid amounts by state and CPT code for services rendered from October 1, 2016 through December 31, 2018. States with represented data are California, Colorado, Montana, Nevada, Utah, Washington, and Wyoming. Reimbursed codes include various home infusion, drug administration, pharmacy supply and management, nursing visits, and equipment charges. The related solicitation seeks providers to furnish durable medical equipment, medical devices, orthotics and prosthetics to veterans in Region 4 under the Customer Care Network. Responses are due by the date listed on the solicitation documentation.
36C10G18R0208-1 0013 Attachment Y_Region 4 Home Infusion Historical Data FY17 - FY19Q1 v4.xlsx
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Sheet1
| Region 4 Home Infusion Historic Payments | |||||
| Data Source: FBCS Auths tables, FBCS Claim and Claim Level tables | |||||
| Data Transmitted: Oct 1, 2016 - Dec 31, 2018 | |||||
| This data displays the all CPT codes where there was no VA Fee Schedule and CMS Schedule, and the total bill frequency , total uniques, billed charges | |||||
| and total paid by State by CPT | |||||
| Data excludes Choice | |||||
| State | CPT | Billed Frequency | Total Uniques | Billed Charges | Total Paid |
| CA | 99602 | 1 | 1 | 62.50 | 62.50 |
| CA | 99602 | 1 | 1 | 196.15 | 196.15 |
| CA | S9326 | 4 | 1 | 148.00 | 592.00 |
| CA | S9327 | 1 | 1 | 237.00 | 237.00 |
| CA | S9327 | 1 | 1 | 553.00 | 553.00 |
| CA | S9338 | 1 | 1 | 96.39 | 96.39 |
| CA | S9338 | 1 | 1 | 150.00 | 150.00 |
| CA | S9338 | 1 | 1 | 289.17 | 289.17 |
| CA | S9351 | 2 | 1 | 518.00 | 1036.00 |
| CA | S9374 | 2 | 1 | 674.73 | 1349.46 |
| CA | S9374 | 1 | 1 | 771.12 | 771.12 |
| CA | S9375 | 1 | 1 | 674.73 | 674.73 |
| CA | S9504 | 1 | 1 | 1330.95 | 1330.95 |
| CA | S9504 | 2 | 1 | 1996.42 | 3992.84 |
| CO | A4305 | 1 | 1 | 45.00 | 45.00 |
| CO | S5517 | 1 | 1 | 100.00 | 100.00 |
| CO | S5517 | 1 | 1 | 165.34 | 165.34 |
| CO | S9338 | 6 | 1 | 75.00 | 450.00 |
| CO | S9374 | 1 | 1 | 2450.00 | 2450.00 |
| CO | S9379 | 2 | 1 | 100.00 | 100.00 |
| CO | S9500 | 16 | 3 | 70.00 | 1120.00 |
| CO | S9500 | 1 | 1 | 71.40 | 71.40 |
| CO | S9500 | 1 | 1 | 780.84 | 214.20 |
| CO | S9500 | 1 | 1 | 1373.76 | 1373.76 |
| CO | S9501 | 11 | 6 | 80.00 | 880.00 |
| CO | S9501 | 8 | 2 | 250.00 | 2000.00 |
| CO | S9501 | 1 | 1 | 742.33 | 742.33 |
| CO | S9501 | 1 | 1 | 1250.00 | 1250.00 |
| CO | S9501 | 1 | 1 | 1369.11 | 1369.11 |
| CO | S9501 | 1 | 1 | 1500.00 | 1500.00 |
| CO | S9502 | 1 | 1 | 90.00 | 90.00 |
| CO | S9502 | 1 | 1 | 528.00 | 528.00 |
| CO | S9502 | 3 | 1 | 616.00 | 1848.00 |
| CO | S9502 | 1 | 1 | 630.00 | 630.00 |
| MT | S5498 | 1 | 1 | 35.00 | 35.00 |
| MT | S9502 | 1 | 1 | 267.75 | 267.75 |
| MT | S9502 | 1 | 1 | 1768.80 | 1768.80 |
| NV | 99601 | 1 | 1 | 100.00 | 100.00 |
| NV | S9367 | 1 | 1 | 900.00 | 900.00 |
| NV | S9374 | 1 | 1 | 75.00 | 75.00 |
| NV | S9500 | 2 | 2 | 70.00 | 140.00 |
| NV | S9502 | 6 | 2 | 90.00 | 450.00 |
| UT | S9375 | 1 | 1 | 300.00 | 300.00 |
| WA | A4305 | 1 | 1 | 90.00 | 90.00 |
| WA | B4035 | 1 | 1 | 1242.00 | 0.00 |
| WY | 99601 | 4 | 2 | 95.00 | 380.00 |
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