D.27 McCurtain CBOC Schedule.xlsx
XLSX spreadsheet 13 KB Posted
- Attached to
- Q201--McCurtain CBOC Federal contract opportunity
- Solicitation number
- 36C25923R0040
About this file
This document is a pricing schedule for a federal contract opportunity titled "Q201--McCurtain CBOC" solicited by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19.
The schedule outlines the estimated quantities, unit prices, and total estimated costs for providing primary care services on a capitation rate basis per member per month (PMPM) within McCurtain County, Oklahoma under a base year and nine option years. The total estimated cost across all years is provided. The contract is for NAICS code 621498 and PSC code Q201. The contract has a base period from October 1, 2024 through September 30, 2025 with nine one-year option periods thereafter.
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Text version
Sheet1
BASE YEAR – October 1, 2024, through September 30, 2025
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 1000 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1000 | $ | $ | $ |
| Total Estimate for Base Year | ||||||
| $ |
OPTION YEAR 1 – October 1, 2025, through September 30, 2026
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 1001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1010 | $ | $ | $ |
| Total Estimate for Option Year 1 | ||||||
| $ |
OPTION YEAR 2 – October 1, 2026, through September 30, 2027
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 2001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1020 | $ | $ | $ |
| Total Estimate for Option Year 2 | ||||||
| $ |
OPTION YEAR 3 - October 1, 2027, through September 30, 2028
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 3001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1030 | $ | $ | $ |
| Total Estimate for Option Year 3 | ||||||
| $ |
OPTION YEAR 4 - October 1, 2028, through September 30, 2029
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 4001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1040 | $ | $ | $ |
| Total Estimate for Option Year 4 | ||||||
| $ |
OPTION YEAR 5 - October 1, 2029, through September 30, 2030
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 5001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1050 | $ | $ | $ |
| Total Estimate for Option Year 5 | ||||||
| $ |
OPTION YEAR 6 - April 1, 2030, through September 30, 2031
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 6001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1060 | $ | $ | $ |
| Total Estimate for Option Year 6 | ||||||
| $ |
OPTION YEAR 7 - October 1, 2031, through September 30, 2032
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 7001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1070 | $ | $ | $ |
| Total Estimate for Option Year 7 | ||||||
| $ |
OPTION YEAR 8 - October 1, 2032, through September 30, 2033
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 8001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1080 | $ | $ | $ |
| Total Estimate for Option Year 8 | ||||||
| $ |
OPTION YEAR 9 - October 1, 2033, through September 30, 2034
| LINE ITEM NUMBER | SERVICES | UNIT | EST QTY | PER UNIT PRICE | TOTAL EST COST PER MONTH | TOTAL EST COST PER YEAR |
| 9001 | Primary Care Services at Capitation Rates Per Member Per Month (PMPM) within McCurtain County, OK NAICS 621498 PSC Q201 | PMPM | 1090 | $ | $ | $ |
| Total Estimate for Option Year 9 | ||||||
| $ |
SUM TOTAL ESTIMATE FOR BASE AND OPTION YEARS $
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