40DHHS-S3339 - Caseload Projections with Retros.xlsx

XLSX spreadsheet 43 KB Posted

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Actuarial Services State and local contract opportunity
Solicitation number
40DHHS-S3339
Issued by
Clark County, Nevada

About this file

The document is a detailed Excel spreadsheet tracking Medicaid caseload projections for the Nevada Department of Health and Human Services (DHHS) from July 2013 through June 2027. The spreadsheet provides monthly historical and projected enrollment data across multiple Medicaid categories, including Parents and Children, Newly Eligible Adults, Aged Blind and Disabled, Waiver County Match Program, Child Welfare, and Nevada Check Up. The data captures total Medicaid managed care organization (MCO) and fee-for-service (FFS) enrollments, broken down by various demographic and program-specific segments.

The caseload data reveals significant growth in total Medicaid enrollment, increasing from approximately 314,050 individuals in July 2013 to a projected 789,142 in June 2027, representing a substantial expansion of healthcare coverage. The spreadsheet shows notable variations in enrollment across different program categories, with fluctuations in managed care and fee-for-service populations. Key observations include dramatic increases in enrollment during specific periods, such as the COVID-19 pandemic, and shifts in demographic composition. The data appears to be used for state-level healthcare planning, budgeting, and resource allocation, providing a comprehensive view of Medicaid program dynamics over an extended period.

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Sheet1

Actual caseloads through October 2018 (include estimated retroactive enrollments)
Total Medicaid

Ellen Crecelius: Ellen Crecelius:

Does not include Nevada Check UpChip to MedicaidParents and ChildrenNewly Eligible AdultsAged Blind and DisabledWaiverCounty Match ProgramChild
WelfareNevada Check Up
TotalMCOFFSTotalMCOFFSTotalMCOFFSTotal14 inst14 Non Inst
Jul-13314,050000239,577180,32159,25600060,4692,10258,3674,0061,4718,52721,287
Aug-13317,161000242,223180,53861,68500060,7692,09258,6774,0071,4478,71521,415
Sep-13318,697000243,369178,73864,63100061,1252,07059,0554,0231,4368,74421,275
Oct-13322,323448125323245,953180,70365,25000061,5642,09859,4664,0861,4538,81921,392
Nov-13324,860834462372247,351193,28454,06710162,1752,11860,0574,0791,4578,96322,430
Dec-13329,1821,366861505251,553196,46555,08810161,7212,08159,6404,1041,4638,97422,116
Jan-14367,0582,1121,348764257,429197,64359,78630,42510,47019,95562,3972,09360,3044,1041,4929,09921,561
Feb-14392,3992,7831,818965264,560203,57860,98247,09322,64324,45063,2242,09261,1324,1461,4799,11421,152
Mar-14426,6813,6072,2551,352275,840209,31166,52968,19235,19932,99364,1552,13262,0234,1861,4889,21321,072
Apr-14460,0954,1552,6711,484287,268217,00570,26389,04149,36539,67664,7062,11562,5914,2121,5059,20821,398
May-14489,7365,0133,4281,585296,263227,55168,712108,48169,81238,66965,0532,10662,9474,2061,4989,22222,495
Jun-14529,7246,0423,9962,046308,499234,57473,925134,80884,42750,38165,3922,10763,2854,2411,4939,24923,655
Jul-14573,1746,9404,6302,310328,441242,06786,374156,399102,00454,39566,1332,12864,0054,3051,5189,43824,062
Aug-14588,4527,4065,2302,176333,756250,21483,542165,001116,71048,29166,9732,03264,9414,3211,5189,47726,057
Sep-14599,1507,7815,5182,263337,020253,94183,079171,281122,94148,34067,6242,05265,5724,3511,5489,54524,276
Oct-14607,7498,2795,8252,454337,970254,37083,600177,537127,48050,05768,4212,09866,3234,3781,5629,60224,717
Nov-14563,5857,9726,1991,773305,207245,94559,262167,757133,09234,66567,3471,97165,3764,3571,4069,53924,597
Dec-14562,4368,4346,5561,878299,024246,17552,849172,679135,85236,82766,8761,93664,9404,3611,4029,66023,603
Jan-15558,2558,7856,6802,105292,518234,11358,405174,236134,99439,24267,3491,93065,4194,3431,3689,65620,767
Feb-15561,6948,9836,7342,249290,376226,34264,034179,103136,24242,86167,8571,90265,9554,3561,3609,65920,600
Mar-15569,7849,4607,0402,420291,027222,80968,218185,170140,67444,49668,4021,97566,4274,4181,4859,82219,985
Apr-15573,3289,6067,5092,097290,752229,61761,135188,233144,97143,26268,8361,98066,8564,4871,4659,94920,208
May-15577,6369,9057,8052,100292,817233,14759,670189,586145,03644,55069,2761,96167,3154,4981,46610,08821,298
Jun-15582,65410,1558,0112,144297,011235,66261,349189,341146,55942,78269,9431,98267,9614,5541,50310,14721,089
Jul-15581,69010,1698,2371,932298,084238,93559,149186,596149,11137,48570,4421,84468,5984,5021,58510,31220,995
Aug-15585,50610,3928,5651,827300,087242,59257,495188,152152,26235,89070,3351,87768,4584,5301,56510,44521,373
Sep-15628,34712,2558,9203,335314,958247,45967,499208,181156,07652,10575,7892,03773,7524,5581,52011,08621,154
Oct-15598,52811,0579,0981,959305,667247,64358,024194,174158,04936,12570,9881,95769,0314,5731,55610,51322,419
Nov-15601,41211,1809,0982,082305,527247,01858,509196,837158,81938,01871,1741,94369,2314,5681,54910,57722,742
Dec-15607,77211,3259,3072,018306,838248,29358,545201,161161,84939,31271,6391,93769,7024,5851,55810,66622,922
Jan-16613,21311,6099,5082,101307,584248,38759,197204,323164,26340,06072,0521,96570,0874,5701,57411,50122,211
Feb-16619,45911,8309,5272,303309,329248,29861,031208,171166,00442,16772,5331,96370,5704,5681,57011,45823,276
Mar-16621,89711,9819,6512,330310,633249,36261,271208,823166,44142,38273,2771,99771,2804,6161,59610,97122,471
Apr-16619,79011,8429,7042,138309,866250,46859,398207,328166,82240,50673,7311,99471,7374,5921,58310,84823,837
May-16620,72911,8449,7762,068310,511250,01460,497207,109165,35241,75774,1931,97472,2194,5811,55810,93324,431
Jun-16621,51711,9709,7782,192311,614253,12358,491206,452166,23140,22174,3631,94372,4204,6111,55610,95123,728
Jul-16620,58811,8429,8531,989311,164253,34957,815205,537165,88539,65274,9461,92773,0194,6681,49710,93424,315
Aug-16626,34312,05110,1401,911314,731255,68759,044207,114168,26638,84875,2392,00273,2374,7061,50510,99724,801
Sep-16628,48312,25510,3431,912314,958256,35158,607208,181169,37338,80875,7892,03773,7524,6941,52011,08624,741
Oct-16632,01112,57410,5182,056315,804256,42259,382209,938170,47139,46776,3382,08174,2574,7051,53811,11425,558
Nov-16632,27612,76210,6822,080314,993257,78357,210210,480171,55238,92876,7112,06674,6454,7171,53711,07626,036
Dec-16635,92712,92010,9192,001315,543257,57957,964213,103172,52840,57576,9412,07374,8684,7231,55111,14625,492
Jan-17640,39713,21010,8882,322316,828257,51259,316215,490172,35843,13277,4602,11975,3414,7661,55911,08425,896
Feb-17641,53313,17111,0032,168317,322257,80459,518215,874174,16441,71077,7152,09475,6214,7651,54011,14626,551
Mar-17644,20313,25911,1082,151318,601259,09959,502216,636175,63940,99778,1262,09876,0284,8451,55211,18425,795
Apr-17642,83913,23511,0002,235317,995258,95659,039216,069175,49540,57478,0342,12075,9144,8741,54611,08626,050
May-17643,77113,11711,0332,084318,276261,53356,743216,266176,37339,89378,5202,11976,4014,9231,55411,11526,989
Jun-17644,69613,08811,0842,004319,066261,31057,756216,171176,11940,05278,7172,10776,6104,9351,52311,19626,165
Jul-17645,20313,18410,9842,200319,569260,11459,455216,156175,00441,15278,6232,37876,2454,9841,54011,14726,417
Aug-17648,19513,17411,1871,987321,563262,49859,065216,848176,92139,92779,0422,35876,6844,9941,56311,01126,652
Sep-17646,67713,25111,1532,098321,062262,59558,467216,533176,85839,67578,1362,37575,7615,0361,55611,10326,984
Oct-17649,21513,27411,2002,074321,764260,93060,834216,919176,51540,40479,5862,37677,2105,0601,53411,07827,565
Nov-17648,32813,36111,3102,051320,243262,40657,837217,147176,44240,70579,6832,36377,3205,0551,54811,29127,422
Dec-17649,96613,56711,3312,236320,042262,60757,435218,536177,26341,27379,9632,41377,5505,0641,54311,25126,891
Jan-18654,09913,67611,3972,279321,615264,45957,156220,433179,38541,04880,3202,43777,8835,0911,53411,43027,364
Feb-18653,89513,53511,3002,235322,006264,29157,715219,751178,98540,76680,5802,41378,1675,0951,53011,39827,876
Mar-18654,12013,49611,3372,159322,273264,81457,459219,439179,11740,32280,8192,43578,3845,1071,52611,46027,944
Apr-18655,84613,46211,1952,267323,448264,85758,591220,057178,55441,50380,9162,41478,5025,1381,55911,26627,763
May-18655,89413,29811,0812,217323,328266,88256,446220,295179,88340,41280,9042,40678,4985,1801,54911,34027,864
Jun-18655,42913,22611,0542,172323,265267,53055,735219,668179,19840,47081,0112,41878,5935,1921,55311,51427,456
Jul-18656,75913,13010,9382,192324,353266,15358,200219,898177,91741,98181,1022,37778,7255,2211,53211,52328,066
Aug-18657,85513,14311,2201,923325,656269,01556,641219,433179,82839,60581,2002,38678,8145,2681,55911,59628,608
Sep-18656,66513,41511,3952,020324,334267,03957,295219,033178,99640,03781,4682,39779,0715,2931,53611,58628,027
Oct-18656,16513,56311,5532,010323,028266,07956,949219,368178,58540,78381,6572,42579,2325,3371,57311,63928,144
Nov-18650,97313,63011,3452,285319,604263,49756,107217,563175,88241,68181,5452,44479,1015,3701,54911,71228,937
Dec-18646,94413,51911,3352,184316,950261,48355,467216,379175,35141,02881,3892,50178,8885,3901,54111,77629,122
Jan-19645,85213,54511,4202,125315,830260,21755,613216,165175,63240,53381,6342,51579,1195,3721,53211,77429,890
Feb-19643,94613,65111,4112,240314,527259,04955,478215,303175,12040,18381,7922,53779,2555,3601,54711,76630,588
Mar-19643,51813,68811,2082,480314,107257,16056,947214,811174,29140,52081,7632,54479,2195,3671,56012,22229,854
Apr-19644,89813,46411,0982,366314,817257,09957,718215,693173,60642,08781,8452,53279,3135,3911,54912,13927,350
May-19643,71613,35411,1862,168314,149259,74954,400215,232175,65239,58081,8382,47479,3645,4301,54812,16526,917
Jun-19642,65913,32610,9712,355313,504257,61155,893214,758173,63241,12681,9082,47279,4365,4421,55712,16426,425
Jul-19644,75313,19910,9962,203314,631259,21955,412215,466175,71539,75182,2602,44779,8135,4631,54912,18526,523
Aug-19644,54813,18410,8822,302314,730257,99256,738215,259174,81940,44082,1222,44179,6815,5101,55312,19027,255
Sep-19644,25413,06310,9412,122314,286256,75257,534215,166174,20640,96082,4352,43679,9995,5081,56812,22826,126
Oct-19643,68013,12111,1341,987313,110257,26255,848215,478175,64139,83782,6442,47780,1675,4911,58812,24827,526
Nov-19639,02313,22711,1802,047309,458255,61553,843214,048173,68240,36682,8832,48280,4015,5171,56812,32227,494
Dec-19639,12913,36811,4081,960308,914253,44955,465214,497173,02241,47582,9392,49580,4445,5131,58012,31826,759
Jan-20639,55213,66311,6402,023308,639253,86354,776214,750174,06240,68882,9052,50980,3965,5571,60212,43626,883
Feb-20637,90813,79511,7582,037307,539252,59654,943213,848173,00740,84183,1632,56080,6035,5371,58812,43827,584
Mar-20640,31214,06211,3042,758307,820251,11256,708215,621171,83643,78583,0422,59680,4465,6761,62412,46727,184
Apr-20664,93213,24510,7042,541322,893281,47741,416226,452191,46134,99183,3082,63880,6705,8301,65211,55227,672
May-20683,38012,4589,9932,465335,495288,30547,190232,532197,90934,62383,7682,62881,1405,9551,66511,50727,059
Jun-20699,64711,8149,9771,837343,695293,22050,475240,838204,77136,06784,2582,60681,6525,9311,67111,44027,075
Jul-20699,01811,56810,0021,566342,615299,54943,066242,330211,17431,15683,7102,28381,4275,8761,47111,44826,882
Aug-20713,02011,63510,1331,502349,087304,48044,607249,614216,57833,03683,9992,30881,6915,8451,44911,39126,609
Sep-20726,41311,81010,5221,288355,043310,41744,626256,500222,71133,78984,3732,31282,0615,8851,43711,36526,413
Oct-20738,02312,14910,8781,271360,298314,86145,437262,295228,63833,65784,5662,31682,2505,9731,42211,32026,593
Nov-20747,20112,53211,3531,179362,717315,30647,411268,424232,65035,77484,7402,27182,4695,9081,40811,47226,651
Dec-20753,40313,78412,1621,622359,978319,15640,822275,546241,63333,91385,3822,22083,1625,9431,34411,42626,583
Jan-21765,87613,99412,8621,132366,528318,88447,644280,858244,80236,05685,6902,30183,3895,9951,37011,44126,478
Feb-21773,57414,84913,6191,230367,715320,75246,963286,277250,39535,88285,8672,26583,6026,0091,34711,51026,406
Mar-21782,19615,72214,2731,449369,393323,70845,685291,875257,02034,85586,1812,22183,9606,1091,32911,58726,287
Apr-21791,80716,42313,6192,804371,681320,75250,929297,810250,39547,41586,7152,24784,4686,1461,32811,70426,166
May-21796,39617,35216,0521,300371,830322,37849,452301,650263,23838,41286,2752,23584,0406,1921,33911,75825,837
Jun-21801,50518,55717,0971,460371,596322,92948,667305,451267,99937,45286,4952,25884,2376,2361,31811,85225,363
Jul-21812,77919,88618,0281,858373,465323,14850,317314,650270,31044,34085,0732,18482,8896,3201,41611,96924,219
Aug-21822,48421,05119,0392,012376,141324,44351,698320,142274,41745,72585,4462,22483,2226,2901,41911,99523,748
Sep-21829,56122,14720,1781,969377,409328,02749,382324,757279,48145,27685,4442,22483,2206,3481,42012,03623,543
Oct-21836,95223,34821,1612,187379,152329,37649,776328,879281,20747,67285,6042,25083,3546,4071,41412,14823,376
Nov-21843,17624,49222,2692,223380,774329,84650,928332,241283,25748,98485,5362,21483,3226,4961,42112,21623,344
Dec-21849,74525,79417,3698,425381,853247,858133,995336,349218,530117,81985,6402,20983,4316,4051,41212,29223,175
Jan-22858,08827,18424,5582,626383,658330,97752,681341,194289,81451,38085,9942,25083,7446,3541,40512,29923,227
Feb-22862,50328,36424,8373,527383,673315,39568,278343,973273,68970,28486,4472,27484,1736,2961,38512,36523,086
Mar-22866,31329,75826,3313,427383,382331,83251,550346,537294,64051,89786,4132,25184,1626,3231,40412,49622,335
Apr-22868,73830,02026,5663,454383,827332,33451,493348,332296,14652,18686,2542,23784,0176,2651,40312,63721,727
May-22875,66830,35226,5923,760385,856333,44452,412352,681299,45353,22886,4692,24184,2286,2411,40412,66521,260
Jun-22881,96130,59226,9163,676387,917336,71751,200356,779304,99251,78786,3782,24584,1336,1801,41212,70321,191
Jul-22885,91430,68326,9693,714388,899336,97451,925359,558306,41553,14386,4932,21884,2756,1481,38112,75221,570
Aug-22894,27930,88527,1753,710392,175340,53451,641364,197311,05153,14686,7852,25284,5336,1001,40112,73621,667
Sep-22897,20330,87527,3323,543392,611339,27853,333366,754310,87555,87986,6902,26684,4246,0701,39612,80721,961
Oct-22897,62831,25227,4153,837391,447329,84161,606367,644299,45468,19087,0422,33084,7126,0291,43512,77921,924
Nov-22878,49231,50228,2063,296383,254333,15650,098357,715305,55752,15885,7652,32883,4375,9631,43112,86221,624
Dec-22888,41432,29128,8633,428385,098334,29550,803363,706310,70852,99887,0742,36384,7115,8951,43612,91421,719
Jan-23896,73533,02329,2063,817386,615334,42052,195369,689313,22356,46687,6152,43185,1845,7981,47012,52521,783
Feb-23908,62433,43529,7143,721388,041335,47852,563379,035316,06262,97387,9012,44385,4585,7411,47013,00121,694
Mar-23910,88334,04429,1734,871389,629338,23551,394382,915319,83363,08284,0312,47581,5565,7411,46813,05521,578
Apr-23915,32933,30528,8014,504391,749339,69952,050386,652322,31664,33683,7882,46481,3245,7591,44212,63421,066
May-23920,14032,86226,2686,594393,488330,26063,228390,250309,32480,92683,7192,44181,2785,7701,42312,62820,707
Jun-23917,39131,13226,2684,864393,900330,26063,640389,602309,32480,27883,8152,74581,0705,7891,54411,60921,656
Jul-23905,33928,72723,9474,780390,513325,99464,519381,668294,40387,26585,3502,76982,5815,8301,49111,76023,562
Aug-23900,66227,13720,7076,430389,550307,69581,855379,257277,899101,35885,5192,66382,8565,9351,45111,81325,210
Sep-23892,78125,85718,6587,199386,114301,98084,134375,719267,103108,61686,0192,54383,4766,0341,38611,65228,127
Oct-23891,91725,12522,0553,070385,412330,99254,420375,665314,29161,37486,5472,59583,9526,1151,39511,65830,555
Nov-23871,61124,27821,3302,948377,085325,01052,075364,569305,17359,39686,2812,58483,6976,1861,37311,83932,669
Dec-23863,68023,20020,3702,830373,057322,74250,315361,311303,52857,78386,7022,58384,1196,2221,35711,83134,776
Jan-24862,24322,83319,9722,861372,256318,63653,620360,904301,71359,19186,8172,55284,2656,2741,33411,82535,700
Feb-24862,46522,83820,0842,754372,744321,68751,057360,156303,33156,82587,1642,53284,6326,4051,33011,82836,266
Mar-24856,88922,69720,0042,693371,551320,26251,289356,350300,19456,15686,6242,53784,0876,4231,32711,91736,574
Apr-24811,14121,16518,5102,655356,106303,15452,952329,990274,80855,18284,0692,58581,4846,5501,34711,91435,125
May-24798,81020,36017,7852,575353,311301,94151,370320,798267,23953,55984,4162,57581,8416,5701,33712,01834,553
Jun-24789,67619,92217,4432,479352,085301,98950,096313,603263,45150,15284,0932,65481,4396,6381,36311,97233,473
Jul-24767,66918,67616,6612,015347,481294,80052,681298,141249,47748,66483,4532,64080,8136,6671,36111,89032,854
Aug-24763,19218,17215,9662,206349,331299,38049,951292,244246,19546,04983,4572,61780,8406,6981,35811,93232,718
Sep-24759,33817,77615,8331,943350,449300,32850,121287,531242,83344,69883,5472,61680,9316,7721,33011,93332,475
Oct-24764,57217,81015,5862,224352,970300,00152,969289,365241,76247,60384,2492,66581,5846,8731,37511,93032,708
Nov-24764,24817,95115,8082,143352,415305,41047,005289,358246,14543,21384,2522,65281,6006,9171,35212,00333,464
Dec-24764,52417,44615,3642,082353,090305,98947,101289,490246,25643,23484,1132,65481,4596,9691,36012,05633,230
Jan-25766,95517,14515,0992,046355,149307,75447,395289,917246,61443,30384,3232,65581,6687,0031,35912,05933,406
Feb-25767,96516,93414,9142,020356,477308,89347,584289,547246,30343,24484,5692,64981,9207,0411,36312,03433,548
Mar-25769,33716,66414,6761,988357,717309,95747,760289,729246,45643,27384,7602,65182,1097,0821,36812,01733,441
Apr-25770,40415,89313,9981,895359,468311,46148,007289,850246,55843,29284,6582,65282,0067,1421,37012,02333,127
May-25770,74815,71613,8421,874360,286312,16448,122289,410246,18743,22384,7112,65482,0577,1821,37512,06832,757
Jun-25770,18415,48813,6411,847360,788312,59648,192288,693245,58243,11184,6072,65481,9537,2221,37812,00832,452
Jul-25771,49315,11013,3081,802362,467314,04248,425288,556245,46643,09084,6852,65582,0307,2681,38112,02632,420
Aug-25774,22514,99413,2051,789365,061316,27848,783288,642245,53943,10384,7912,66282,1297,3331,38912,01532,537
Sep-25775,58415,00213,2131,789366,028317,11348,915288,755245,63543,12085,0032,66982,3347,3921,39112,01332,634
Oct-25776,50115,13113,3261,805366,405317,43948,966288,844245,71043,13485,2312,69082,5417,4561,39812,03632,710
Nov-25776,70015,05713,2611,796366,471317,49648,975288,991245,83543,15685,2842,69482,5907,4961,40311,99832,781
Dec-25777,63215,06513,2681,797367,076318,02049,056289,062245,89543,16785,4482,70082,7487,5461,41012,02532,870
Jan-26779,32815,17113,3611,810368,326319,10349,223289,246246,05243,19485,5882,69882,8907,5701,40612,02133,050
Feb-26780,75915,29213,4681,824369,237319,89349,344289,411246,19243,21985,8042,69283,1127,6071,40412,00433,155
Mar-26781,70215,29713,4721,825369,996320,55049,446289,417246,19743,22085,9692,70083,2697,6391,41111,97333,148
Apr-26781,98914,82013,0521,768371,118321,52249,596289,147245,96843,17985,8482,70783,1417,6851,41411,95733,053
May-26782,36214,87613,1021,774371,687322,01549,672288,789245,66343,12685,8912,70983,1827,7171,41811,98432,884
Jun-26782,33414,83713,0671,770372,094322,36849,726288,540245,45143,08985,7752,71083,0657,7531,41911,91632,717
Jul-26783,27514,63212,8871,745373,242323,36349,879288,427245,35543,07285,8232,71683,1077,7931,42111,93732,653
Aug-26785,13014,63812,8921,746375,009324,89350,116288,401245,33343,06885,8652,72383,1427,8521,42711,93832,653
Sep-26785,78814,71412,9591,755375,334325,17550,159288,407245,33843,06986,0492,73383,3167,9041,43111,94932,644
Oct-26786,01914,90513,1271,778375,055324,93350,122288,421245,35043,07186,2522,75383,4997,9651,43811,98332,642
Nov-26785,33814,89513,1181,777374,375324,34450,031288,404245,33643,06886,2672,75683,5118,0011,44111,95532,630
Dec-26785,50014,95013,1671,783374,284324,26550,019288,368245,30543,06386,4152,76483,6518,0461,44611,99132,625
Jan-27785,88215,09613,2951,801374,440324,40050,040288,323245,26743,05686,5172,76383,7548,0631,44112,00232,636
Feb-27786,33015,23713,4201,817374,576324,51850,058288,279245,22943,05086,7152,75083,9658,0931,43811,99232,640
Mar-27786,92615,24913,4301,819374,985324,87350,112288,290245,23943,05186,8832,75584,1288,1181,44211,95932,633
Apr-27787,38014,76813,0071,761376,070325,81350,257288,215245,17543,04086,7932,75884,0358,1601,44111,93332,627
May-27788,48414,85013,0791,771377,028326,64350,385288,141245,11243,02986,8862,75984,1278,1881,44311,94832,622
Jun-27789,14214,82113,0531,768377,827327,33550,492288,141245,11243,02986,8252,76184,0648,2201,44311,86532,615

File details come from the government source that posted it. Updated .