9-SCBOCC Monitoring Report FB DEC 2025 (1).xlsx

XLSX spreadsheet 130 KB Posted Apr 29, 2026

Attached to: Group Medical Benefits
Solicitation number: 2026-10
Issued by: Seminole County, Florida

About this file

Written by GovTribe AI · Apr 30, 2026

This is a Florida Blue monitoring report for Suwannee County Board of County Commissioners (BOCC) Tax Collector's group health plan covering the period from January 2025 through December 2025. The report provides comprehensive utilization and enrollment data for the group's medical and pharmacy benefits, including monthly breakdowns by division, high-cost claims analysis, key performance indicators, brand versus generic pharmacy utilization, and top diagnoses and providers. The monitoring period reflects enrollment of approximately 414 employee contracts covering 447 total members, with significant variation in monthly metrics including inpatient admissions, outpatient visits, professional services, and pharmacy claims. The report compares current year performance against the prior year (January 2024 through December 2024) to identify trends and cost drivers.

The annual medical loss ratio for the current period is 95.75%, with total claims paid of $4,055,481.78 against total premiums of $4,235,548.63. Inpatient facility costs decreased 30.14% year-over-year to $904,604.70, while outpatient facility costs increased 23.60% to $962,137.80, and pharmacy costs increased 13.95% to $1,039,425.29. Top diagnoses driving costs include stenosis of larynx, intervertebral disc disorders with radiculopathy, and various cardiac conditions. High-cost claims analysis identifies 21 individuals with claims exceeding the $50,000 threshold, with the highest individual claim totaling $351,979.03. The primary inpatient providers include Shands Jacksonville Medical Center, HCA Florida North Florida Hospital, and Shands University of Florida Health Care Network. Generic drug utilization represents 86.28% of pharmacy claims, with 98.94% generic substitution rate, and payments per member per year increased 8.65% to $9,074.28 compared to the prior year.

View the file

Other files

File	Type	Posted
24-0.3 Guarantee Ltr of Commit Guarantee From.pdf	PDF	Apr 29, 2026
29-1.1 Summary Form.pdf	PDF	Apr 29, 2026
22-0.1 Information Instructions.pdf	PDF	Apr 29, 2026
30-0.2 Scope of Work.pdf	PDF	Apr 29, 2026
4-SCBOCC Claims MARCH 2026.xlsx	XLSX spreadsheet	Apr 29, 2026
20-Participants.xlsx	XLSX spreadsheet	Apr 29, 2026
16-Suwannee Cert P03160 10-1-25.pdf	PDF	Apr 29, 2026
17-SCBOCC SBC PLAN 03559 Florida Blue Medical 20251001.pdf	PDF	Apr 29, 2026
21-0.0 Advertisement.jpg	JPG image	Apr 29, 2026
6-SCBOCC Experience Report Monitoring and HCC Florida Blue Medical 202312.xlsx	XLSX spreadsheet	Apr 29, 2026
10-SCBOCC SBC PLAN 60 Florida Blue Medical 20251001.pdf	PDF	Apr 29, 2026
14-Suwannee Cert P60 10-1-25.pdf	PDF	Apr 29, 2026
12-SCBOCC Experience Report HCC Florida Blue Medical 202312.xlsx	XLSX spreadsheet	Apr 29, 2026
13-SCBOCC SBC PLAN 03160 Florida Blue Medical 20251001.pdf	PDF	Apr 29, 2026
1-Suwannee County Medical Census 3.19.2026.xlsx	XLSX spreadsheet	Apr 29, 2026
2-SCBOCC Experience Report Florida Blue Medical 202403.xlsx	XLSX spreadsheet	Apr 29, 2026
25-1.4 Scope of Services Table.pdf	PDF	Apr 29, 2026
28-1.3 Questionnaire.pdf	PDF	Apr 29, 2026
18-SCBOCC SBC PLAN 03161 Florida Blue Medical 20251001.pdf	PDF	Apr 29, 2026
19-Suwannee Renewal Negotiated Florida Blue Medical Final 20251001 (1).pdf	PDF	Apr 29, 2026
23-0.4 Standard Contract Terms.pdf	PDF	Apr 29, 2026
5-SCBOCC ExpRpt FMR BCBSFL Medical 2025.12 (1).pdf	PDF	Apr 29, 2026
7-SCBOCC Experience Report Florida Blue Medical 202409.xlsx	XLSX spreadsheet	Apr 29, 2026
3-Suwannee Cert P03559 10-1-25.pdf	PDF	Apr 29, 2026
11-SCBOCC Monitoring Report Report July 2025.xlsx	XLSX spreadsheet	Apr 29, 2026
26-1.5 Financial Response Forms.pdf	PDF	Apr 29, 2026
15-Suwannee Cert P03161 10-1-25.pdf	PDF	Apr 29, 2026
8-SCBOCC Experience Report Monitoring and HCC Florida Blue Medical 202309.xlsx	XLSX spreadsheet	Apr 29, 2026
27-1.2 Required Forms.pdf	PDF	Apr 29, 2026

Show all 29

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

S1 Monitoring by Utiliza Page1

Monitoring by Utilization and Enrollment - PAID

Company: SUWANNEE COUNTY BOCC TAX COLL

Group: 15534 Current Paid Period: From 01/2025 to 12/2025

		Enrollment		Premium	Capitation				Fee for Service Claims
	Paid Year Month	Contracts	Members	Premium	PCP	Specialty	Total Capitation	Value Based
Programs	Inpatient	Outpatient	Physician	Other	Total Medical	Pharmacy	Grand Total	MLR
	202501	422	457	$351,696.54	$0.00	$1,761.89	$1,761.89	$1,640.50	$90,479.45	$168,459.58	$34,623.84	$37,215.71	$330,778.58	$76,176.68	$410,357.65	116.68%
	202502	419	453	$350,653.52	$0.00	$2,181.22	$2,181.22	$1,628.51	$12,257.76	$57,628.92	$42,327.20	$21,831.57	$134,045.45	$84,003.99	$221,859.17	63.27%
	202503	415	449	$351,082.72	$0.00	$1,788.63	$1,788.63	$1,791.70	$11,068.00	$56,585.53	$24,752.74	$38,584.36	$130,990.63	$78,119.64	$212,690.60	60.58%
	202504	409	440	$344,898.61	$0.00	$1,739.77	$1,739.77	$1,791.70	$84,560.15	$106,969.75	$21,207.06	$77,518.35	$290,255.31	$78,575.50	$372,362.28	107.96%
	202505	408	439	$334,559.96	$0.00	$1,760.62	$1,760.62	$1,810.56	$0.00	$98,701.88	$34,628.53	$32,906.01	$166,236.42	$87,024.10	$256,831.70	76.77%
	202506	409	440	$337,331.76	$0.00	$1,746.45	$1,746.45	$2,053.82	$84,199.40	$38,607.65	$31,125.05	$33,578.67	$187,510.77	$74,082.09	$265,393.13	78.67%
	202507	419	454	$348,604.22	$0.00	$1,972.63	$1,972.63	$2,043.85	$137,169.09	$85,190.63	$36,229.86	$39,648.18	$298,237.76	$108,369.51	$410,623.75	117.79%
	202508	414	450	$349,452.88	$0.00	$1,856.41	$1,856.41	$2,053.82	$35,573.37	$55,632.73	$74,151.23	$29,826.58	$195,183.91	$89,480.52	$288,574.66	82.58%
	202509	412	445	$341,918.54	$0.00	$1,885.65	$1,885.65	$2,019.60	$14,851.76	$63,611.42	$62,860.92	$61,266.47	$202,590.57	$81,652.85	$288,148.67	84.27%
	202510	416	448	$376,107.14	$0.00	$1,924.96	$1,924.96	$2,178.00	$11,578.66	$58,032.85	$46,596.47	$38,471.94	$154,679.92	$108,873.12	$267,656.00	71.16%
	202511	416	445	$371,164.26	$0.00	$1,872.39	$1,872.39	$1,881.00	$144,348.14	$64,530.35	$63,853.62	$44,386.47	$317,118.58	$61,296.24	$382,168.21	102.96%
	202512	412	443	$378,078.48	$0.00	$1,820.39	$1,820.39	$2,439.23	$278,518.92	$108,186.51	$57,328.39	$118,751.47	$562,785.29	$111,771.05	$678,815.96	179.54%
	Total	4,971	5,363	$4,235,548.63	$0.00	$22,311.01	$22,311.01	$23,332.29	$904,604.70	$962,137.80	$529,684.91	$573,985.78	$2,970,413.19	$1,039,425.29	$4,055,481.78	95.75%
	Grouping Avg	414	447	$352,962.39	$0.00	$1,859.25	$1,859.25	$1,944.36	$75,383.73	$80,178.15	$44,140.41	$47,832.15	$247,534.43	$86,618.77	$337,956.82	95.75%
	Monthly Avg	414	447	$352,962.39	$0.00	$1,859.25	$1,859.25	$1,944.36	$75,383.73	$80,178.15	$44,140.41	$47,832.15	$247,534.43	$86,618.77	$337,956.82	95.75%

Notes:

- Grand Total includes Medical FFS, Pharmacy FFS, Incentives and Capitation.

- Grouping Avg = Average of the distinct groupings chosen by the user.

- Monthly Avg = Average of a measure over Service/Paid time period.

- Enrollment is recast to reflect retroactive adjustments.

- FFS = Fee For Service.

- MLR = Medical Loss Ratio.

- Florida Blue proprietary and confidential information

&"Arial,Regular"&8 Report Run: 01/16/2026 11:21 AM Page 1 of 2

S2 Monitoring by Utiliza Page2

Monitoring by Utilization and Enrollment - PAID

	Paid Year Month	Employee
Only	Employee &
Spouse	Employee &
Children	Family	Spouse Only	Spouse &
Children	Children Only	Total
Contracts	Total

Members

202501	400	11	10	1	422	457
202502	398	10	10	1	419	453
202503	394	10	10	1	415	449
202504	390	9	10	0	409	440
202505	389	9	10	0	408	439
202506	390	9	10	0	409	440
202507	397	10	12	0	419	454
202508	391	10	13	0	414	450
202509	390	10	12	0	412	445
202510	395	10	11	0	416	448
202511	395	10	11	0	416	445
202512	389	11	12	0	412	443
Total	4,718	119	131	3	4,971	5,363
Grouping Avg	393	10	11	0	414	447
Monthly Avg	393	10	11	0	414	447

Notes:

- Grand Total includes Medical FFS, Pharmacy FFS, Incentives and Capitation.

- Grouping Avg = Average of the distinct groupings chosen by the user.

- Monthly Avg = Average of a measure over Service/Paid time period.

- Enrollment is recast to reflect retroactive adjustments.

- Florida Blue proprietary and confidential information

&"Arial,Regular"&8 Report Run: 01/16/2026 11:21 AM Page 2 of 2

S3 High Cost Claims Summ Page1

High Cost Claims Summary - Rolling 12

Company: SUWANNEE COUNTY BOCC TAX COLL

Group: 15534 Current Paid Period: From 01/2025 to 12/2025 Prior Paid Period: From 01/2024 to 12/2024 High Cost Claims Threshold: 50000

CURRENT							Inpatient		Outpatient		Professional		Pharmacy		Other
Rank	Consumer Mbr ID	Div	Relationship	Enroll Status	Diagnosis Description	Days	Admits	Paid Amt	Visits	Paid Amt	Services	Paid Amt	# of Rx	Paid Amt	Claim Count	Paid Amt	Total Paid Amt	Total Billed Amt
1	20000010976	007	SUBSCRIBER	ACTIVE	STENOSIS OF LARYNX; MALIGNANT NEOPLASM OF GLOTTIS; CALCULUS OF URETER	17	3	$279,929.33	8	$46,080.83	126	$20,224.95	23	$5,743.92	0	$0.00	$351,979.03	$606,983.41
2	42500412828	011	SUBSCRIBER	ACTIVE	PAROXYSMAL ATRIAL FIBRILLATION; UNSPECIFIED ATRIAL FLUTTER; UNSPECIFIED ATRIAL FIBRILLATION	4	2	$96,978.01	15	$64,625.19	131	$49,798.25	51	$8,491.70	0	$0.00	$219,893.15	$586,546.91
3	92500004294	011	SUBSCRIBER	ACTIVE	MALIGNANT NEOPLASM OF OVERLAPPING SITES OF LEFT FEMALE BREAST; ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY; MALIGNANT NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREAST	0	0	$0.00	5	$36,027.04	305	$154,852.08	39	$4,981.52	0	$0.00	$195,860.64	$620,424.91
4	45000359259	023	SUBSCRIBER	ACTIVE	OTHER FRACTURE OF LEFT LOWER LEG, INITIAL ENCOUNTER FOR CLOSED FRACTURE; DISPLACED TRIMALLEOLAR FRACTURE OF LEFT LOWER LEG, INITIAL ENCOUNTER FOR CLOSED FRACTURE; DISPLACED TRIMALLEOLAR FRACTURE OF LEFT LOWER LEG, SUBSEQUENT ENCOUNTER FOR CLOSED FRACTURE WITH ROUTINE HEALING	6	1	$22,785.28	22	$6,150.32	34	$96,152.81	15	$28.65	0	$0.00	$125,117.06	$300,050.02
5	20000015359	C23	SUBSCRIBER	TERMED	OTHER SUPRAVENTRICULAR TACHYCARDIA; PHARMACY RX; HYPOKALEMIA	0	0	$0.00	1	$109,073.33	1	$3,486.92	1	$0.36	0	$0.00	$112,560.61	$4,044.99
6	30000164134	012	SUBSCRIBER	ACTIVE	PHARMACY RX; CHRONIC SINUSITIS, UNSPECIFIED; TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS	0	0	$0.00	1	$146.35	19	$2,580.82	62	$105,235.18	0	$0.00	$107,962.35	$147,203.85
7	15000086130	020	SPOUSE	ACTIVE	VENTRICULAR PREMATURE DEPOLARIZATION; OTHER CHEST PAIN; PHARMACY RX	0	0	$0.00	21	$72,968.48	109	$17,034.24	100	$10,332.81	0	$0.00	$100,335.53	$408,278.36
8	90000002322	012	SUBSCRIBER	ACTIVE	PHARMACY RX; ENCOUNTER FOR SCREENING FOR MALIGNANT NEOPLASM OF COLON; ESSENTIAL (PRIMARY) HYPERTENSION	0	0	$0.00	1	$163.00	11	$1,066.72	18	$97,225.14	0	$0.00	$98,454.86	$130,506.36
9	26250010985	006	SUBSCRIBER	ACTIVE	ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS; ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS; CHEST PAIN, UNSPECIFIED	6	1	$74,954.22	4	$3,337.09	67	$19,475.46	42	$338.97	0	$0.00	$98,105.74	$859,523.80
10	12500106287	R07	SUBSCRIBER	ACTIVE	INTERVERTEBRAL DISC DISORDERS WITH RADICULOPATHY, LUMBAR REGION; PHARMACY RX; DIVERTICULOSIS OF LARGE INTESTINE WITHOUT PERFORATION OR ABSCESS WITHOUT BLEEDING	10	1	$62,617.00	10	$7,303.20	65	$13,655.78	68	$5,841.91	0	$0.00	$89,417.89	$1,004,183.96
11	18750069732	012	SUBSCRIBER	ACTIVE	INTERVERTEBRAL DISC DISORDERS WITH RADICULOPATHY, LUMBAR REGION; OTHER INTERVERTEBRAL DISC DISPLACEMENT, LUMBAR REGION; SPINAL STENOSIS, LUMBAR REGION WITHOUT NEUROGENIC CLAUDICATION	3	1	$57,464.47	6	$5,460.00	86	$22,808.95	28	$146.97	0	$0.00	$85,880.39	$442,658.89
12	68750006346	007	SUBSCRIBER	ACTIVE	ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, RIGHT LEG; ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, LEFT LEG; COMPRESSION OF VEIN	0	0	$0.00	5	$20,201.90	190	$50,577.03	29	$1,673.67	0	$0.00	$72,452.60	$250,412.74
13	45000171939	011	SUBSCRIBER	ACTIVE	IMMUNE THROMBOCYTOPENIC PURPURA; PHARMACY RX; THROMBOCYTOPENIA, UNSPECIFIED	1	1	$19,158.87	0	$0.00	58	$27,739.03	37	$21,488.36	0	$0.00	$68,386.26	$214,843.49
14	37500000481	002	SUBSCRIBER	ACTIVE	PHARMACY RX; LESION OF ULNAR NERVE, RIGHT UPPER LIMB; OTHER CHEST PAIN	0	0	$0.00	4	$4,430.55	46	$5,964.65	74	$53,685.53	0	$0.00	$64,080.73	$128,842.91
15	3750152940	007	SUBSCRIBER	ACTIVE	INFECTIOUS GASTROENTERITIS AND COLITIS, UNSPECIFIED; ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH OTHER FORMS OF ANGINA PECTORIS; PHARMACY RX	2	1	$27,095.68	1	$17,689.00	73	$7,142.82	112	$8,722.08	0	$0.00	$60,649.58	$208,074.84
16	26250203915	006	SPOUSE	ACTIVE	ANXIETY DISORDER, UNSPECIFIED; POSTMENOPAUSAL BLEEDING; PHARMACY RX	4	1	$31,982.03	5	$5,745.00	71	$16,488.83	63	$6,144.20	0	$0.00	$60,360.06	$344,330.09
17	26250015588	012	SUBSCRIBER	TERMED	MALIGNANT NEOPLASM OF TAIL OF PANCREAS; MALIGNANT NEOPLASM OF PANCREAS, UNSPECIFIED; OTHER ASCITES	13	2	$43,745.62	2	$2,827.03	55	$11,589.96	22	$1,287.85	0	$0.00	$59,450.46	$197,706.15
18	56250011787	012	SUBSCRIBER	ACTIVE	PHARMACY RX; URINARY TRACT INFECTION, SITE NOT SPECIFIED; OTHER SPECIFIED SOFT TISSUE DISORDERS	0	0	$0.00	7	$6,074.01	41	$3,064.04	45	$46,905.37	0	$0.00	$56,043.42	$129,016.99
19	20000013777	004	SUBSCRIBER	ACTIVE	PHARMACY RX; ENCOUNTER FOR SCREENING MAMMOGRAM FOR MALIGNANT NEOPLASM OF BREAST; ENCOUNTER FOR GYNECOLOGICAL EXAMINATION (GENERAL) (ROUTINE) WITHOUT ABNORMAL FINDINGS	0	0	$0.00	0	$0.00	4	$422.61	24	$54,812.78	0	$0.00	$55,235.39	$72,504.61
20	40000159816	008	SUBSCRIBER	ACTIVE	CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS WITH OBSTRUCTION; ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, LEFT LEG; ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, RIGHT LEG	4	1	$21,680.39	0	$0.00	83	$33,058.65	24	$280.51	0	$0.00	$55,019.55	$308,007.50
21	25000447261	011	SUBSCRIBER	ACTIVE	DISPLACED INTERTROCHANTERIC FRACTURE OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE; FRACTURE OF UNSPECIFIED PART OF NECK OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE; PAIN IN RIGHT LEG	4	1	$33,626.67	10	$10,958.84	31	$7,868.10	71	$1,079.11	0	$0.00	$53,532.72	$354,080.20
Total						74	16	$772,017.57	128	$419,261.16	1,606	$565,052.70	948	$434,446.59	0	$0.00	$2,190,778.02	$7,318,224.98

	PRIOR							Inpatient				Outpatient		Professional		Pharmacy		Other
	Rank	Consumer
Mbr ID	Div	Relationship	Enroll Status	Diagnosis Description	Days	Admits	Paid Amt			Visits	Paid Amt	Services	Paid Amt	# of Rx	Paid Amt	Claim Count	Paid Amt	Total Paid Amt	Total Billed Amt
	1	62500154486	023	SUBSCRIBER	TERMED	NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION; ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS; ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF UNSPECIFIED SITE	19	2	$652,305.03			1	$610.31	165	$42,201.33	2	$1,098.94	0	$0.00	$696,215.61	$2,673,470.07
	2	42500412828	011	SUBSCRIBER	ACTIVE	SPINAL STENOSIS, LUMBAR REGION WITHOUT NEUROGENIC CLAUDICATION; PAROXYSMAL ATRIAL FIBRILLATION; LONGSTANDING PERSISTENT ATRIAL FIBRILLATION	3	2	$119,238.81			8	$35,704.39	100	$33,888.85	54	$14,524.20	0	$0.00	$203,356.25	$1,068,084.91
	3	92500408912	012	SUBSCRIBER	TERMED	CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED; HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE WITH HEART FAILURE AND STAGE 1 THROUGH STAGE 4 CHRONIC KIDNEY DISEASE, OR UNSPECIFIED CHRONIC KIDNEY DIS; CARDIAC ARREST, CAUSE UNSPECIFIED	31	3	$110,585.70			1	$581.22	153	$33,787.61	5	$17.00	0	$0.00	$144,971.53	$694,371.73
	4	30000164134	012	SUBSCRIBER	ACTIVE	PHARMACY RX; CHRONIC MAXILLARY SINUSITIS; OTHER CHRONIC SINUSITIS	0	0	$0.00			3	$10,023.50	50	$9,819.62	71	$100,643.80	0	$0.00	$120,486.92	$211,269.70
	5	51250415209	012	SUBSCRIBER	TERMED	MALIGNANT NEOPLASM OF UPPER LOBE, RIGHT BRONCHUS OR LUNG; OTHER PERSISTENT ATRIAL FIBRILLATION; MALIGNANT NEOPLASM OF UNSPECIFIED PART OF UNSPECIFIED BRONCHUS OR LUNG	3	2	$43,955.41			6	$19,727.78	56	$19,749.96	21	$2,247.04	0	$0.00	$85,680.19	$530,327.34
	6	43750314005	002	SUBSCRIBER	TERMED	SECONDARY MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCT; SEPSIS, UNSPECIFIED ORGANISM; PHARMACY RX	7	2	$42,761.26			5	$8,179.00	82	$21,046.51	22	$6,714.26	0	$0.00	$78,701.03	$485,575.22
	7	52500246201	011	SUBSCRIBER	TERMED	UNSPECIFIED FRACTURE OF SHAFT OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE; DISPLACED TRANSVERSE FRACTURE OF SHAFT OF RIGHT FEMUR, SUBSEQUENT ENCOUNTER FOR CLOSED FRACTURE WITH ROUTINE HEALING; UNSPECIFIED INJURY OF UNSPECIFIED THIGH, INITIAL ENCOUNTER	7	1	$71,457.07			6	$1,325.12	107	$3,584.64	13	$227.06	0	$0.00	$76,593.89	$532,966.26
	8	12500106296	011	SUBSCRIBER	ACTIVE	RADICULOPATHY, LUMBAR REGION; RADICULOPATHY, SITE UNSPECIFIED; SPONDYLOSIS WITHOUT MYELOPATHY OR RADICULOPATHY, LUMBAR REGION	0	0	$0.00			1	$67,098.50	36	$6,907.57	45	$23.38	0	$0.00	$74,029.45	$206,562.05
	9	3750152940	007	SUBSCRIBER	ACTIVE	ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS; ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITH OTHER FORMS OF ANGINA PECTORIS; PHARMACY RX	1	1	$29,304.72			2	$25,336.46	66	$9,305.91	83	$4,267.81	0	$0.00	$68,214.90	$817,999.71
	10	20000011874	007	SUBSCRIBER	ACTIVE	PHARMACY RX; OTHER SPECIFIED DISORDERS OF KIDNEY AND URETER; BENIGN NEOPLASM OF RIGHT KIDNEY	0	0	$0.00			3	$13,514.00	59	$32,037.53	67	$21,493.63	0	$0.00	$67,045.16	$139,853.46
	11	90000002322	012	SUBSCRIBER	ACTIVE	PHARMACY RX; PSORIASIS VULGARIS;	0	0	$0.00			0	$0.00	2	$101.92	5	$66,697.24	0	$0.00	$66,799.16	$83,188.07
	12	20000013777	004	SUBSCRIBER	ACTIVE	PHARMACY RX; EFFUSION, LEFT KNEE; MULTIPLE SCLEROSIS	0	0	$0.00			1	$1,430.00	9	$1,159.75	26	$50,696.66	0	$0.00	$53,286.41	$75,207.53
	13	78750231406	008	SUBSCRIBER	ACTIVE	SEPSIS, UNSPECIFIED ORGANISM; MENINGITIS, UNSPECIFIED; BASAL CELL CARCINOMA OF SKIN OF OTHER PARTS OF FACE	3	1	$30,878.12			2	$130.32	30	$21,108.67	13	$158.61	0	$0.00	$52,275.72	$193,696.32
	14	81250274874	002	SUBSCRIBER	ACTIVE	PHARMACY RX; ENCOUNTER FOR SCREENING FOR MALIGNANT NEOPLASM OF COLON; OTHER SPECIFIED DISORDERS OF BRAIN	0	0	$0.00			2	$3,703.00	20	$3,729.76	27	$44,024.17	0	$0.00	$51,456.93	$116,735.23
	Total						74	14	$1,100,486.12			41	$187,363.60	935	$238,429.63	454	$312,833.80	0	$0.00	$1,839,113.15	$7,829,307.60

Notes:

- This report contains Personal Health Information (PHI) data.

- SSN = Social Security Number.

- Enrollment status as of last weekly maintenance cycle.

- Florida Blue proprietary and confidential information

&"Arial,Regular"&8 Report Run: 01/16/2026 11:21 AM Page 1 of 1

S4 High Cost Claims Summ Page1

High Cost Claims Summary - Plan YTD

Company: SUWANNEE COUNTY BOCC TAX COLL

Group: 15534 Current Paid Period: From 10/2023 to 12/2025 Prior Paid Period: From 10/2022 to 09/2023 High Cost Claims Threshold: 50000

CURRENT							Inpatient		Outpatient		Professional		Pharmacy		Other
Rank	Consumer Mbr ID	Div	Relationship	Enroll Status	Diagnosis Description	Days	Admits	Paid Amt	Visits	Paid Amt	Services	Paid Amt	# of Rx	Paid Amt	Claim Count	Paid Amt	Total Paid Amt	Total Billed Amt
1	62500154486	023	SUBSCRIBER	TERMED	NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION; ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS; PLEURAL EFFUSION, NOT ELSEWHERE CLASSIFIED	19	2	$652,305.03	1	$610.31	172	$41,966.32	9	$3,145.17	0	$0.00	$698,026.83	$2,678,633.54
2	42500412828	011	SUBSCRIBER	ACTIVE	PAROXYSMAL ATRIAL FIBRILLATION; SPINAL STENOSIS, LUMBAR REGION WITHOUT NEUROGENIC CLAUDICATION; UNSPECIFIED ATRIAL FLUTTER	7	4	$216,216.82	25	$104,072.58	252	$87,050.90	115	$27,598.62	0	$0.00	$434,938.92	$2,236,543.30
3	20000010976	007	SUBSCRIBER	ACTIVE	STENOSIS OF LARYNX; MALIGNANT NEOPLASM OF GLOTTIS; CALCULUS OF URETER	17	3	$279,929.33	8	$46,080.83	145	$21,189.54	45	$21,128.71	0	$0.00	$368,328.41	$632,422.63
4	30000164134	012	SUBSCRIBER	ACTIVE	PHARMACY RX; CHRONIC MAXILLARY SINUSITIS; OTHER CHRONIC SINUSITIS	0	0	$0.00	5	$10,694.14	78	$13,908.63	144	$236,034.16	0	$0.00	$260,636.93	$406,601.19
5	92500004294	011	SUBSCRIBER	ACTIVE	MALIGNANT NEOPLASM OF OVERLAPPING SITES OF LEFT FEMALE BREAST; ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY; MALIGNANT NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREAST	0	0	$0.00	6	$36,100.08	365	$157,097.40	72	$4,986.23	0	$0.00	$198,183.71	$627,403.76
6	90000002322	012	SUBSCRIBER	ACTIVE	PHARMACY RX; ENCOUNTER FOR SCREENING FOR MALIGNANT NEOPLASM OF COLON; PSORIASIS VULGARIS	0	0	$0.00	1	$163.00	14	$1,219.60	23	$163,922.38	0	$0.00	$165,304.98	$214,066.43
7	52500246201	011	SUBSCRIBER	TERMED	UNSPECIFIED FRACTURE OF SHAFT OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE; UNSPECIFIED FRACTURE OF SHAFT OF RIGHT FEMUR, SUBSEQUENT ENCOUNTER FOR CLOSED FRACTURE WITH ROUTINE HEALING; TRAUMATIC SUBARACHNOID HEMORRHAGE WITH LOSS OF CONSCIOUSNESS STATUS UNKNOWN, INITIAL ENCOUNTER	25	3	$132,548.05	9	$2,535.41	190	$29,634.33	21	$308.32	0	$0.00	$165,026.11	$796,048.43
8	92500408912	012	SUBSCRIBER	TERMED	CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED; HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE WITH HEART FAILURE AND STAGE 1 THROUGH STAGE 4 CHRONIC KIDNEY DISEASE, OR UNSPECIFIED CHRONIC KIDNEY DIS; CARDIAC ARREST, CAUSE UNSPECIFIED	31	3	$110,585.70	1	$581.22	156	$34,330.16	6	$17.00	0	$0.00	$145,514.08	$695,212.33
9	20000015359	C23	SUBSCRIBER	TERMED	OTHER SUPRAVENTRICULAR TACHYCARDIA; PHARMACY RX; CHEST PAIN, UNSPECIFIED	0	0	$0.00	3	$115,543.74	53	$7,295.56	42	$20,661.84	0	$0.00	$143,501.14	$1,143,409.61
10	15000086130	020	SPOUSE	ACTIVE	VENTRICULAR PREMATURE DEPOLARIZATION; OTHER CHEST PAIN; SYNCOPE AND COLLAPSE	2	1	$13,965.10	36	$86,214.78	223	$28,418.87	217	$13,011.99	0	$0.00	$141,610.74	$596,666.11
11	3750152940	007	SUBSCRIBER	ACTIVE	ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS; INFECTIOUS GASTROENTERITIS AND COLITIS, UNSPECIFIED; ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART WITH OTHER FORMS OF ANGINA PECTORIS	3	2	$56,400.40	3	$43,025.46	153	$17,450.59	208	$13,246.07	0	$0.00	$130,122.52	$1,194,765.42
12	45000359259	023	SUBSCRIBER	ACTIVE	OTHER FRACTURE OF LEFT LOWER LEG, INITIAL ENCOUNTER FOR CLOSED FRACTURE; DISPLACED TRIMALLEOLAR FRACTURE OF LEFT LOWER LEG, INITIAL ENCOUNTER FOR CLOSED FRACTURE; DISPLACED TRIMALLEOLAR FRACTURE OF LEFT LOWER LEG, SUBSEQUENT ENCOUNTER FOR CLOSED FRACTURE WITH ROUTINE HEALING	6	1	$22,785.28	29	$8,773.52	39	$96,341.78	24	$28.65	0	$0.00	$127,929.23	$316,687.87
13	20000013777	004	SUBSCRIBER	ACTIVE	PHARMACY RX; EFFUSION, LEFT KNEE; ENCOUNTER FOR SCREENING MAMMOGRAM FOR MALIGNANT NEOPLASM OF BREAST	0	0	$0.00	1	$1,430.00	15	$1,760.62	56	$116,649.76	0	$0.00	$119,840.38	$174,058.65
14	51250415209	012	SUBSCRIBER	TERMED	MALIGNANT NEOPLASM OF UPPER LOBE, RIGHT BRONCHUS OR LUNG; OTHER PERSISTENT ATRIAL FIBRILLATION; MALIGNANT NEOPLASM OF UNSPECIFIED PART OF UNSPECIFIED BRONCHUS OR LUNG	7	3	$76,299.00	6	$19,727.78	63	$21,081.04	25	$2,261.75	0	$0.00	$119,369.57	$592,255.68
15	81250274874	002	SUBSCRIBER	ACTIVE	PHARMACY RX; ENCOUNTER FOR SCREENING FOR MALIGNANT NEOPLASM OF COLON; ENCOUNTER FOR IMMUNIZATION	0	0	$0.00	2	$3,703.00	45	$7,362.20	64	$94,575.97	0	$0.00	$105,641.17	$237,353.49
16	26250010985	006	SUBSCRIBER	ACTIVE	ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS; ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS; LOCALIZED SWELLING, MASS AND LUMP, HEAD	6	1	$74,954.22	5	$3,482.09	84	$20,548.29	80	$396.80	0	$0.00	$99,381.40	$1,031,984.02
17	12500106287	R07	SUBSCRIBER	ACTIVE	INTERVERTEBRAL DISC DISORDERS WITH RADICULOPATHY, LUMBAR REGION; PHARMACY RX; DIVERTICULOSIS OF LARGE INTESTINE WITHOUT PERFORATION OR ABSCESS WITHOUT BLEEDING	10	1	$62,617.00	14	$9,247.20	88	$14,760.74	131	$12,710.03	0	$0.00	$99,334.97	$1,051,403.03
18	20000011874	007	SUBSCRIBER	ACTIVE	PHARMACY RX; OTHER SPECIFIED DISORDERS OF KIDNEY AND URETER; BENIGN NEOPLASM OF RIGHT KIDNEY	0	0	$0.00	3	$13,514.00	83	$37,604.39	142	$44,255.71	0	$0.00	$95,374.10	$187,427.72
19	56250011787	012	SUBSCRIBER	ACTIVE	PHARMACY RX; URINARY TRACT INFECTION, SITE NOT SPECIFIED; OTHER SPECIFIED SOFT TISSUE DISORDERS	0	0	$0.00	7	$6,074.01	46	$3,393.77	65	$78,538.63	0	$0.00	$88,006.41	$199,175.05
20	18750069732	012	SUBSCRIBER	ACTIVE	INTERVERTEBRAL DISC DISORDERS WITH RADICULOPATHY, LUMBAR REGION; OTHER INTERVERTEBRAL DISC DISPLACEMENT, LUMBAR REGION; SPINAL STENOSIS, LUMBAR REGION WITHOUT NEUROGENIC CLAUDICATION	3	1	$57,464.47	6	$5,460.00	86	$22,808.95	28	$146.97	0	$0.00	$85,880.39	$442,658.89
21	43750314005	002	SUBSCRIBER	TERMED	SECONDARY MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCT; SEPSIS, UNSPECIFIED ORGANISM; PHARMACY RX	7	2	$42,761.26	6	$9,609.00	89	$21,829.95	24	$7,997.63	0	$0.00	$82,197.84	$524,363.52
22	12500106296	011	SUBSCRIBER	ACTIVE	RADICULOPATHY, LUMBAR REGION; RADICULOPATHY, SITE UNSPECIFIED; HYDRONEPHROSIS WITH RENAL AND URETERAL CALCULOUS OBSTRUCTION	0	0	$0.00	1	$67,098.50	72	$9,509.58	84	$182.04	0	$0.00	$76,790.12	$225,799.26
23	37500000481	002	SUBSCRIBER	ACTIVE	PHARMACY RX; LESION OF ULNAR NERVE, RIGHT UPPER LIMB; OTHER CHEST PAIN	0	0	$0.00	7	$7,622.55	97	$10,516.93	166	$57,963.99	0	$0.00	$76,103.47	$164,766.12
24	68750016416	008	SUBSCRIBER	TERMED	PHARMACY RX; MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, MODERATE; UNSPECIFIED OVARIAN CYST, RIGHT SIDE	0	0	$0.00	0	$0.00	42	$3,980.23	48	$70,265.62	0	$0.00	$74,245.85	$101,148.09
25	68750017463	R11	SUBSCRIBER	ACTIVE	ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS; PHARMACY RX; CALCULUS OF GALLBLADDER WITHOUT CHOLECYSTITIS WITHOUT OBSTRUCTION	0	0	$0.00	9	$51,176.66	73	$7,152.07	137	$15,052.67	0	$0.00	$73,381.40	$337,073.12
26	45000171939	011	SUBSCRIBER	ACTIVE	IMMUNE THROMBOCYTOPENIC PURPURA; THROMBOCYTOPENIA, UNSPECIFIED; PHARMACY RX	1	1	$19,158.87	1	$534.16	106	$31,274.16	51	$21,800.18	0	$0.00	$72,767.37	$240,177.91
27	68750006346	007	SUBSCRIBER	ACTIVE	ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, RIGHT LEG; ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, LEFT LEG; COMPRESSION OF VEIN	0	0	$0.00	5	$20,201.90	192	$50,730.31	64	$1,674.07	0	$0.00	$72,606.28	$473,642.03
28	56250014495	R07	SUBSCRIBER	ACTIVE	PHARMACY RX; LACERATION WITHOUT FOREIGN BODY OF RIGHT INDEX FINGER WITHOUT DAMAGE TO NAIL, INITIAL ENCOUNTER; HYDRONEPHROSIS WITH RENAL AND URETERAL CALCULOUS OBSTRUCTION	0	0	$0.00	3	$4,521.00	68	$4,296.16	185	$63,287.31	0	$0.00	$72,104.47	$1,386,741.88
29	26250203915	006	SPOUSE	ACTIVE	ANXIETY DISORDER, UNSPECIFIED; PHARMACY RX; POSTMENOPAUSAL BLEEDING	4	1	$31,982.03	6	$7,258.00	104	$21,738.94	124	$8,230.16	0	$0.00	$69,209.13	$370,469.56
30	38750173615	008	SUBSCRIBER	ACTIVE	INDURATION PENIS PLASTICA; PREPATELLAR BURSITIS, LEFT KNEE; OTHER SPECIFIED SOFT TISSUE DISORDERS	3	1	$10,269.62	3	$4,376.95	71	$52,334.89	67	$574.35	0	$0.00	$67,555.81	$322,455.91
31	45000006673	R11	SUBSCRIBER	ACTIVE	PHARMACY RX; TYPE 2 DIABETES MELLITUS WITH HYPERGLYCEMIA; SPONDYLOSIS WITHOUT MYELOPATHY OR RADICULOPATHY, LUMBAR REGION	0	0	$0.00	1	$190.00	54	$7,473.15	282	$59,052.65	0	$0.00	$66,715.80	$178,212.33
32	26250015588	012	SUBSCRIBER	TERMED	MALIGNANT NEOPLASM OF TAIL OF PANCREAS; MALIGNANT NEOPLASM OF PANCREAS, UNSPECIFIED; PHARMACY RX	13	2	$43,745.62	2	$2,827.03	73	$13,876.53	38	$4,243.81	0	$0.00	$64,692.99	$208,639.05
33	47500008230	019	SUBSCRIBER	TERMED	PHARMACY RX; TYPE 1 DIABETES MELLITUS WITHOUT COMPLICATIONS; TESTICULAR HYPOFUNCTION	0	0	$0.00	0	$0.00	295	$20,086.93	119	$42,821.93	0	$0.00	$62,908.86	$267,190.99
34	40000159816	008	SUBSCRIBER	ACTIVE	CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS WITH OBSTRUCTION; ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, LEFT LEG; ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN, RIGHT LEG	4	1	$21,680.39	2	$3,751.00	98	$34,961.12	37	$1,125.68	0	$0.00	$61,518.19	$357,512.32
35	25000447261	011	SUBSCRIBER	ACTIVE	DISPLACED INTERTROCHANTERIC FRACTURE OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE; FRACTURE OF UNSPECIFIED PART OF NECK OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE; PHARMACY RX	4	1	$33,626.67	12	$12,915.84	71	$11,394.72	137	$3,098.01	0	$0.00	$61,035.24	$414,914.49
36	56250018641	011	SUBSCRIBER	ACTIVE	DUODENAL ULCER, UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT HEMORRHAGE OR PERFORATION; DIVERTICULITIS OF LARGE INTESTINE WITHOUT PERFORATION OR ABSCESS WITHOUT BLEEDING; URINARY TRACT INFECTION, SITE NOT SPECIFIED	5	1	$13,590.50	15	$32,332.82	133	$12,904.17	73	$1,507.15	0	$0.00	$60,334.64	$692,994.53
37	55000119769	012	SUBSCRIBER	TERMED	TRANSIENT CEREBRAL ISCHEMIC ATTACK, UNSPECIFIED; SHORTNESS OF BREATH; COMPLETE ROTATOR CUFF TEAR OR RUPTURE OF RIGHT SHOULDER, NOT SPECIFIED AS TRAUMATIC	2	1	$12,257.76	10	$27,996.83	127	$16,649.13	92	$1,246.70	0	$0.00	$58,150.42	$291,065.83
38	63750191909	002	SUBSCRIBER	ACTIVE	CAPSULAR CONTRACTURE OF BREAST IMPLANT, INITIAL ENCOUNTER; DISPLACEMENT OF BREAST PROSTHESIS AND IMPLANT, INITIAL ENCOUNTER; DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND, NOT ELSEWHERE CLASSIFIED, INITIAL ENCOUNTER	0	0	$0.00	10	$36,104.93	77	$19,986.25	106	$1,878.94	0	$0.00	$57,970.12	$504,002.94
39	78750231406	008	SUBSCRIBER	ACTIVE	SEPSIS, UNSPECIFIED ORGANISM; MENINGITIS, UNSPECIFIED; BASAL CELL CARCINOMA OF SKIN OF OTHER PARTS OF FACE	3	1	$30,878.12	2	$130.32	37	$21,486.15	26	$158.61	0	$0.00	$52,653.20	$197,516.31
Total						182	37	$2,016,021.24	266	$805,680.64	4,229	$1,037,405.05	3,377	$1,215,786.26	0	$0.00	$5,074,893.19	$22,713,463.34

	PRIOR							Inpatient				Outpatient		Professional		Pharmacy		Other
	Rank	Consumer
Mbr ID	Div	Relationship	Enroll Status	Diagnosis Description	Days	Admits	Paid Amt			Visits	Paid Amt	Services	Paid Amt	# of Rx	Paid Amt	Claim Count	Paid Amt	Total Paid Amt	Total Billed Amt
	1	90000001903	008	SUBSCRIBER	TERMED	SEPSIS, UNSPECIFIED ORGANISM; ALCOHOL INDUCED ACUTE PANCREATITIS WITHOUT NECROSIS OR INFECTION; PNEUMONIA, UNSPECIFIED ORGANISM	59	2	$282,436.90			10	$3,435.54	59	$7,085.19	19	$382.37	0	$0.00	$293,340.00	$109,444.01
	2	52500232801	011	SUBSCRIBER	TERMED	OTHER SPECIFIED NONINFLAMMATORY DISORDERS OF VAGINA; PHARMACY RX; CALCULUS OF KIDNEY	1	1	$32,177.00			19	$31,980.84	137	$23,845.05	85	$28,221.88	0	$0.00	$116,224.77	$665,930.86
	3	41250125474	010	SUBSCRIBER	TERMED	ENCOUNTER FOR ANTINEOPLASTIC RADIATION THERAPY; ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY; DYSPHONIA	0	0	$0.00			49	$94,950.15	61	$12,908.60	23	$137.08	0	$0.00	$107,995.83	$285,283.30
	4	37500009307	R08	SUBSCRIBER	ACTIVE	UNILATERAL PRIMARY OSTEOARTHRITIS, RIGHT KNEE; UNILATERAL PRIMARY OSTEOARTHRITIS, LEFT KNEE; POLYP OF COLON	0	0	$0.00			13	$91,071.84	74	$14,933.65	18	$36.63	0	$0.00	$106,042.12	$235,714.20
	5	30000164134	012	SUBSCRIBER	ACTIVE	PHARMACY RX; TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS; OTHER SPECIFIED DISORDERS OF TEETH AND SUPPORTING STRUCTURES	0	0	$0.00			1	$640.89	19	$1,708.31	40	$91,491.35	0	$0.00	$93,840.55	$130,974.17
	6	68750009118	012	SUBSCRIBER	TERMED	SEPSIS, UNSPECIFIED ORGANISM; IRON DEFICIENCY ANEMIA, UNSPECIFIED; MALIGNANT NEOPLASM OF UPPER-INNER QUADRANT OF LEFT FEMALE BREAST	6	3	$60,746.76			0	$0.00	128	$13,014.38	9	$274.60	0	$0.00	$74,035.74	$358,174.62
	7	42500412828	011	SUBSCRIBER	ACTIVE	OTHER SPONDYLOSIS WITH RADICULOPATHY, LUMBAR REGION; BENIGN PAROXYSMAL VERTIGO, UNSPECIFIED EAR; HYPERTENSIVE EMERGENCY	5	2	$16,883.82			4	$27,805.00	73	$12,194.88	35	$8,095.88	0	$0.00	$64,979.58	$236,957.83
	8	98750122282	002	SUBSCRIBER	TERMED	CALCULUS OF KIDNEY; ABRASION OF RIGHT INDEX FINGER, INITIAL ENCOUNTER; ENCOUNTER FOR SCREENING FOR MALIGNANT NEOPLASM OF COLON	0	0	$0.00			7	$57,375.76	27	$6,154.81	17	$169.16	0	$0.00	$63,699.73	$358,543.22
	9	56250014495	R07	SUBSCRIBER	ACTIVE	PHARMACY RX; ENCOUNTER FOR SCREENING FOR MALIGNANT NEOPLASM OF COLON; OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC)	0	0	$0.00			0	$0.00	20	$1,227.08	114	$53,867.32	0	$0.00	$55,094.40	$98,522.55
	10	71250284487	012	SPOUSE	TERMED	PHARMACY RX; OTHER RHEUMATOID ARTHRITIS WITH RHEUMATOID FACTOR OF MULTIPLE SITES; CONTACT WITH AND (SUSPECTED) EXPOSURE TO COVID-19	0	0	$0.00			0	$0.00	9	$557.42	36	$53,687.08	0	$0.00	$54,244.50	$72,551.84
	11	12500106268	011	SUBSCRIBER	ACTIVE	ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSTABLE ANGINA PECTORIS; OCCLUSION AND STENOSIS OF BILATERAL CAROTID ARTERIES; ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSPECIFIED ANGINA PECTORIS	0	0	$0.00			1	$51,523.09	14	$1,363.80	12	$0.00	0	$0.00	$52,886.89	$651,021.00
	Total						71	8	$392,244.48			104	$358,783.11	621	$94,993.17	408	$236,363.35	0	$0.00	$1,082,384.11	$3,203,117.60

Notes:

- This report contains Personal Health Information (PHI) data.

- SSN = Social Security Number.

- Enrollment status as of last weekly maintenance cycle.

- Florida Blue proprietary and confidential information

&"Arial,Regular"&8 Report Run: 01/16/2026 11:21 AM Page 1 of 1

S5 Monitoring by Utiliza Page1

Monitoring by Utilization and Enrollment - By Division

Company: SUWANNEE COUNTY BOCC TAX COLL

Group: 15534 Current Paid Period: From 01/2025 to 12/2025

			Enrollment		Premium	Capitation				Fee for Service Claims
	Paid Year Month	Div Num	Contracts	Members	Premium	PCP	Specialty	Total Capitation	Value Based
Programs	Inpatient	Outpatient	Physician	Other	Total Medical	Pharmacy	Grand Total	MLR
	202501	001	4	4	$3,328.72	$0.00	$5.72	$5.72	$17.00	$0.00	$1,992.00	$48.87	$131.38	$2,172.25	$26.30	$2,221.27	66.73%
		002	11	11	$10,147.92	$0.00	$85.63	$85.63	$51.00	$0.00	$7,390.13	$1,932.74	$311.08	$9,633.95	$7,436.43	$17,207.01	169.56%
		004	3	3	$2,536.98	$0.00	$21.45	$21.45	$8.50	$0.00	$0.00	$235.63	$211.15	$446.78	$6,324.42	$6,801.15	268.08%
		005	11	11	$9,153.98	$0.00	$15.73	$15.73	$17.00	$0.00	$259.00	$241.17	$476.45	$976.62	$754.33	$1,763.68	19.27%
		006	17	19	$16,185.98	$0.00	$135.85	$135.85	$59.50	$0.00	$3,671.48	$2,915.54	$1,966.59	$8,553.61	$22.00	$8,770.96	54.19%
		007	37	41	$34,751.88	$0.00	$61.49	$61.49	$68.00	$0.00	$1,843.10	$1,336.99	$836.40	$4,016.49	$5,384.98	$9,530.96	27.43%
		008	59	63	$52,388.68	$0.00	$457.43	$457.43	$340.00	$71,320.58	$6,062.47	$15,358.85	$21,823.54	$114,565.44	$9,788.80	$125,151.67	238.89%
		009	1	1	$832.18	$0.00	$1.43	$1.43	$0.00	$0.00	$0.00	$0.00	$1,451.56	$1,451.56	$1,412.47	$2,865.46	344.33%
		010	11	11	$9,302.26	$0.00	$78.65	$78.65	$59.50	$0.00	$0.00	$138.33	$1.00	$139.33	$346.13	$623.61	6.70%
		011	73	76	$60,865.62	$0.00	$102.96	$102.96	$187.00	$19,158.87	$31,894.46	$3,520.11	$3,049.42	$57,622.86	$8,900.83	$66,813.65	109.77%
		012	96	96	$77,075.90	$0.00	$672.61	$672.61	$595.00	$0.00	$4,515.21	$3,725.68	$4,440.07	$12,680.96	$24,971.32	$38,919.89	50.50%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$5.68	$0.00	$5.68	$0.00	$7.68	0.25%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$399.34	$400.14	29.30%
		019	12	12	$6,243.20	$0.00	$4.80	$4.80	$17.00	$0.00	$0.00	$0.00	$166.22	$166.22	$2,046.86	$2,234.88	35.80%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$17.00	$0.00	$0.00	$0.00	$91.78	$91.78	($10.30)	$102.88	2.18%
		023	50	50	$31,216.00	$0.00	$19.60	$19.60	$153.00	$0.00	$0.00	$527.68	$964.31	$1,491.99	$59.45	$1,724.04	5.52%
		024	7	20	$9,343.92	$0.00	$8.00	$8.00	$17.00	$0.00	$1,715.41	$592.00	$516.07	$2,823.48	$890.33	$3,738.81	40.01%
		C23	0	0	$624.32	$0.00	$0.40	$0.40	$0.00	$0.00	$109,073.33	$3,486.92	$0.00	$112,560.25	$0.36	$112,561.01	18029.38%
		R07	9	9	$7,489.62	$0.00	$12.87	$12.87	$0.00	$0.00	$42.99	$0.00	$663.47	$706.46	$3,714.95	$4,434.28	59.21%
		R08	5	5	$5,073.96	$0.00	$42.90	$42.90	$17.00	$0.00	$0.00	$184.09	$52.00	$236.09	$21.40	$317.39	6.26%
		R11	3	4	$3,386.96	$0.00	$5.72	$5.72	$0.00	$0.00	$0.00	$305.53	$63.22	$368.75	$637.52	$1,011.99	29.88%
		R12	3	3	$2,536.98	$0.00	$21.45	$21.45	$17.00	$0.00	$0.00	$68.03	$0.00	$68.03	$3,048.76	$3,155.24	124.37%
		Total	422	457	$351,696.54	$0.00	$1,761.89	$1,761.89	$1,640.50	$90,479.45	$168,459.58	$34,623.84	$37,215.71	$330,778.58	$76,176.68	$410,357.65	116.68%
		Avg	19	21	$15,986.21	$0.00	$80.09	$80.09	$74.57	$4,112.70	$7,657.25	$1,573.81	$1,691.62	$15,035.39	$3,462.58	$18,652.62	116.68%
	202502	001	4	4	$3,328.72	$0.00	$5.72	$5.72	$17.00	$0.00	$0.00	$219.75	$63.03	$282.78	$2,511.21	$2,816.71	84.62%
		002	11	11	$9,302.26	$0.00	$101.31	$101.31	$51.00	$0.00	$0.00	$431.91	$1,543.17	$1,975.08	$3,863.52	$5,990.91	64.40%
		004	3	3	$2,536.98	$0.00	$27.63	$27.63	$8.50	$0.00	$0.00	$50.85	$0.00	$50.85	$3,813.21	$3,900.19	153.73%
		005	11	11	$9,153.98	$0.00	$15.73	$15.73	$17.00	$0.00	$0.00	$723.44	$213.22	$936.66	$3,258.04	$4,227.43	46.18%
		006	17	19	$16,185.98	$0.00	$174.99	$174.99	$59.50	$0.00	$2,052.32	$2,637.82	$1,352.34	$6,042.48	$32.20	$6,309.17	38.98%
		007	37	41	$32,255.34	$0.00	$55.77	$55.77	$68.00	$0.00	$12,274.35	$2,256.44	$3,366.57	$17,897.36	$6,825.33	$24,846.46	77.03%
		008	58	62	$51,543.02	$0.00	$580.23	$580.23	$331.50	$0.00	$3,250.37	$3,113.42	$3,711.63	$10,075.42	$12,154.16	$23,141.31	44.90%
		009	1	1	$832.18	$0.00	$1.43	$1.43	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$1.43	0.17%
		010	11	11	$9,302.26	$0.00	$101.31	$101.31	$59.50	$0.00	$0.00	$302.37	$164.17	$466.54	$2,628.58	$3,255.93	35.00%
		011	71	73	$59,143.02	$0.00	$102.96	$102.96	$178.50	$0.00	$15,885.27	$25,379.02	$2,182.26	$43,446.55	$20,305.80	$64,033.81	108.27%
		012	95	95	$80,337.70	$0.00	$869.00	$869.00	$625.51	$12,257.76	$14,050.41	$4,213.61	$4,192.73	$34,714.51	$19,874.75	$56,083.77	69.81%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$4.73	$0.00	$4.73	$0.00	$6.73	0.22%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.80	0.06%
		019	12	12	$7,491.84	$0.00	$4.80	$4.80	$8.50	$0.00	$0.00	$0.00	$1,249.89	$1,249.89	$1,144.99	$2,408.18	32.14%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$17.00	$0.00	$7,707.40	$420.07	$1,262.77	$9,390.24	$0.00	$9,411.64	199.22%
		023	51	51	$31,840.32	$0.00	$21.20	$21.20	$136.00	$0.00	$895.80	$1,088.32	$1,539.10	$3,523.22	$0.00	$3,680.42	11.56%
		024	6	18	$7,978.32	$0.00	$7.20	$7.20	$17.00	$0.00	$0.00	$634.41	$494.94	$1,129.35	$0.00	$1,153.55	14.46%
		C23	0	0	$0.00	$0.00	$0.40	$0.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.40	0.00%
		R07	9	9	$7,489.62	$0.00	$12.87	$12.87	$0.00	$0.00	$0.00	$0.00	$215.40	$215.40	$4,223.68	$4,451.95	59.44%
		R08	5	5	$5,073.96	$0.00	$55.26	$55.26	$17.00	$0.00	$0.00	$136.80	$52.00	$188.80	$21.40	$282.46	5.57%
		R11	4	6	$5,109.56	$0.00	$8.58	$8.58	$0.00	$0.00	$0.00	$13.26	$228.35	$241.61	$2,789.06	$3,039.25	59.48%
		R12	3	3	$2,536.98	$0.00	$27.63	$27.63	$17.00	$0.00	$1,513.00	$700.98	$0.00	$2,213.98	$558.06	$2,816.67	111.02%
		Total	419	453	$350,653.52	$0.00	$2,181.22	$2,181.22	$1,628.51	$12,257.76	$57,628.92	$42,327.20	$21,831.57	$134,045.45	$84,003.99	$221,859.17	63.27%
		Avg	19	21	$15,938.80	$0.00	$99.15	$99.15	$74.02	$557.17	$2,619.50	$1,923.96	$992.34	$6,092.98	$3,818.36	$10,084.51	63.27%
	202503	001	4	4	$3,328.72	$0.00	$5.84	$5.84	$9.43	$0.00	$297.94	$41.24	$0.00	$339.18	$0.00	$354.45	10.65%
		002	11	11	$9,302.26	$0.00	$78.98	$78.98	$56.58	$0.00	$172.00	$922.18	$341.15	$1,435.33	$5,754.37	$7,325.26	78.75%
		004	3	3	$2,536.98	$0.00	$21.54	$21.54	$9.43	$0.00	$0.00	$302.79	$346.79	$649.58	$3,813.21	$4,493.76	177.13%
		005	11	11	$9,153.98	$0.00	$16.06	$16.06	$18.86	$0.00	$0.00	$263.44	$813.77	$1,077.21	$1,018.14	$2,130.27	23.27%
		006	17	19	$16,185.98	$0.00	$136.42	$136.42	$103.73	$0.00	$2,753.76	$1,273.78	$579.98	$4,607.52	$1,293.64	$6,141.31	37.94%
		007	36	40	$30,590.98	$0.00	$56.97	$56.97	$84.87	$0.00	$1,767.00	$1,065.76	$2,475.16	$5,307.92	$5,394.88	$10,844.64	35.45%
		008	59	63	$50,697.36	$0.00	$444.16	$444.16	$367.77	$0.00	$2,251.46	$5,544.00	$5,011.51	$12,806.97	$12,036.28	$25,655.18	50.60%
		009	1	1	$832.18	$0.00	$1.46	$1.46	$0.00	$0.00	$0.00	$102.78	$873.98	$976.76	$0.00	$978.22	117.55%
		010	11	11	$9,302.26	$0.00	$78.98	$78.98	$66.01	$0.00	$2,327.49	$541.09	$523.87	$3,392.45	$356.57	$3,894.01	41.86%
		011	70	72	$61,639.56	$0.00	$103.60	$103.60	$198.03	$11,068.00	$17,692.00	$9,391.85	$19,679.03	$57,830.88	$10,575.48	$68,707.99	111.47%
		012	94	94	$82,029.02	$0.00	$718.90	$718.90	$650.67	$0.00	$7,012.10	$2,833.79	$3,493.98	$13,339.87	$26,222.85	$40,932.29	49.90%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$1.71	$0.00	$1.71	$5.96	$9.67	0.31%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.80	0.06%
		019	12	12	$8,116.16	$0.00	$4.80	$4.80	$9.43	$0.00	$0.00	$0.00	$545.49	$545.49	$1,786.65	$2,346.37	28.91%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$9.43	$0.00	$20,383.00	$1,299.00	$2,316.62	$23,998.62	$1,190.33	$25,202.78	533.47%
		023	49	49	$31,216.00	$0.00	$19.60	$19.60	$150.88	$0.00	$77.78	$187.00	$543.41	$808.19	$13.01	$991.68	3.18%
		024	6	18	$7,978.32	$0.00	$7.20	$7.20	$18.86	$0.00	$0.00	$235.34	$870.96	$1,106.30	$2,350.42	$3,482.78	43.65%
		C23	0	0	($1,248.64)	$0.00	$0.40	$0.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.40	-0.03%
		R07	9	9	$7,489.62	$0.00	$13.14	$13.14	$0.00	$0.00	$0.00	$220.15	$78.44	$298.59	$2,361.37	$2,673.10	35.69%
		R08	5	5	$5,073.96	$0.00	$43.08	$43.08	$18.86	$0.00	$0.00	$205.44	$52.00	$257.44	$145.72	$465.10	9.17%
		R11	4	6	$5,109.56	$0.00	$8.76	$8.76	$0.00	$0.00	$1,851.00	$0.00	$0.00	$1,851.00	$3,235.03	$5,094.79	99.71%
		R12	3	3	$2,536.98	$0.00	$21.54	$21.54	$18.86	$0.00	$0.00	$321.40	$38.22	$359.62	$565.73	$965.75	38.07%
		Total	415	449	$351,082.72	$0.00	$1,788.63	$1,788.63	$1,791.70	$11,068.00	$56,585.53	$24,752.74	$38,584.36	$130,990.63	$78,119.64	$212,690.60	60.58%
		Avg	19	20	$15,958.31	$0.00	$81.30	$81.30	$81.44	$503.09	$2,572.07	$1,125.12	$1,753.83	$5,954.12	$3,550.89	$9,667.75	60.58%
	202504	001	4	4	$3,328.72	$0.00	$5.84	$5.84	$9.43	$0.00	$2,050.08	$190.35	$0.00	$2,240.43	$1,025.09	$3,280.79	98.56%
		002	10	10	$8,456.60	$0.00	$71.80	$71.80	$56.58	$0.00	$0.00	$1,258.07	$152.22	$1,410.29	$4,888.24	$6,426.91	76.00%
		004	3	3	$2,536.98	$0.00	$21.54	$21.54	$9.43	$0.00	$0.00	$94.30	$0.00	$94.30	$6,524.42	$6,649.69	262.11%
		005	11	11	$9,153.98	$0.00	$16.06	$16.06	$18.86	$0.00	$0.00	$0.00	$964.38	$964.38	$1,013.80	$2,013.10	21.99%
		006	17	19	$16,185.98	$0.00	$136.42	$136.42	$103.73	$0.00	$1,800.88	$1,663.19	$1,335.89	$4,799.96	$5,840.34	$10,880.45	67.22%
		007	36	40	$30,590.98	$0.00	$58.40	$58.40	$84.87	$27,095.68	$3,665.02	$2,053.59	$33,889.75	$66,704.04	$9,661.16	$76,508.47	250.10%
		008	59	63	$51,543.02	$0.00	$452.34	$452.34	$396.06	$0.00	$2,314.03	$3,824.13	$16,778.42	$22,916.58	$14,769.71	$38,534.69	74.76%
		009	1	1	$832.18	$0.00	$1.46	$1.46	$0.00	$0.00	$0.00	$0.00	$1,150.75	$1,150.75	$1,612.47	$2,764.68	332.22%
		010	11	11	$9,302.26	$0.00	$78.98	$78.98	$66.01	$0.00	$0.00	$400.50	$249.11	$649.61	$412.05	$1,206.65	12.97%
		011	66	67	$59,102.61	$0.00	$103.63	$103.63	$169.74	$0.00	$18,283.39	$4,496.25	$9,374.04	$32,153.68	$4,038.85	$36,465.90	61.70%
		012	93	93	$76,109.40	$0.00	$664.20	$664.20	$641.24	$57,464.47	$39,327.63	$6,287.39	$5,381.75	$108,461.24	$14,347.62	$124,114.30	163.07%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$344.90	$228.35	$573.25	$924.09	$1,499.34	48.03%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$10.90	$10.90	$0.00	$11.70	0.86%
		019	12	12	$6,867.52	$0.00	$4.80	$4.80	$9.43	$0.00	$0.00	$0.00	$1,024.44	$1,024.44	$1,179.12	$2,217.79	32.29%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$9.43	$0.00	$39,074.07	$12.22	$5,281.78	$44,368.07	$283.15	$44,665.05	945.44%
		023	50	50	$31,216.00	$0.00	$20.00	$20.00	$150.88	$0.00	$454.65	$290.54	$901.32	$1,646.51	$966.52	$2,783.91	8.92%
		024	5	15	$6,089.88	$0.00	$6.00	$6.00	$9.43	$0.00	$0.00	$0.00	$117.71	$117.71	$0.00	$133.14	2.19%
		C23	0	0	$0.00	$0.00	($1.20)	($1.20)	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	($1.20)	0.00%
		R07	9	9	$11,650.52	$0.00	$18.92	$18.92	$0.00	$0.00	$0.00	$87.03	$397.19	$484.22	$4,481.79	$4,984.93	42.79%
		R08	5	5	$5,073.96	$0.00	$43.08	$43.08	$18.86	$0.00	$0.00	$68.52	$280.35	$348.87	$251.94	$662.75	13.06%
		R11	4	6	$5,109.56	$0.00	$8.76	$8.76	$18.86	$0.00	$0.00	$136.08	$0.00	$136.08	$3,081.49	$3,245.19	63.51%
		R12	3	3	$2,536.98	$0.00	$21.54	$21.54	$18.86	$0.00	$0.00	$0.00	$0.00	$0.00	$3,273.65	$3,314.05	130.63%
		Total	409	440	$344,898.61	$0.00	$1,739.77	$1,739.77	$1,791.70	$84,560.15	$106,969.75	$21,207.06	$77,518.35	$290,255.31	$78,575.50	$372,362.28	107.96%
		Avg	19	20	$15,677.21	$0.00	$79.08	$79.08	$81.44	$3,843.64	$4,862.26	$963.96	$3,523.56	$13,193.42	$3,571.61	$16,925.56	107.96%
	202505	001	4	4	$3,328.72	$0.00	$5.84	$5.84	$9.43	$0.00	$80.88	$142.20	$0.00	$223.08	$2,059.08	$2,297.43	69.02%
		002	10	10	$8,456.60	$0.00	$71.80	$71.80	$66.01	$0.00	$7,954.95	$3,989.55	$773.49	$12,717.99	$5,922.31	$18,778.11	222.05%
		004	3	3	$2,536.98	$0.00	$21.54	$21.54	$9.43	$0.00	$0.00	$0.00	$83.52	$83.52	$3,813.21	$3,927.70	154.82%
		005	11	11	$9,153.98	$0.00	$16.06	$16.06	$18.86	$0.00	$1,910.00	$338.91	$692.01	$2,940.92	$4,261.53	$7,237.37	79.06%
		006	17	19	$16,185.98	$0.00	$136.42	$136.42	$113.16	$0.00	$2,540.88	$2,579.53	$979.19	$6,099.60	($835.88)	$5,513.30	34.06%
		007	36	40	$31,423.16	$0.00	$58.40	$58.40	$84.87	$0.00	$7,230.35	$1,237.05	$10,347.02	$18,814.42	$5,573.76	$24,531.45	78.07%
		008	60	64	$51,543.02	$0.00	$459.52	$459.52	$424.35	$0.00	$27,283.18	$4,026.85	$1,305.90	$32,615.93	$7,179.06	$40,678.86	78.92%
		009	1	1	$832.18	$0.00	$1.46	$1.46	$0.00	$0.00	$0.00	$0.00	$1,372.67	$1,372.67	$0.00	$1,374.13	165.12%
		010	11	11	$9,302.26	$0.00	$78.98	$78.98	$66.01	$0.00	$0.00	$492.13	$246.31	$738.44	$425.84	$1,309.27	14.07%
		011	65	66	$56,488.40	$0.00	$97.82	$97.82	$150.88	$0.00	$13,843.87	$5,696.08	$3,626.69	$23,166.64	$6,274.22	$29,689.56	52.56%
		012	93	93	$78,646.38	$0.00	$693.98	$693.98	$650.67	$0.00	$3,999.86	$12,020.73	$6,482.10	$22,502.69	$39,660.13	$63,507.47	80.75%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$5.13	$0.00	$5.13	$1,579.66	$1,586.79	50.83%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.80	0.06%
		019	12	12	$7,491.84	$0.00	$4.80	$4.80	$9.43	$0.00	$0.00	$78.70	$1,267.98	$1,346.68	$1,024.32	$2,385.23	31.84%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$9.43	$0.00	$7,410.08	$1,108.59	$150.01	$8,668.68	($34.44)	$8,648.07	183.06%
		023	50	50	$31,216.00	$0.00	$20.00	$20.00	$122.59	$0.00	$21,441.48	$2,315.28	$3,014.99	$26,771.75	$972.46	$27,886.80	89.33%
		024	5	15	$6,089.88	$0.00	$6.00	$6.00	$18.86	$0.00	$0.00	$0.00	$986.92	$986.92	$822.98	$1,834.76	30.13%
		C23	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0.00%
		R07	9	9	$4,160.90	$0.00	$14.60	$14.60	$0.00	$0.00	$2,330.35	$122.71	$810.81	$3,263.87	$4,115.88	$7,394.35	177.71%
		R08	5	5	$1,691.32	$0.00	$43.08	$43.08	$18.86	$0.00	$0.00	$47.61	$616.34	$663.95	$697.68	$1,423.57	84.17%
		R11	4	6	$5,109.56	$0.00	$8.76	$8.76	$18.86	$0.00	$2,676.00	$375.28	$150.06	$3,201.34	$2,992.01	$6,220.97	121.75%
		R12	2	2	$1,691.32	$0.00	$14.36	$14.36	$18.86	$0.00	$0.00	$52.20	$0.00	$52.20	$520.29	$605.71	35.81%
		Total	408	439	$334,559.96	$0.00	$1,760.62	$1,760.62	$1,810.56	$0.00	$98,701.88	$34,628.53	$32,906.01	$166,236.42	$87,024.10	$256,831.70	76.77%
		Avg	19	20	$15,207.27	$0.00	$80.03	$80.03	$82.30	$0.00	$4,486.45	$1,574.02	$1,495.73	$7,556.20	$3,955.64	$11,674.17	76.77%
	202506	001	4	4	$3,328.72	$0.00	$5.84	$5.84	$29.91	$0.00	$1,767.00	$370.76	$695.34	$2,833.10	$18.19	$2,887.04	86.73%
		002	10	10	$8,456.60	$0.00	$71.80	$71.80	$49.85	$0.00	$3,303.95	$3,130.58	$1,434.55	$7,869.08	$7,173.74	$15,164.47	179.32%
		004	3	3	$2,536.98	$0.00	$21.54	$21.54	$9.97	$0.00	$0.00	$186.41	$228.35	$414.76	$3,813.21	$4,259.48	167.90%
		005	11	11	$9,153.98	$0.00	$16.06	$16.06	$19.94	$0.00	$3,902.00	$0.00	$1,202.02	$5,104.02	$1,074.20	$6,214.22	67.89%
		006	17	19	$16,185.98	$0.00	$136.42	$136.42	$109.67	$74,954.22	$4,189.21	$10,000.21	$7,719.76	$96,863.40	$1,055.48	$98,164.97	606.48%
		007	36	40	$31,423.16	$0.00	$58.40	$58.40	$109.67	$0.00	$6,908.00	$2,463.61	$2,012.35	$11,383.96	$3,838.66	$15,390.69	48.98%
		008	62	66	$54,925.66	$0.00	$473.88	$473.88	$438.68	$0.00	$2,163.57	$2,919.65	$3,255.16	$8,338.38	$18,390.00	$27,640.94	50.32%
		009	1	1	$832.18	$0.00	$1.46	$1.46	$0.00	$0.00	$426.00	$103.68	$0.00	$529.68	$0.00	$531.14	63.83%
		010	11	11	$9,302.26	$0.00	$78.98	$78.98	$79.76	$0.00	$0.00	$114.01	$1,049.21	$1,163.22	$1,252.80	$2,574.76	27.68%
		011	65	66	$52,327.50	$0.00	$89.06	$89.06	$239.28	$9,245.18	$5,802.82	$6,827.43	$4,831.34	$26,706.77	$4,925.64	$31,960.75	61.08%
		012	92	92	$77,800.72	$0.00	$709.17	$709.17	$687.93	$0.00	$9,207.04	$3,362.65	$6,889.35	$19,459.04	$14,499.07	$35,355.21	45.44%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$207.20	$202.84	$19.88	$429.92	$1,075.36	$1,507.28	48.29%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$89.54	$89.54	$0.00	$90.34	6.62%
		019	12	12	$7,491.84	$0.00	$4.80	$4.80	$19.94	$0.00	$0.00	$0.00	$1,566.53	$1,566.53	$4,043.98	$5,635.25	75.22%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$19.94	$0.00	$394.00	$558.83	$1,108.89	$2,061.72	$1,313.81	$3,399.87	71.97%
		023	50	50	$30,591.68	$0.00	$19.60	$19.60	$169.49	$0.00	$336.86	$110.06	$0.00	$446.92	$1,019.01	$1,655.02	5.41%
		024	5	15	$6,089.88	$0.00	$6.00	$6.00	$9.97	$0.00	$0.00	$107.31	$821.46	$928.77	$1,884.56	$2,829.30	46.46%
		R07	9	9	$7,489.62	$0.00	$8.76	$8.76	$0.00	$0.00	$0.00	$574.96	$132.68	$707.64	$5,615.99	$6,332.39	84.55%
		R08	5	5	$3,382.64	$0.00	$14.36	$14.36	$29.91	$0.00	$0.00	$1.80	$522.26	$524.06	$25.97	$594.30	17.57%
		R11	4	6	$5,109.56	$0.00	$8.76	$8.76	$19.94	$0.00	$0.00	$90.26	$0.00	$90.26	$2,542.13	$2,661.09	52.08%
		R12	2	2	$1,691.32	$0.00	$14.36	$14.36	$9.97	$0.00	$0.00	$0.00	$0.00	$0.00	$520.29	$544.62	32.20%
		Total	409	440	$337,331.76	$0.00	$1,746.45	$1,746.45	$2,053.82	$84,199.40	$38,607.65	$31,125.05	$33,578.67	$187,510.77	$74,082.09	$265,393.13	78.67%
		Avg	19	21	$16,063.42	$0.00	$83.16	$83.16	$97.80	$4,009.50	$1,838.46	$1,482.15	$1,598.98	$8,929.08	$3,527.72	$12,637.77	78.67%
	202507	001	4	4	$3,328.72	$0.00	$6.84	$6.84	$29.91	$0.00	$1,767.00	$723.96	$0.00	$2,490.96	$2,068.37	$4,596.08	138.07%
		002	10	10	$8,456.60	$0.00	$74.35	$74.35	$49.85	$0.00	$4,346.98	$840.36	$2,161.46	$7,348.80	$4,591.57	$12,064.57	142.66%
		004	3	3	$2,536.98	$0.00	$22.29	$22.29	$9.97	$0.00	$0.00	$0.00	$103.52	$103.52	$7,626.42	$7,762.20	305.96%
		005	11	11	$9,153.98	$0.00	$18.81	$18.81	$19.94	$0.00	$636.58	$1,848.53	$228.35	$2,713.46	$1,076.75	$3,828.96	41.83%
		006	17	19	$16,185.98	$0.00	$141.17	$141.17	$119.64	$0.00	$740.00	$2,932.32	$556.77	$4,229.09	$505.28	$4,995.18	30.86%
		007	37	41	$32,255.34	$0.00	$69.91	$69.91	$109.67	$0.00	$20,457.35	$3,215.30	$1,627.76	$25,300.41	$10,802.45	$36,282.44	112.49%
		008	63	67	$54,925.66	$0.00	$497.21	$497.21	$438.68	$0.00	$6,710.22	$4,683.53	$19,622.62	$31,016.37	$15,765.62	$47,717.88	86.88%
		009	1	1	$832.18	$0.00	$1.71	$1.71	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$1.71	0.21%
		010	11	11	$9,302.26	$0.00	$81.73	$81.73	$79.76	$0.00	$0.00	$177.57	$401.18	$578.75	$1,318.54	$2,058.78	22.13%
		011	65	67	$56,546.64	$0.00	$113.01	$113.01	$239.28	$114,383.81	$21,246.80	$11,686.27	$4,201.36	$151,518.24	$7,866.23	$159,736.76	282.49%
		012	96	98	$81,927.56	$0.00	$829.44	$829.44	$687.93	$0.00	$10,141.14	$3,082.16	$4,335.29	$17,558.59	$40,551.12	$59,627.08	72.78%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$1.24	$192.86	$194.10	$7.21	$203.31	6.51%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.80	0.06%
		019	13	13	$8,116.16	$0.00	$5.20	$5.20	$19.94	$0.00	$0.00	$66.13	$1,393.88	$1,460.01	$2,986.28	$4,471.43	55.09%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$19.94	$0.00	$1,678.44	$3,223.58	$471.64	$5,373.66	$1,380.44	$6,778.44	143.48%
		023	52	52	$31,216.00	$0.00	$20.00	$20.00	$169.49	$22,785.28	$2,010.44	$1,975.69	$2,473.68	$29,245.09	$1,037.36	$30,471.94	97.62%
		024	6	17	$6,089.88	$0.00	$6.00	$6.00	$0.00	$0.00	$0.00	$0.48	$0.00	$0.48	($8.06)	($1.58)	-0.03%
		C23	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0.00%
		R07	9	9	$7,489.62	$0.00	$15.39	$15.39	$0.00	$0.00	$1,679.68	$658.44	$303.60	$2,641.72	$4,391.11	$7,048.22	94.11%
		R08	5	5	$4,228.30	$0.00	$37.15	$37.15	$19.94	$0.00	$0.00	$219.10	$462.58	$681.68	$1,746.86	$2,485.63	58.79%
		R11	4	6	$5,109.56	$0.00	$10.26	$10.26	$19.94	$0.00	$13,613.00	$895.20	$1,111.63	$15,619.83	$4,088.44	$19,738.47	386.30%
		R12	2	2	$1,691.32	$0.00	$14.96	$14.96	$9.97	$0.00	$163.00	$0.00	$0.00	$163.00	$567.52	$755.45	44.67%
		Total	419	454	$348,604.22	$0.00	$1,972.63	$1,972.63	$2,043.85	$137,169.09	$85,190.63	$36,229.86	$39,648.18	$298,237.76	$108,369.51	$410,623.75	117.79%
		Avg	19	21	$15,845.65	$0.00	$89.67	$89.67	$92.90	$6,234.96	$3,872.30	$1,646.81	$1,802.19	$13,556.26	$4,925.89	$18,664.72	117.79%
	202508	001	4	4	$3,328.72	$0.00	$6.04	$6.04	$29.91	$0.00	$1,767.00	$197.54	$501.69	$2,466.23	$1,960.94	$4,463.12	134.08%
		002	10	10	$8,456.60	$0.00	$72.30	$72.30	$49.85	$0.00	$2,120.00	$591.29	$1,171.30	$3,882.59	$4,071.47	$8,076.21	95.50%
		004	3	3	$2,536.98	$0.00	$21.69	$21.69	$9.97	$0.00	$0.00	$0.00	$0.00	$0.00	$3,831.84	$3,863.50	152.29%
		005	11	11	$9,153.98	$0.00	$16.61	$16.61	$19.94	$0.00	$0.00	$872.11	$650.53	$1,522.64	$4,289.36	$5,848.55	63.89%
		006	17	19	$16,185.98	$0.00	$137.37	$137.37	$109.67	$0.00	$1,588.00	$3,170.24	$69.94	$4,828.18	$30.64	$5,105.86	31.54%
		007	37	41	$32,255.34	$0.00	$61.91	$61.91	$109.67	$0.00	$17,720.71	$1,568.65	$1,220.09	$20,509.45	$6,761.49	$27,442.52	85.08%
		008	61	65	$54,080.00	$0.00	$477.18	$477.18	$468.59	$0.00	$9,295.00	$4,442.06	$4,934.80	$18,671.86	$17,189.86	$36,807.49	68.06%
		009	1	1	$832.18	$0.00	$1.51	$1.51	$0.00	$0.00	$0.00	$56.18	$1.80	$57.98	$0.00	$59.49	7.15%
		010	11	11	$9,302.26	$0.00	$79.53	$79.53	$79.76	$0.00	$383.48	$268.00	$385.81	$1,037.29	$1,216.71	$2,413.29	25.94%
		011	63	65	$54,882.28	$0.00	$98.15	$98.15	$249.25	$35,573.37	$18,266.83	$54,251.85	$5,589.47	$113,681.52	$7,123.47	$121,152.39	220.75%
		012	96	98	$81,927.56	$0.00	$768.86	$768.86	$687.93	$0.00	$3,409.37	$4,067.46	$9,793.07	$17,269.90	$28,310.27	$47,036.96	57.41%
		017	5	5	$3,121.60	$0.00	$2.00	$2.00	$0.00	$0.00	$0.00	$235.12	$47.80	$282.92	$2,298.26	$2,583.18	82.75%
		018	1	2	$1,365.60	$0.00	$0.80	$0.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$292.32	$293.12	21.46%
		019	12	12	$7,491.84	$0.00	$4.80	$4.80	$19.94	$0.00	$0.00	$0.00	$366.01	$366.01	$915.38	$1,306.13	17.43%
		020	4	11	$4,724.28	$0.00	$4.40	$4.40	$19.94	$0.00	$283.53	$1,090.57	$1,330.24	$2,704.34	$1,421.17	$4,149.85	87.84%
		023	51	51	$31,840.32	$0.00	$21.60	$21.60	$149.55	$0.00	$540.81	$1,943.14	$3,458.22	$5,942.17	$2,940.24	$9,053.56	28.43%

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated May 1, 2026.