ESBD_360338_1716477848050_Attachment K - Medical Disruption File.xlsx

XLSX spreadsheet 727 KB Posted May 23, 2024

Attached to: RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans
Solicitation number: RFp2024-P11
Issued by: Hays County, Texas

About this file

Written by GovTribe AI · Jun 7, 2024

This document outlines a Request for Proposal (RFP) issued by Hays County, Texas for Employee Group Health, Dental, and Employee Assistance Plans. The County is seeking proposals from qualified companies to provide a comprehensive package including Medical, Pharmacy, Dental, and Employee Wellness/Assistance Plan. The County intends to evaluate various plan designs, networks, and services, as well as value added services, and partner with a provider who can offer competitive long-term and stable financial success while providing a robust benefits package. The chosen plans will be implemented effective January 1, 2025, with open enrollment starting October 1, 2024.

The RFP does not include banking for the Health Savings Account. Pricing terms, set asides, incumbents, funding requirements and sources are not specified. The County is fully committed to the project and is looking to partner with an insurance company that can help them achieve their goals of providing a competitive and financially stable benefits package for their employees.

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Other files

File	Type	Posted
ESBD_360338_1716477854452_Attachment L - Rx Usage for Disruption and pricing April 2023-March 2024.xlsx	XLSX spreadsheet	May 23, 2024
ESBD_360338_1716477846456_Attachment N - PY 2024 Funded Insurance Rates.pdf	PDF	May 23, 2024
ESBD_360338_1717797769305_Attachment S - DHMO Fee Schedule.pdf	PDF	May 23, 2024
ESBD_360338_1716477843854_Attachment G - Hays County Structure.pdf	PDF	May 23, 2024
ESBD_360338_1717797769699_Attachment R - Dental PPO Summary of Benefits.pdf	PDF	May 23, 2024
ESBD_360338_1716477849668_Attachment A - Response Forms.xlsx	XLSX spreadsheet	May 23, 2024
ESBD_360338_1716477845643_Attachment H - March 2024 Invoice with Counts.pdf	PDF	May 23, 2024
ESBD_360338_1717797768907_Addendum 1 - RFP 2024-P11.pdf	PDF	May 23, 2024
ESBD_360338_1716477853396_Attachment B - Hays County Census (April 2024).pdf	PDF	May 23, 2024
ESBD_360338_1716477849236_Attachment P - 2024 Medical Renewal.pdf	PDF	May 23, 2024
ESBD_360338_1717797770098_Attachment B - Hays County Census (April 2024) Excel.xlsx	XLSX spreadsheet	May 23, 2024
ESBD_360338_1716477847667_Attachment Q - 2024 Dental Renewal.pdf	PDF	May 23, 2024
ESBD_360338_1716477852919_RFP 2024-P11 Employee Group Health, Dental and Employee Assistance Plans.pdf	PDF	May 23, 2024
ESBD_360338_1717797768324_Attachment I - Updated - Additional Supporting Claims and Enrollment Information.xlsx	XLSX spreadsheet	May 23, 2024
ESBD_360338_1716477846068_Attachment O - Stop Loss amendment (2024).pdf	PDF	May 23, 2024
ESBD_360338_1716477847276_Attachment D.3 - Large Loss Claim Payments CY 2021-March 2024.pdf	PDF	May 23, 2024
ESBD_360338_1716477844264_Attachment D.1 - Aggregate Stop-Loss 2021-March 2024.pdf	PDF	May 23, 2024
ESBD_360338_1716477853901_Attachment E - Deer Oaks EAP Utilization.pdf	PDF	May 23, 2024
ESBD_360338_1716477843084_Attachment I - Additional Supporting Claims and Enrollment Information.xlsx	XLSX spreadsheet	May 23, 2024
ESBD_360338_1716477846878_Attachment D.2 - March 2024 invoice with counts.pdf	PDF	May 23, 2024
ESBD_360338_1716477844656_Attachment J - Dental PPO and DHMO Disruption Information.xlsx	XLSX spreadsheet	May 23, 2024
ESBD_360338_1716477845223_Attachment M - PY 2024 Retiree Rates.pdf	PDF	May 23, 2024
ESBD_360338_1716477852456_Attachment F - Hays County SBCs 2022-2024.pdf	PDF	May 23, 2024

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FACILITY

PROVIDER UTILIZATION REPORT FOR DISRUPTION

Customer Name: COUNTY OF HAYS

Policy Number(s):	912772
Service Dates:	ALL
Process Dates:	4/1/2023 - 3/31/2024
where:
Eligible Amount:	< > $0.00
OR
Net Paid Amount:	< > $0.00

This report is intended for Disruption Analysis only. The use of this report for repricing purposes is strictly prohibited. If a claims repricing file is required, please contact your UHC Account Management Team.

Product	MPIN	Billing Provider NPI Number	Provider TIN	Provider Name	Provider Address	Provider City	Provider State	Provider Zip Code	Provider Category	Provider Par Status	Network Benefit Level	Physician or Facility	Provider Specialty	Provider Summary	Claims	Claimants	Services	Visits	Submitted	Eligible
EP1	4078	1598744856	760714523	BAPTIST MEDICAL CENTER	545 CREEKSIDE XING STE 138	NEW BRAUNFELS	TX	78130	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	0	0	($29,952.73)	($29,952.73)
EP1	8677	1518903350	382084239	QUEST DIAGNOSTICS INC	11636 ADMINISTRTN DR	SAINT LOUIS	MO	63146	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	9	2	21	0	$2,287.52	$2,287.52
EP1	8677	1790721538	382084239	QUEST DIAGNOSTICS INC	11636 ADMINISTRTN DR	SAINT LOUIS	MO	63146	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	368	122	1000	0	$129,194.44	$129,194.44
EP1	8677	1790721538	382084239	QUEST DIAGNOSTICS INC	11636 ADMINISTRTN DR	SAINT LOUIS	MO	63146	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	2	2	0	$1,964.23	$1,964.23
EP1	29323	1255314704	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	3	0	$121.80	$121.80
EP1	29323	1265418669	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	4	2	18	0	$1,642.75	$1,642.75
EP1	29323	1376656538	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	4	1	5	0	$716.10	$716.10
EP1	29323	1609852045	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	3	3	9	0	$334.95	$334.95
EP1	29323	1659352276	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$157.50	$157.50
EP1	29323	1740262880	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	2	5	0	$653.10	$653.10
EP1	29323	1881679751	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	179	73	511	0	$41,342.00	$41,342.00
EP1	29323	1881679751	840611484	LABORATORY CORPORATION OF AMERICA	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	2	2	0	$237.30	$237.30
EP1	78678	1437148020	746075588	CUERO REGIONAL HOSPITAL	2550 N ESPLANDE ST	CUERO	TX	77954	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	18	4	45	0	$48,924.16	$48,924.16
EP1	109218	1194769497	742554159	CLINICAL PATHOLOGY LABORATORIES INC	1105 CENTRAL EXPY N STE 300	ALLEN	TX	75013	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	837	276	2205	0	$188,333.56	$188,333.56
EP1	109218	1194769497	742554159	CLINICAL PATHOLOGY LABORATORIES INC	1105 CENTRAL EXPY N STE 300	ALLEN	TX	75013	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	3	3	3	0	$276.75	$276.75
EP1	141475	1972601169	741951476	ACCESS HEALTH	10435 GREENBOUGH DR STE 300	STAFFORD	TX	77477	CLINIC/DAY CARE FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	FEDERAL QUALIFIED HEALTH CTR	OUTPATIENT FACILITY	5	1	12	0	$757.26	$757.26
EP1	156865	1447883301	741109665	CHRISTUS SANTA ROSA HOSPITAL - SAN MARCO	1301 WONDER WORLD DR	SAN MARCOS	TX	78666	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	142	94	397	0	$1,415,175.02	$1,415,175.02
EP1	171414	1265461180	420843389	HORN MEMORIAL HOSPITAL	701 E 2ND ST	IDA GROVE	IA	51445	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	4	2	14	0	$8,547.00	$8,547.00
EP1	189984	1720088123	741386053	GUADALUPE REGIONAL MEDICAL CENTER	1215 E COURT ST	SEGUIN	TX	78155	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	41	16	75	0	$87,479.45	$87,479.45
EP1	198154	1326037607	742570068	HAMILTON GENERAL HOSPITAL	400 N BROWN ST	HAMILTON	TX	76531	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$3,380.75	$3,380.75
EP1	207977	1881630036	850278235	NOR-LEA HOSPITAL DISTRICT	1600 N MAIN AVE	LOVINGTON	NM	88260	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$135.00	$135.00
EP1	248650	1679528889	742781812	ST DAVIDS S AUSTIN MED CTR	901 W BEN WHITE BLVD	AUSTIN	TX	78704	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	15	9	60	0	$1,244,062.69	$1,244,062.69
EP1	265290	1033196464	741597116	AUSTIN RADIOLOGICAL ASSOC INC	2424 W HOLCOMBE BLVD STE 203	HOUSTON	TX	77030	INDEPENDENT RADIOLOGY	NON-PAR	NON NETWORK	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	1	1	1	0	$150.00	$150.00
EP1	265290	1033196464	741597116	AUSTIN RADIOLOGICAL ASSOC INC	2424 W HOLCOMBE BLVD STE 203	HOUSTON	TX	77030	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	4	3	6	0	$1,443.00	$1,439.91
EP1	265290	1710964655	741597116	AUSTIN RADIOLOGICAL ASSOC INC	2424 W HOLCOMBE BLVD STE 203	HOUSTON	TX	77030	INDEPENDENT RADIOLOGY	NON-PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	3	1	3	0	$278.00	$278.00
EP1	265290	1710964655	741597116	AUSTIN RADIOLOGICAL ASSOC INC	2424 W HOLCOMBE BLVD STE 203	HOUSTON	TX	77030	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	13	12	18	0	$5,049.00	$5,049.00
EP1	288967	1720033947	742781812	ST DAVIDS MEDICAL CENTER	919 E 32ND ST	AUSTIN	TX	78705	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	11	10	16	0	$45,447.00	$45,447.00
EP1	306005	1043280951	432002326	LAUREL RIDGE TREATMENT CENTER	17720 CORPORATE WOODS DR	SAN ANTONIO	TX	78259	SPECIALTY ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	PSYCHIATRIC HOSPITAL	ACUTE-CARE HOSPITALS	2	2	7	0	$15,680.00	$15,680.00
EP1	353988	1689630865	746003411	MEMORIAL MEDICAL CENTER	815 N VIRGINIA ST	PORT LAVACA	TX	77979	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$631.00	$631.00
EP1	368836	1881749224	742765481	O'SULLIVAN RADIOLOGY	6915 N MAIN ST	VICTORIA	TX	77904	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	2	1	3	0	$1,630.00	$1,630.00
EP1	369917	1124052162	741698143	CITIZENS MEDICAL CENTER	2701 HOSPITAL DR	VICTORIA	TX	77901	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	2	2	4	0	$3,789.85	$3,789.85
EP1	401394	1194787218	741109665	CHRISTUS NEW BRAUNFELS	600 N UNION AVE	NEW BRAUNFELS	TX	78130	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	43	28	117	0	$776,777.78	$776,777.78
EP1	401394	1194787218	741109665	CHRISTUS NEW BRAUNFELS	600 N UNION AVE	NEW BRAUNFELS	TX	78130	GENERAL ACUTE-CARE HOSPITAL	PAR	NON NETWORK	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$1,900.00	$1,900.00
EP1	452408	1932108214	741625013	MEMORIAL HOSPITAL	1110 N SARAH DEWITT DR	GONZALES	TX	78629	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$485.00	$485.00
EP1	459800	1619038247	621757920	LAKE CUMBERLAND REGIONAL HOSPITAL	305 LANGDON ST STE P	SOMERSET	KY	42503	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	2	1	5	0	$48,752.02	$48,752.02
EP1	474831	1124074273	742730328	METHODIST HOSPITAL	7700 FLOYD CURL DR	SAN ANTONIO	TX	78229	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	8	5	28	0	$80,322.86	$80,322.86
EP1	475288	1124074273	742730328	METHODIST HOSP SPECIALITY AND TRANSPLANT	8026 FLOYD CURL DR	SAN ANTONIO	TX	78229	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$78,832.42	$78,622.42
EP1	490624	1265419907	590855412	MEASE COUNTRYSIDE HOSPITAL	3231 MCMULLEN BOOTH RD	SAFETY HARBOR	FL	34695	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	2	1	12	0	$2,819.00	$2,819.00
EP1	497744	1861439952	621762537	SUNRISE HOSPITAL & MED CTR LLC	3186 S MARYLAND PKWY	LAS VEGAS	NV	89109	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$11,687.00	$11,687.00
EP1	498383	1740238641	741394418	COLUMBUS COMMUNITY HOSPITAL CORP	110 SHULT DR	COLUMBUS	TX	78934	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$1,797.80	$1,797.80
EP1	537057	1548226988	746000949	UTMB AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$4,452.25	$4,452.25
EP1	553059	1477516466	741166904	BAYLOR SCOTT & WHITE MEDICAL CTR-TEMPLE	2401 S 31ST ST	TEMPLE	TX	76508	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	14	13	30	0	$7,368.81	$7,368.81
EP1	553059	1477516466	741166904	BAYLOR SCOTT & WHITE MEDICAL CTR-TEMPLE	2401 S 31ST ST	TEMPLE	TX	76508	GENERAL ACUTE-CARE HOSPITAL	PAR	NON NETWORK	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$934.47	$934.47
EP1	569162	1124098421	880213754	RENOWN REGIONAL MEDICAL CENTER	1155 MILL ST	RENO	NV	89502	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$10,592.25	$10,592.25
EP1	576590	1134277494	222405059	BIOREFERENCE HEALTH LLC	1 PERRYRIDGE RD	GREENWICH	CT	06830	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	226	82	451	0	$37,013.43	$37,013.43
EP1	576590	1134277494	222405059	BIOREFERENCE HEALTH LLC	1 PERRYRIDGE RD	GREENWICH	CT	06830	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	2	4	0	$806.72	$806.72
EP1	588085	1477643690	741100555	TEXAS CHILDREN'S HOSPITAL	6621 FANNIN ST	HOUSTON	TX	77030	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$200.00	$200.00
EP1	592502	1053784660	475349604	TEXAS MEDCLINIC	1007 NE LOOP 410	SAN ANTONIO	TX	78209	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	81	47	189	0	$24,716.14	$24,716.14
EP1	602261	1124026273	951684082	PROVIDENCE SAINT JOHNS HEALTH CENTER INC	2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$1,200.00	$1,200.00
EP1	651729	1356446686	741109643	ASCENSION SETON EDGAR B DAVIS	130 HAYS ST	LULING	TX	78648	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	8	6	9	0	$14,173.75	$14,173.75
EP1	652459	1326134255	263091251	DIMMIT REGIONAL HOSPITAL	704 HOSPITAL DR	CARRIZO SPRINGS	TX	78834	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$3,162.60	$3,162.60
EP1	658770	1689641680	741109836	CHRISTUS SPOHN SHORELINE HOSPITAL	2606 HOSPITAL BLVD STE B	CORPUS CHRISTI	TX	78405	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	2	2	7	0	$26,677.96	$26,677.96
EP1	661560	1124078563	742791419	TEMPLE VAMC	300 WILLOW CREEK PKWY STE 100	PALESTINE	TX	75801	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	1	1	1	0	$302.45	$302.45
EP1	661560	1538110739	742791419	TEMPLE VAMC	300 WILLOW CREEK PKWY STE 100	PALESTINE	TX	75801	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	48	9	109	0	$60,343.48	$62,358.98
EP1	661560	1558311936	742791419	TEMPLE VAMC	300 WILLOW CREEK PKWY STE 100	PALESTINE	TX	75801	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	33	3	42	0	$55,482.18	$55,482.18
EP1	709785	1023000569	510519159	WHITTIER HOSPITAL MEDICAL CENTER	9080 COLIMA RD	WHITTIER	CA	90605	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$3,871.00	$3,871.00
EP1	724532	1922031541	751752253	TEXAS HEALTH HARRIS METHODIST HOSP STEPH	411 N BELKNAP ST	STEPHENVILLE	TX	76401	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$12,139.08	$12,139.08
EP1	730663	1922043686	710290019	ST BERNARDS MEDICAL CTR INC	225 E JACKSON	JONESBORO	AR	72401	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$80.00	$80.00
EP1	746849	1376256354	742730328	METHODIST HOSPITAL HILL COUNTRY	1020 S STATE HIGHWAY 16	FREDERICKSBURG	TX	78624	GENERAL ACUTE-CARE HOSPITAL	NON-PAR	NON NETWORK	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	0	0	$0.00	$0.00
EP1	746849	1376256354	742730328	METHODIST HOSPITAL HILL COUNTRY	1020 S STATE HIGHWAY 16	FREDERICKSBURG	TX	78624	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	6	2	23	0	$6,394.72	$6,394.72
EP1	750563	1821087164	751301362	UNIVERSITY MEDICAL CENTER	602 INDIANA AVE	LUBBOCK	TX	79415	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$540.00	$540.00
EP1	794745	1164526786	741109643	ASCENSION SETON MEDICAL CENTER AUSTIN	1201 W 38TH ST	AUSTIN	TX	78705	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	16	8	107	0	$1,113,931.13	$1,113,931.13
EP1	794745	1164526786	741109643	ASCENSION SETON MEDICAL CENTER AUSTIN	1201 W 38TH ST	AUSTIN	TX	78705	GENERAL ACUTE-CARE HOSPITAL	PAR	NEUTRAL BENEFIT	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$842.14	$842.14
EP1	794745	1164526786	741109643	ASCENSION SETON MEDICAL CENTER AUSTIN	1201 W 38TH ST	AUSTIN	TX	78705	GENERAL ACUTE-CARE HOSPITAL	PAR	NON NETWORK	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	4	0	$62,281.25	$62,281.25
EP1	905393	1598744856	760714523	NORTH CENTRAL BAPTIST HOSPITAL	520 MADISON OAK DR	SAN ANTONIO	TX	78258	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$3,970.00	$3,970.00
EP1	944400	1861660151	450581270	HOWERTON SURGICAL CENTER LLC	2610 IH 35 SOUTH	AUSTIN	TX	78704	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	2	0	$1,700.02	$1,700.02
EP1	961924	1306263983	611699459	GCSA AMBULATORY SURGERY CENTER LLC	855 PROTON RD	SAN ANTONIO	TX	78258	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	2	2	3	0	$7,719.00	$7,719.00
EP1	1072070	1508810573	752387418	CORPUS CHRISTI MED CTR	7101 S PADRE ISLAND DR	CORPUS CHRISTI	TX	78412	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$7,231.62	$7,231.62
EP1	1084448	1164582649	200943974	STRICTLY PEDIATRICS SURGERY CENTER LLP	1301 BARBARA JORDAN BLVD #100	AUSTIN	TX	78723	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	7	6	15	0	$59,003.54	$59,003.54
EP1	1084448	1164582649	200943974	STRICTLY PEDIATRICS SURGERY CENTER LLP	1301 BARBARA JORDAN BLVD #100	AUSTIN	TX	78723	AMBULATORY SURGERY CENTERS	PAR	NON NETWORK	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	1	0	$2,355.60	$2,355.60
EP1	1133969	1447399696	650866305	VITAS HEALTHCARE OF TEXAS LP	14651 DALLAS PKWY STE 812	DALLAS	TX	75254	HOSPICE	PAR	NETWORK BENEFIT UHC	FACILITY	HOSPICE	LONG-TERM CARE FACILITY	2	1	2	0	$2,730.00	$2,730.00
EP1	1145205	1821011248	746002164	UNIVERSITY HEALTH UNIVERSITY HEALTH SYST	4502 MEDICAL DR	SAN ANTONIO	TX	78229	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	6	4	21	0	$81,331.76	$81,331.76
EP1	1146342	1033196001	133757370	LABORATORY CORP OF AMERICA HOLDINGS INC	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$567.00	$567.00
EP1	1146342	1295726032	133757370	LABORATORY CORP OF AMERICA HOLDINGS INC	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	2	0	$135.45	$135.45
EP1	1146342	1538144910	133757370	LABORATORY CORP OF AMERICA HOLDINGS INC	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	11	11	11	0	$678.30	$678.30
EP1	1146342	1891770806	133757370	LABORATORY CORP OF AMERICA HOLDINGS INC	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	1	3	0	$403.20	$403.20
EP1	1146342	1932184322	133757370	LABORATORY CORP OF AMERICA HOLDINGS INC	PO BOX 2270	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	5	1	8	0	$609.50	$609.50
EP1	1171444	1598744856	760714523	ST LUKES BAPTIST HOSPITAL	7930 FLOYD CURL DR	SAN ANTONIO	TX	78229	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$6,868.00	$6,868.00
EP1	1229502	1609812445	431039532	QUEST DIAGNOSTICS INC	10101 RENNER BLVD	LENEXA	KS	66219	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$106.41	$106.41
EP1	1234342	1821004151	741109665	CHRISTUS CHILDREN'S	333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	SPECIALTY ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	PEDIATRIC HOSPITAL	ACUTE-CARE HOSPITALS	7	3	19	0	$109,245.46	$109,245.46
EP1	1234342	1821004151	741109665	CHRISTUS CHILDREN'S	333 N SANTA ROSA ST	SAN ANTONIO	TX	78207	SPECIALTY ACUTE-CARE HOSPITAL	PAR	NON NETWORK	FACILITY	PEDIATRIC HOSPITAL	ACUTE-CARE HOSPITALS	1	1	0	0	$0.00	$0.00
EP1	1234360	1194787218	741109665	CHRISTUS SANTA ROSA HOSPITAL MEDICAL CTR	2827 BABCOCK RD	SAN ANTONIO	TX	78229	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	5	3	18	0	$46,727.26	$46,727.26
EP1	1276237	1124074273	742730328	NORTHEAST METHODIST HOSPITAL	12412 JUDSON RD	LIVE OAK	TX	78233	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	6	4	30	0	$365,925.50	$365,925.50
EP1	1286575	1376935031	462908086	TOUCHSTONE IMAGING 38TH STREET	711 W 38TH ST STE B7	AUSTIN	TX	78705	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	5	3	9	0	$9,407.40	$9,157.00
EP1	1286575	1821480583	462908086	TOUCHSTONE IMAGING 38TH STREET	711 W 38TH ST STE B7	AUSTIN	TX	78705	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	2	2	3	0	$5,186.00	$5,186.00
EP1	1287369	1629021845	742781812	NORTH AUSTIN MEDICAL CENTER	12221 N MO PAC EXPY	AUSTIN	TX	78758	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	5	4	14	0	$57,876.00	$57,876.00
EP1	1316813	1316576705	592600684	BAYCARE OUTPATIENT IMAGING	400 PINELLAS ST STE 101	CLEARWATER	FL	33756	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	1	1	2	0	$547.00	$547.00
EP1	1343921	1437196979	880119638	RADIOLOGY SPECIALISTS LTD	67 AUTUMN RIDGE RD	POUND RIDGE	NY	10576	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	1	1	1	0	$376.00	$376.00
EP1	1396811	1699849786	205819700	LITHOLINK	PO BOX 8109	BURLINGTON	NC	27216	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	3	1	16	0	$434.00	$434.00
EP1	1467867	1073642641	330685754	PROMETHEUS LABORATORIES INC	9410 CARROLL PARK DR	SAN DIEGO	CA	92121	INDEPENDENT LABORATORY	NON-PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	1	12	0	$618.00	$618.00
EP1	1683320	1174582050	746001118	MD ANDERSON CANCER CTR	1515 HOLCOMBE BLVD	HOUSTON	TX	77030	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	6	0	$10,790.00	$10,790.00
EP1	1815712	1750373908	223510467	MEDICAL DIAGNOSTIC LABORATORIES LLC	2439 KUSER RD	HAMILTON	NJ	08690	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	6	3	15	0	$3,940.00	$3,940.00
EP1	1865556	1215534466	844273963	COVENANT HEALTH HOBBS HOSPITAL	4900 N LOVINGTON HWY	HOBBS	NM	88240	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	3	0	$2,464.89	$2,464.89
EP1	1892338	1396718334	742896068	WESTOVER HILLS IMAGING AND INTERVENTIONA	PO BOX 29490	SAN ANTONIO	TX	78229	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	2	1	2	0	$715.00	$715.00
EP1	1931061	1720058027	460517825	RENOWN SOUTH MEADOWS MEDICAL CENTER	10085 DOUBLE R BLVD STE 125	RENO	NV	89521	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	5	0	$214.00	$214.00
EP1	1935289	1558329680	742928096	CENTRAL PARK IMAGING CENTER LTD	900 W 38TH ST STE 100	AUSTIN	TX	78705	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	1	1	1	0	$1,250.00	$1,250.00
EP1	1940974	1346805777	752834692	AMERICAN HEALTH IMAGING/DALLAS LLC	8627 CINNAMON CREEK DR	SAN ANTONIO	TX	78240	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	MRI CENTER	OUTPATIENT FACILITY	11	7	12	0	$13,430.00	$13,430.00
EP1	1940974	1609872621	752834692	AMERICAN HEALTH IMAGING/DALLAS LLC	8627 CINNAMON CREEK DR	SAN ANTONIO	TX	78240	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	MRI CENTER	OUTPATIENT FACILITY	2	2	2	0	$4,450.00	$4,450.00
EP1	1949032	1114962842	383743549	WARM SPRINGS REHAB CTR LOCKHART	1710 S COLORADO ST STE 102	LOCKHART	TX	78644	SPECIALTY ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	PHYSICAL REHABILITATION HOSPITAL	ACUTE-CARE HOSPITALS	5	3	22	0	$13,054.65	$13,054.65
EP1	1981906	1538157086	742959346	PATHOLOGY REFERENCE LABORATORY LLC	9600 DATAPOINT DR	SAN ANTONIO	TX	78229	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	19	11	32	0	$2,890.00	$2,890.00
EP1	1981906	1538157086	742959346	PATHOLOGY REFERENCE LABORATORY LLC	9600 DATAPOINT DR	SAN ANTONIO	TX	78229	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$120.00	$120.00
EP1	1984875	1457350993	331082073	VHS SAN ANTONIO IMAGING PARTNERS LP	5368 FREDERICKSBURG RD	SAN ANTONIO	TX	78229	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	11	9	19	0	$4,725.00	$4,725.00
EP1	1990081	1245292630	582028767	NW HILLS SURGICAL HOSPITAL	6818 AUSTIN CENTER BLVD STE 100	AUSTIN	TX	78731	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$4,254.10	$4,254.10
EP1	2009509	1750499273	741109643	ASCENSION SETON SOUTHWEST	7900 FM 1826	AUSTIN	TX	78737	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$1,287.25	$1,287.25
EP1	2022390	1619218096	800899088	SAN MARCOS SURGERY CENTER	1891 MEDICAL PKWY	SAN MARCOS	TX	78666	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	7	5	7	0	$60,539.44	$60,539.44
EP1	2048711	1386609964	621775267	SURGICARE OF SOUTH AUSTIN	4307 JAMES CASEY ST	AUSTIN	TX	78745	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	1	0	$8,927.00	$8,927.00
EP1	2098394	1447212121	810571409	CHRISTUS SANTA ROSA PHYS ASC - NEW BRAUN	1738 E COMMON ST	NEW BRAUNFELS	TX	78130	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	8	8	17	0	$154,594.83	$154,594.83
EP1	2154040	1053803692	301073754	AUSTIN ENDOSCOPY CENTER SOUTH LLC	4310 JAMES CASEY ST STE 4B	AUSTIN	TX	78745	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	2	2	3	0	$21,724.20	$21,724.20
EP1	2181191	1083659866	742976746	ORTHOPAEDIC SURGERY CNTR SAN ANTONIO LP	400 CONCORD PLZ DR STE 200	SAN ANTONIO	TX	78216	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	1	0	$1,736.15	$1,736.15
EP1	2181191	1376164475	742976746	ORTHOPAEDIC SURGERY CNTR SAN ANTONIO LP	400 CONCORD PLZ DR STE 200	SAN ANTONIO	TX	78216	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	1	0	$6,249.15	$6,249.15
EP1	2181191	1376164475	742976746	ORTHOPAEDIC SURGERY CNTR SAN ANTONIO LP	400 CONCORD PLZ DR STE 200	SAN ANTONIO	TX	78216	AMBULATORY SURGERY CENTERS	PAR	NON NETWORK	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	0	0	$0.00	$0.00
EP1	2202486	1366416125	743013713	TEXAS ORTHOPEDICS SURGERY CTR LLC	4700 SETON CENTER PKWY STE 100	AUSTIN	TX	78759	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	3	2	3	0	$24,470.00	$24,470.00
EP1	2209402	1700903937	752939623	FRONTERA STRATEGIES LLP	5100 N O CONNOR BLVD STE 525	IRVING	TX	75039	CARDIAC & MEDICAL REHAB FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	CARDIAC DIAGNOSTIC CENTER	REHABILITATION FACILITIES	1	1	2	0	$6,024.50	$6,024.50
EP1	2240868	1295890093	364412922	SOUTH TEXAS SPINE & SURGICAL HOSPITAL	18600 N HARDY OAK BLVD	SAN ANTONIO	TX	78258	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	3	1	10	0	$59,604.59	$59,604.59
EP1	2246906	1447437355	593725585	NEOGENOMICS LABORATORIES INC	9490 NEOGENOMICS WAY	FORT MYERS	FL	33912	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$208.00	$208.00
EP1	2315086	1235186800	810576059	PATHGROUP LABS	PO BOX 639197	CINCINNATI	OH	45263	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	8	5	30	0	$1,756.71	$1,756.71
EP1	2408544	1215003603	770552594	GENOMIC HEALTH INC	301 PENOBSCOT DR	REDWOOD CITY	CA	94063	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$4,620.00	$4,620.00
EP1	2410035	1710448022	832140544	GARRISONVILLE URGENT CARE	9 CENTER ST STE 101	STAFFORD	VA	22556	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	4	1	4	0	$510.00	$510.00
EP1	2422885	1346516853	651091915	AKUMIN	7960 FOREST CITY RD STE 102	ORLANDO	FL	32810	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	1	1	1	0	$858.00	$858.00
EP1	2461123	1013973866	743126687	CARIS LIFE SCIENCES	4610 S 44TH PL STE 100&200	PHOENIX	AZ	85040	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	1	7	0	$21,737.44	$21,737.44
EP1	2463923	1669484473	870514323	MYRIAD GENETIC LABORATORIES INC	320 WAKARA WAY	SALT LAKE CITY	UT	84108	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	3	3	3	0	$14,120.00	$14,120.00
EP1	2469546	1194117853	462908086	TOUCHSTONE IMAGING MEDICAL CENTER	7220 LOUIS PASTEUR DR STE 115	SAN ANTONIO	TX	78229	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	2	2	4	0	$1,746.00	$1,746.00
EP1	2471076	1144211301	560552787	NORTH CAROLINA BAPTIST HOSPITAL INC	MEDICAL CTR BLVD	WINSTON SALEM	NC	27157	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	0	0	$0.00	$0.00
EP1	2482286	1063414258	770644336	BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC SER	1717 N SAM HOUSTON PKWY W #100	HOUSTON	TX	77038	CARDIAC & MEDICAL REHAB FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	CARDIAC DIAGNOSTIC CENTER	REHABILITATION FACILITIES	2	2	3	0	$895.00	$895.00
EP1	2497267	1417088295	201651590	ARA IMAGING	2120 N MAYS ST STE 220	ROUND ROCK	TX	78664	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	1	1	2	0	$375.00	$375.00
EP1	2502412	1699738112	200648730	NORTH AUSTIN SURGERY CTR LP	12201 RENFERT WAY STE 120	AUSTIN	TX	78758	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	4	0	$48,280.90	$48,280.90
EP1	2508104	1992786883	770597972	ADVANCED IMAGING SAN MARCOS INC	1330 WONDER WORLD DR STE 202	SAN MARCOS	TX	78666	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	MRI CENTER	OUTPATIENT FACILITY	48	39	52	0	$30,043.00	$30,043.00
EP1	2523934	1346271251	621771540	POPLAR HEALTHCARE PLLC	3495 HACKS CROSS RD	MEMPHIS	TN	38125	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	2	4	0	$527.00	$527.00
EP1	2535859	1013097062	810655398	AMERICAN DYNAMIC IMAGING LTD	9627 HUEBNER RD STE 100	SAN ANTONIO	TX	78240	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	MRI CENTER	OUTPATIENT FACILITY	1	1	1	0	$2,000.00	$2,000.00
EP1	2548460	1902835895	571213937	PROFESSIONAL IMAGING LLC	4100 COLLEGE PARK	ROUND ROCK	TX	78665	AMBULATORY SURGERY CENTERS	NON-PAR	NON NETWORK	FACILITY	OUTPATIENT DIAG/TREATMENT CTR	OUTPATIENT FACILITY	1	1	1	0	$300.00	$300.00
EP1	2552181	1043328198	820578078	HOSPITAL AT WESTLAKE	5656 BEE CAVES RD STE M302	WEST LAKE HILLS	TX	78746	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$43,597.62	$43,597.62
EP1	2672629	1265501159	141839172	REM SLEEP CENTER	4211 MEDICAL PKWY	AUSTIN	TX	78756	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	SLEEP STUDY CENTER	OUTPATIENT FACILITY	19	10	19	0	$6,650.00	$6,650.00
EP1	2672629	1336223999	141839172	REM SLEEP CENTER	4211 MEDICAL PKWY	AUSTIN	TX	78756	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	SLEEP STUDY CENTER	OUTPATIENT FACILITY	1	1	1	0	$4,000.00	$4,000.00
EP1	2672869	1396718334	742896068	SOUTHWEST IMAGING CENTER	PO BOX 29490	SAN ANTONIO	TX	78229	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	X-RAY/RADIOLOGY FACILITY	OUTPATIENT FACILITY	2	2	2	0	$439.00	$439.00
EP1	2675297	1518906940	203360918	VIRTUOX INC	5850 CORAL RIDGE DR STE 304	CORAL SPRINGS	FL	33076	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	SLEEP STUDY CENTER	OUTPATIENT FACILITY	1	1	1	0	$450.00	$450.00
EP1	2724152	1740231489	201211544	STONEGATE SURGERY CTR LP	2501 W WILLIAM CANNON DR STE 301	AUSTIN	TX	78745	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	3	0	$27,675.00	$27,675.00
EP1	2754934	1780673319	202313462	LITTLE SPURS PEDIATRIC URGENT CARE PLLC	11398 BANDERA RD STE 201	SAN ANTONIO	TX	78250	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	37	21	50	0	$7,877.00	$7,877.00
EP1	2763895	1518415991	475349024	MOUNT SINAI GENOMICS INC	1428 MADISON AVE	NEW YORK	NY	10029	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	0	0	($5,735.40)	$0.00
EP1	2794727	1447355771	741109643	DELL CHILDRENS MED CTR OF CTRL TEXAS	4900 MUELLER BLVD	AUSTIN	TX	78723	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	19	14	30	0	$92,437.13	$92,437.13
EP1	2794727	1447355771	741109643	DELL CHILDRENS MED CTR OF CTRL TEXAS	4900 MUELLER BLVD	AUSTIN	TX	78723	GENERAL ACUTE-CARE HOSPITAL	PAR	NON NETWORK	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$38,707.12	$38,707.12
EP1	2796212	1265568638	203749695	BAYLOR SCOTT & WHITE MEDICAL CTR - ROUND	300 UNIVERSITY BLVD	ROUND ROCK	TX	78665	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	23	15	36	0	$112,929.16	$113,333.45
EP1	2796212	1265568638	203749695	BAYLOR SCOTT & WHITE MEDICAL CTR - ROUND	300 UNIVERSITY BLVD	ROUND ROCK	TX	78665	GENERAL ACUTE-CARE HOSPITAL	PAR	NON NETWORK	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$2,459.00	$2,459.00
EP1	2814182	1629123765	208140871	SOUTH AUSTIN HEALTH IMAGING LLC	4316 JAMES CASEY ST BLDG F #100	AUSTIN	TX	78745	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	MRI CENTER	OUTPATIENT FACILITY	30	19	36	0	$53,876.00	$53,876.00
EP1	2818740	1396718334	742896068	SOUTH TEXAS RADIOLOGY IMAGING CENTERS	11923 CULEBRA RD STE 201	SAN ANTONIO	TX	78253	INDEPENDENT RADIOLOGY	PAR	NETWORK BENEFIT UHC	FACILITY	MRI CENTER	OUTPATIENT FACILITY	3	3	4	0	$629.00	$629.00
EP1	2856073	1376662296	203904667	CEDAR PARK REG MED CENTER INC	1401 MEDICAL PKWY	CEDAR PARK	TX	78613	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$549.97	$549.97
EP1	2864492	1962671487	421731685	HYDE PARK SURGERY CENTER LP	4611 GUADALUPE ST STE 100	AUSTIN	TX	78751	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	1	1	2	0	$5,622.00	$5,622.00
EP1	2874657	1548207962	742112082	SAN ANTONIO VAMC	3600 MEMORIAL BLVD	KERRVILLE	TX	78028	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	5	2	5	0	$1,852.87	$1,852.87
EP1	2874657	1801083142	742112082	SAN ANTONIO VAMC	3600 MEMORIAL BLVD	KERRVILLE	TX	78028	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	2	1	3	0	$1,867.78	$1,867.78
EP1	2874657	1922058569	742112082	SAN ANTONIO VAMC	3600 MEMORIAL BLVD	KERRVILLE	TX	78028	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	31	12	71	0	$108,127.58	$108,127.58
EP1	2874657	1922058569	742112082	SAN ANTONIO VAMC	3600 MEMORIAL BLVD	KERRVILLE	TX	78028	GOVERNMENT FACILITY	PAR	NON NETWORK	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	3	3	3	0	$24,890.01	$24,890.01
EP1	2893171	1861675654	261155537	STATMED QUICK QUALITY CLINIC LLC	27001 US HIGHWAY 19 N STE 1033B	CLEARWATER	FL	33761	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	1	0	$370.00	$370.00
EP1	2935570	1003078403	262679473	REPROSOURCE FERTILITY DIAGNOSTICS INC	200 FOREST ST FL 2 STE B	MARLBOROUGH	MA	01752	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	2	2	13	0	$1,081.61	$1,081.61
EP1	2944427	1568622272	261378424	LEGACY URGENT CARE PA	9205 LEGACY DR	FRISCO	TX	75033	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	58	38	156	0	$19,086.23	$19,086.23
EP1	2953001	1598087207	271893780	QUALITY URGENT CARE OF AMERICA	19422 N US HIGHWAY 281 STE 106	SAN ANTONIO	TX	78258	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	8	7	13	0	$2,870.20	$2,870.20
EP1	2996583	1659525236	742730328	METHODIST STONE OAK HOSPITAL	1139 E SONTERRA BLVD	SAN ANTONIO	TX	78258	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	2	0	$13,487.53	$13,487.53
EP1	3019403	1154472967	260845489	NEXTCARE URGENT CARE	351 CYPRESS CREEK RD STE 103	CEDAR PARK	TX	78613	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	4	0	$505.00	$505.00
EP1	3019403	1922289412	260845489	NEXTCARE URGENT CARE	351 CYPRESS CREEK RD STE 103	CEDAR PARK	TX	78613	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	8	7	18	0	$3,312.00	$3,312.00
EP1	3024556	1861655961	262531558	SNAP DIAGNOSTICS LLC	616 ATRIUM DR STE 100	VERNON HILLS	IL	60061	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	SLEEP STUDY CENTER	OUTPATIENT FACILITY	3	3	3	0	$3,300.00	$3,300.00
EP1	3042748	1194787218	741109665	CHRISTUS SANTA ROSA WESTOVER HILLS	11212 STATE HIGHWAY 151	SAN ANTONIO	TX	78251	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	4	3	4	0	$831.00	$831.00
EP1	3044796	1225289499	264021016	GRACE SURGICAL HOSPITAL	7509 MARSHA SHARP FWY	LUBBOCK	TX	79407	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$1,600.00	$1,600.00
EP1	3059981	1619115383	741109643	ASCENSION SETON HAYS	6001 KYLE PKWY	KYLE	TX	78640	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	111	61	297	0	$2,079,814.93	$2,079,814.93
EP1	3084985	1033351226	752161369	TRINCARE CLINICAL LABORATORY INC	800 E DAWSON ST	TYLER	TX	75701	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$16.00	$16.00
EP1	3150540	1063734739	271117058	CLEVELAND HEARTLAB INC	6701 CARNEGIE AVE STE 500	CLEVELAND	OH	44103	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	4	1	15	0	$1,760.37	$1,760.37
EP1	3158225	1558672279	010894487	NATERA INC	201 INDUSTRIAL RD STE 410	SAN CARLOS	CA	94070	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	8	8	8	0	$31,200.00	$31,200.00
EP1	3158225	1558672279	010894487	NATERA INC	201 INDUSTRIAL RD STE 410	SAN CARLOS	CA	94070	INDEPENDENT LABORATORY	PAR	NON NETWORK	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	3	3	3	0	$24,910.00	$24,910.00
EP1	3209320	1164744165	271788761	RIVER VALLEY NEUROPHYSIOLOGY PLLC	3414 GOLDEN RD	TYLER	TX	75701	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	OUTPATIENT DIAG/TREATMENT CTR	OUTPATIENT FACILITY	1	1	1	0	$8,500.00	$8,500.00
EP1	3265902	1134438427	205455398	VERACYTE INC	12357 A RIATA TRACE PKWY #100	AUSTIN	TX	78727	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$6,400.00	$6,400.00
EP1	3294177	1306164629	272466786	HARLINGEN VAMC	2601 VETERANS DR	HARLINGEN	TX	78550	GOVERNMENT FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	VETERANS ADMINISTRATION CENTER	NON-HOSPITAL FACILITIES	3	1	8	0	$3,639.35	$3,639.35
EP1	3311979	1083154207	812813433	CARENOW	1305 NORTH ST STE 101	NACOGDOCHES	TX	75961	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	11	10	24	0	$5,148.00	$5,148.00
EP1	3311979	1346545209	274412271	CARENOW	1305 NORTH ST STE 101	NACOGDOCHES	TX	75961	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	47	36	43	0	$7,962.01	$7,962.01
EP1	3311979	1770048704	752510007	CARENOW	1305 NORTH ST STE 101	NACOGDOCHES	TX	75961	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	2	0	$421.00	$421.00
EP1	3336820	1720306566	270720545	MED FUSION LLC	2501 S STATE HIGHWAY 121 BUS	LEWISVILLE	TX	75067	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	9	5	20	0	$461.78	$461.78
EP1	3356177	1669832903	741386053	LEGEND OAKS HEALTHCARE AND REHABILITATIO	1640 FAIRWAY	KYLE	TX	78640	EXTENDED CARE FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	EXTENDED CARE FACILITY	LONG-TERM CARE FACILITY	2	1	22	0	$10,780.00	$10,780.00
EP1	3356177	1669832903	741386053	LEGEND OAKS HEALTHCARE AND REHABILITATIO	1640 FAIRWAY	KYLE	TX	78640	EXTENDED CARE FACILITIES	PAR	NON NETWORK	FACILITY	EXTENDED CARE FACILITY	LONG-TERM CARE FACILITY	1	1	30	0	$5,762.70	$5,762.70
EP1	3405195	1962788125	453583213	AIC URGENT CARE PLLC	2600 FM 1764 RD STE 190	LA MARQUE	TX	77568	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	3	0	$179.70	$179.70
EP1	3407812	1194787218	741109665	CHRISTUS SANTA ROSA HOSP - ALAMO HEIGHTS	403 TREELINE PARK	SAN ANTONIO	TX	78209	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	4	0	$52,466.35	$52,466.35
EP1	3420529	1669752234	452497248	BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND O	16088 SAN PEDRO AVE	SAN ANTONIO	TX	78232	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	3	1	12	0	$122,255.36	$122,255.36
EP1	3433905	1801191853	273147835	NEW BRAUNFELS REGIONAL REHAB HOSPITAL IN	2041 SUNDANCE PKWY	NEW BRAUNFELS	TX	78130	SPECIALTY ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	PHYSICAL REHABILITATION HOSPITAL	ACUTE-CARE HOSPITALS	3	2	9	0	$2,015.00	$2,015.00
EP1	3439541	1104086941	208737126	LEGACY ER	1310 W EXCHANGE PKWY	ALLEN	TX	75013	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	FREESTANDING EMERGENCY DEPT	OUTPATIENT FACILITY	19	15	58	0	$76,151.88	$76,151.88
EP1	3446532	1023328192	273586945	COLE CONSOLIDATED REHAB LLC	101 UHLAND RD STE 112	SAN MARCOS	TX	78666	CARDIAC & MEDICAL REHAB FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	MEDICAL REHABILITATION CENTER	REHABILITATION FACILITIES	13	2	14	0	$2,850.00	$2,850.00
EP1	3526716	1306112990	202947583	SEGUIN DIALYSIS	618 E COURT ST	SEGUIN	TX	78155	DIALYSIS FACILITY	PAR	NETWORK BENEFIT UHC	FACILITY	DIALYSIS FACILITY	OUTPATIENT FACILITY	6	1	55	0	$590,899.83	$590,899.83
EP1	3554870	1861766016	274579547	HAYS SURGERY CENTER LLC	135 BUNTON CREEK RD STE 200	KYLE	TX	78640	AMBULATORY SURGERY CENTERS	PAR	NETWORK BENEFIT UHC	FACILITY	AMBULATORY SURGERY CENTER	OUTPATIENT FACILITY	4	3	11	0	$105,046.96	$105,046.96
EP1	3622849	1265772362	274434451	SCOTT & WHITE HOSP COLLEGE STATION	1296 ARRINGTON RD STE 100	COLLEGE STATION	TX	77845	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	1	0	$952.19	$952.19
EP1	3626706	1265789416	273685597	PHOENIX TOXICOLOGY AND LAB SERVICES LLC	2432 W PEORIA AVE STE 1064	PHOENIX	AZ	85029	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	3	2	3	0	$1,851.90	$1,851.90
EP1	3638392	1518209113	352470800	NEXT LEVEL URGENT CARE LLC	16902 SOUTHWEST FWY STE 108	SUGAR LAND	TX	77479	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	1	0	$250.00	$250.00
EP1	3656650	1871198028	274198116	PBM PATHOLOGY SERVICE PLLC	2709 N BEN WILSON ST	VICTORIA	TX	77901	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$154.00	$154.00
EP1	3668492	1568848059	474612520	LEGENT ORTHOPEDIC + SPINE LP	5330 N LOOP 1604 W	SAN ANTONIO	TX	78249	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	2	2	2	0	$580.00	$580.00
EP1	3697120	1285684225	752616977	TRINITY CLINIC EMORY	650 E LENNON DR	EMORY	TX	75440	CLINIC/DAY CARE FACILITIES	NON-PAR	NON NETWORK	FACILITY	RURAL HEALTH CLINIC	OUTPATIENT FACILITY	6	4	3	0	$990.00	$990.00
EP1	3764301	1588004410	450454268	MEDSCAN LABORATORY INC	107 22ND ST W	WILLISTON	ND	58801	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	8	3	53	0	$2,544.10	$2,544.10
EP1	3798151	1871933259	900993578	DAVAM URGENT CARE	6022 FM 1488 RD	MAGNOLIA	TX	77354	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	1	0	$135.50	$135.50
EP1	3826175	1134546575	463164188	CARENOW	8300 W CHEYENNE AVE STE 106	LAS VEGAS	NV	89129	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	2	1	2	0	$911.00	$911.00
EP1	3878209	1316206220	271701898	INVITAE CORP	1400 16TH ST	SAN FRANCISCO	CA	94103	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	5	5	5	0	$14,000.00	$14,000.00
EP1	4088469	1942726898	472029489	TEXAS CHILDREN'S URGENT CARE PLLC	9727 SPRING GREEN BLVD STE 900	KATY	TX	77494	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	2	1	2	0	$356.00	$356.00
EP1	4442755	1649749961	832071300	OVATION FERTILITY SAN ANTONIO	18707 HARDY OAK BLVD STE 511	SAN ANTONIO	TX	78258	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$106.00	$106.00
EP1	4493679	1427472463	462942963	RESOLUTE HOSPITAL LLC	555 CREEKSIDE XING	NEW BRAUNFELS	TX	78130	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	47	27	120	0	$992,437.74	$992,437.74
EP1	4651170	1689263147	330604557	CARDIONET LLC	2476 SWEDESFORD RD STE 350	MALVERN	PA	19355	CARDIAC & MEDICAL REHAB FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	CARDIAC DIAGNOSTIC CENTER	REHABILITATION FACILITIES	2	1	2	0	$480.00	$480.00
EP1	5115682	1700214863	463049741	MY EMERGENCY ROOM	2810 S INTERSTATE 35	SAN MARCOS	TX	78666	EMERGENCY CARE	NON-PAR	NETWORK BENEFIT UHC	FACILITY	FREESTANDING EMERGENCY DEPT	OUTPATIENT FACILITY	1	1	0	0	$2,790.30	$2,790.30
EP1	5115682	1700214863	463049741	MY EMERGENCY ROOM	2810 S INTERSTATE 35	SAN MARCOS	TX	78666	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	FREESTANDING EMERGENCY DEPT	OUTPATIENT FACILITY	135	95	299	0	$629,931.81	$629,931.81
EP1	5115682	1700214863	463049741	MY EMERGENCY ROOM	2810 S INTERSTATE 35	SAN MARCOS	TX	78666	EMERGENCY CARE	PAR	NON NETWORK	FACILITY	FREESTANDING EMERGENCY DEPT	OUTPATIENT FACILITY	20	18	38	0	$72,010.86	$72,010.86
EP1	5197743	1801204656	471151470	PREMIER URGENT CARE PLUS	9110 JORDAN LN STE 200	WOODWAY	TX	76712	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	13	10	26	0	$3,544.98	$3,544.98
EP1	5207758	1629407069	463095174	EXACT SCIENCES LABORATORIES LLC	145 E BADGER RD STE 100	FITCHBURG	WI	53713	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	13	13	13	0	$8,853.00	$8,853.00
EP1	5265086	1720483829	463830522	TLC COMPLETE CARE	7330 S STAPLES ST	CORPUS CHRISTI	TX	78413	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	FREESTANDING EMERGENCY DEPT	OUTPATIENT FACILITY	1	1	3	0	$5,676.00	$5,676.00
EP1	5321971	1861818809	800919670	WARM SPRINGS REHABILITATION HOSP OF KYLE	5980 KYLE PKWY	KYLE	TX	78640	SPECIALTY ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	PHYSICAL REHABILITATION HOSPITAL	ACUTE-CARE HOSPITALS	7	2	19	0	$8,547.44	$8,547.44
EP1	5439700	1730557026	746075588	CUERO MEDICAL CLINIC PA	2500 N ESPLANADE ST STE 102	CUERO	TX	77954	CLINIC/DAY CARE FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	RURAL HEALTH CLINIC	OUTPATIENT FACILITY	4	1	6	0	$580.00	$580.00
EP1	5459442	1073919148	800947972	REAL APPEAL INC	1650 SPRING GATE LN STE 200	LAS VEGAS	NV	89134	CLINIC/DAY CARE FACILITIES	PAR	NETWORK BENEFIT UHC	FACILITY	CLINIC/DAY CARE FACILITIES	OUTPATIENT FACILITY	61	18	61	0	$4,605.00	$4,605.00
EP1	5532419	1396138970	464007700	BAYLOR SCOTT & WHITE MED CTR-MARBLE FALL	810 W HIGHWAY 71	MARBLE FALLS	TX	78654	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	4	2	5	0	$9,902.53	$9,902.53
EP1	5574369	1922495951	473734703	VITAL MED URGENT CARE LLC	5711 MCPHERSON RD STE 103	LAREDO	TX	78041	EMERGENCY CARE	PAR	NETWORK BENEFIT UHC	FACILITY	URGENT CARE CENTER	OUTPATIENT FACILITY	1	1	2	0	$196.00	$196.00
EP1	5689499	1194109470	473968086	TEXAS HEARING CLINIC LLC	1340 WONDER WORLD DR STE 4301	SAN MARCOS	TX	78666	AMBULATORY SURGERY CENTERS	NON-PAR	NON NETWORK	FACILITY	AUDIOLOGY/HEARING CENTER	OUTPATIENT FACILITY	1	1	2	0	$144.00	$144.00
EP1	5710295	1245403567	201020949	TELADOC PHYSICIANS	PO BOX 123297 DEPT 3297	DALLAS	TX	75312	UNKNOWN FACILITY PROVIDER	NON-PAR	NON NETWORK	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	1	1	-1	0	($49.00)	($49.00)
EP1	5710295	1245403567	201020949	TELADOC PHYSICIANS	PO BOX 123297 DEPT 3297	DALLAS	TX	75312	UNKNOWN FACILITY PROVIDER	PAR	NETWORK BENEFIT UHC	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	16	9	16	0	$784.00	$784.00
EP1	5744612	1346658614	464708943	DOCTOR ON DEMAND PROFESSIONALS OF CAL	VIRTUAL VISITS ONLY PROVIDER	LITTLE ROCK	AR	72202	UNKNOWN FACILITY PROVIDER	PAR	NETWORK BENEFIT UHC	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	1	1	1	0	$49.00	$49.00
EP1	5744698	1174931448	464400979	DOCTOR ON DEMAND PROFESSIONALS PC	VIRTUAL VISITS ONLY PROVIDER	LITTLE ROCK	AR	72202	UNKNOWN FACILITY PROVIDER	PAR	NETWORK BENEFIT UHC	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	13	9	12	0	$588.00	$588.00
EP1	5744711	1851709133	464291310	DOCTOR ON DEMAND PROFESSIONALS OF TEXAS	DEPT 3613 PO BOX 123613	DALLAS	TX	75312	UNKNOWN FACILITY PROVIDER	NON-PAR	NON NETWORK	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	2	1	-1	0	($49.00)	($49.00)
EP1	5744711	1851709133	464291310	DOCTOR ON DEMAND PROFESSIONALS OF TEXAS	DEPT 3613 PO BOX 123613	DALLAS	TX	75312	UNKNOWN FACILITY PROVIDER	PAR	NETWORK BENEFIT UHC	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	58	24	58	0	$2,902.00	$2,902.00
EP1	5744853	1336582550	460787784	ONLINE CARE NETWORK II PC	VIRTUAL VISITS ONLY PROVIDER	INDIANAPOLIS	IN	46204	UNKNOWN FACILITY PROVIDER	PAR	NETWORK BENEFIT UHC	FACILITY	VIRTUAL VISITS TELE HLTH MED	UNKNOWN FACILITY PROVIDER	1	1	1	0	$49.00	$49.00
EP1	5781466	1518366426	471492363	CLIFFSIDE LABS LLC	579 BERGEN BLVD	RIDGEFIELD	NJ	07657	INDEPENDENT LABORATORY	PAR	NETWORK BENEFIT UHC	FACILITY	INDEPENDENT LABORATORY	OUTPATIENT FACILITY	1	1	1	0	$100.00	$100.00
EP1	5800425	1205212313	473918725	PRESTIGE EMERGENCY ROOM	2810 N LOOP 1604 W	SAN ANTONIO	TX	78248	GENERAL ACUTE-CARE HOSPITAL	PAR	NETWORK BENEFIT UHC	FACILITY	GENERAL HOSPITAL	ACUTE-CARE HOSPITALS	1	1	4	0	$10,512.00	$10,512.00

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 Jun 7, 2024.