No PEMERIKSAAN
BPJS UMUM MOU BPJS UMUM MOU
1 HematologI Rutin 758 625 69 663 468 60
2 Laju Endap Darah 17 11 0 15 14 3
3 Hitung Jenis Lekosit 1 3 1 3 1 0
4 Golongan Darah+Rhesus 18 29 3 18 22 0
5 Morfologi Darah Tepi 3 6 0 4 1 0
6 Masa Pendarahan/BT 4 8 1 3 5 0
7 Masa Pembekuan/CT 4 8 1 3 5 0
8 Glukosa Darah Puasa 103 48 10 86 51 13
9 Glukosa Darah 2 jam PP 68 19 9 50 33 10
10 Glukosa Darah Sewaktu 280 231 13 254 176 13
11 Kolesterol 43 55 9 30 48 15
12 Trigliserida 42 49 9 30 48 14
13 HDL Kolesterol 5 13 3 0 16 9
14 Kolesterol LDL 7 13 5 0 16 9
15 Asam Urat 25 54 8 18 31 12
16 Ureum 21 35 5 12 28 7
17 Kreatinin 128 96 12 120 90 11
18 AST (SGOT) 9 12 3 4 13 1
19 ALT (SGPT) 9 12 3 5 13 1
20 Protein Total 2 0 0 1 1 0
21 Albumin 11 2 0 7 4 2
22 Globulin 2 0 0 0 1 0
23 Bilirubin Total 18 20 0 19 13 1
24 Bilirubin Direk 11 18 1 12 11 1
25 Bilirubin Indirek 11 18 1 12 11 1
26 LDH 0 3 0 2 4 0
27 CK-MB 18 9 0 17 9 0
28 Natrium (Na) 66 33 2 58 27 4
29 Kalium (K) 67 35 2 62 28 4
30 Kalsium (Ca. Bebas) 4 0 0 0 3 0
31 Urin Lengkap 66 46 6 50 47 4
32 Feses Lengkap 5 9 0 14 13 3
33 Tes Kehamilan 1 1 0 1 2 0
34 Preparat BTA 3x 8 1 0 3 5 2
35 Preparat Jamur 0 0 0 0 0 0
36 Canabinoid 0 4 0 0 3 0
37 CRP Kualitatif 0 0 0 5 2 0
38 FT4 0 3 0 0 2 0
39 NS1 Dengue Rapid 0 1 1 0 0 0
40 TSH s 0 6 0 0 2 0
41 HBsAg 3 3 1 1 1 0
42 Anti-HBs 0 0 0 0 0 0
43 Dengue IgG+IgM 0 4 0 1 1 0
44 Anti DS DNA 0 0 0 0 0 0
45 Anti HIV 3 1 0 0 1 0
46 Rheumatoid Factor 1 0 0 1 0 0
47 ASTO 4 4 1 0 4 0
48 Widal 93 89 12 69 72 2
49 Alfa Feto Protein (AFP) 2 0 0 0 0 0
50 Benzodiazepine 0 4 0 0 3 0
51 T3 Thyroid H. 1 4 0 1 1 0
52 T4 Thyroid H. 1 4 0 1 1 0
53 Alkali Phospat 0 0 0 0 0 0
54 HbA1c 0 0 2 0 0 6
55 Analisa Cairan Sendi 1 0 0 0 0 0
56 Amphetamin 0 1 0 0 0 0
57 Ca 125 0 0 0 0 0 0
58 Mikroalbumin Urine 0 0 0 0 0 0
59 Papsmear 0 0 0 0 0 0
60 PA Operasi 0 0 0 0 0 0
61 Preparat Malaria 0 0 0 1 0 0
62 PT 0 0 0 0 0 0
63 APTT 0 0 0 0 0 0
64 Fibrinogen 0 0 0 0 0 0
65 Met amphetamine 0 1 0 0 0 0
66 Morfin 0 0 0 0 0 0
67 Tubex T 0 0 0 0 0 0
68 Amilase 0 1 0 0 0 0
69 Lipase 0 1 0 0 0 0
70 Klorida (Cl) 0 0 0 0 0 0
71 Anti HBc IgM 0 0 0 0 0 0
72 Morfin 0 1 0 0 0 0
73 Anti HAV IgM 0 0 0 0 0 0
74 TORCH 0 0 0 0 0 0
75 VDRL 0 0 0 0 0 0
76 TPHA 0 0 0 0 0 0
77 Gamma GT 0 0 0 0 0 0
78 Sel LE 0 0 0 0 0 0
79 Anti HSV II IgM 0 0 0 0 0 0
80 Preparat Gram 0 0 0 0 0 0
81 ANA 0 0 0 0 0 0
82 eGFR 0 0 3 0 0 1
83 Papsmear 0 2 0 0 2 0
84 Analisa Cairan Liquor 0 0 0 0 0 0
85 Rivalta 0 0 0 0 0 0
86 CRP Kuantitatif 3 0 0 0 0 0
87 Feritin 0 0 0 2 0 0
88 Test pack hcg 2 1 0 4 3 0
89 Patologi Jaringan Kecil 0 0 0 1 0 0
90 Anti HCV Rapid 0 0 0 1 0 0
91 METADONE 0 0 0 0 0 0
92 Cocain 0 0 0 0 0 0
93 Analisa Cairan Sendi 0 0 0 0 0 0
94 IgG Anti TB 0 0 0 0 0 0
95 Nonne 0 0 0 0 0 0
96 Pandy 0 0 0 0 0 0
97 Troponin T 0 0 0 0 0 0
98 PA Operasi 0 0 0 0 0 0
99 Albumin/Kreatinin Rasio 0 0 0 0 0 0
100 RA Kuantitatif 0 0 0 0 0 0
101 Serum Iron (Fe) 0 0 0 0 0 0
102 Eritrosit 0 0 0 0 0 0
103 Elektoforesis Hb 0 0 0 0 0 0
BPJS 25106
Umum 16361
MOU 2581
Mar-17 Apr-17 May-17 Jun-17
BPJS UMUM MOU BPJS UMUM MOU BPJS UMUM MOU BPJS
688 461 64 586 469 58 727 438 50 651
19 14 1 15 15 3 18 8 0 12
1 3 0 1 8 1 0 3 0 0
21 15 2 9 24 2 30 21 1 16
1 3 0 0 4 1 2 0 0 4
5 7 0 4 2 1 6 4 0 2
5 7 0 4 2 1 6 4 0 2
110 42 18 108 82 21 93 39 12 102
51 15 10 2 0 1 51 18 4 64
306 181 12 372 252 38 317 169 15 321
30 50 17 24 36 13 24 36 9 20
30 43 16 24 33 13 23 33 7 21
1 10 13 0 14 9 5 6 6 1
1 10 13 0 14 9 5 6 6 1
9 42 17 17 31 12 20 22 7 20
23 32 14 16 33 12 15 16 6 8
145 91 23 136 107 20 176 81 11 165
11 10 0 6 17 0 15 13 2 11
12 10 0 6 17 0 15 13 2 11
4 1 1 2 1 0 4 0 0 2
5 5 1 14 5 0 8 0 0 9
1 1 0 2 0 0 2 0 0 0
11 19 0 19 16 0 21 18 1 18
7 15 0 15 15 0 13 17 1 17
7 15 0 15 15 0 13 17 1 17
1 0 0 0 2 1 0 1 0 0
16 5 0 14 23 4 20 15 0 27
60 46 4 46 33 4 67 25 3 43
66 47 4 47 33 4 71 29 3 45
3 3 0 0 1 0 2 1 0 2
46 38 17 37 47 13 64 28 12 57
16 9 0 11 12 0 4 9 3 6
5 19 1 4 3 1 1 3 0 4
9 3 0 6 5 0 11 2 0 10
0 0 0 0 0 0 0 0 0 0
0 5 0 0 2 0 0 4 0 0
5 2 1 0 3 1 0 0 0 1
0 0 0 1 3 0 0 1 0 0
0 0 0 0 0 0 1 0 0 0
1 1 0 0 2 0 0 1 0 0
3 19 1 4 5 0 4 4 1 8
0 1 0 0 3 0 1 0 0 1
0 2 0 0 0 0 0 0 0 1
0 1 0 1 0 0 0 0 0 0
0 0 0 1 0 0 1 2 1 0
0 0 0 1 0 0 1 0 0 1
5 11 2 2 6 1 2 5 0 1
80 48 18 75 53 4 80 53 12 59
0 0 0 0 0 0 0 0 0 0
0 8 0 0 2 0 0 5 0 0
1 1 0 0 2 0 0 4 0 0
1 1 0 0 2 0 0 4 0 0
0 0 0 0 0 0 0 0 0 0
2 0 3 0 1 4 0 1 0 0
0 0 0 0 0 0 0 0 0 1
0 2 0 0 1 0 0 1 0 0
0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 1 0 0 0 0 0 1 0
0 1 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 3 2 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
1 1 0 2 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1826 1384 276 1652 1457 252 1943 1186 177 1764
Jun-17 Jul-17 Aug-17 Sep-17
UMUM MOU BPJS UMUM MOU BPJS UMUM MOU BPJS UMUM
367 30 943 500 66 797 466 38 807 503
9 1 28 14 1 23 10 0 28 18
2 0 1 6 1 5 0 2 2 5
14 2 24 24 2 17 23 1 12 12
2 1 0 2 1 0 2 0 2 1
1 0 5 7 1 7 4 0 4 1
1 0 5 7 1 7 4 0 4 1
29 0 187 41 19 131 48 12 113 43
10 0 77 11 13 62 30 7 74 25
144 15 470 209 17 351 175 8 357 207
33 1 40 40 19 46 35 8 44 52
29 1 37 44 19 44 32 8 41 51
6 1 5 3 16 0 7 7 7 15
6 1 5 3 16 0 8 7 8 15
18 0 25 26 17 31 20 7 34 39
20 0 23 32 18 24 16 4 24 39
75 4 249 96 23 184 71 9 185 105
9 0 17 5 2 8 9 1 15 16
9 0 17 5 2 8 9 1 14 16
0 0 3 0 0 4 2 0 1 1
2 0 12 6 2 14 10 0 10 6
0 0 2 0 0 0 0 0 0 1
22 2 25 23 20 20 22 0 24 25
21 2 19 19 18 19 18 0 18 21
21 2 2 3 2 19 18 0 18 21
0 0 0 0 0 0 0 0 0 0
11 1 24 7 1 14 6 0 15 9
27 2 72 23 3 66 22 4 51 31
29 2 81 31 3 76 32 5 58 37
0 0 0 0 0 2 1 0 9 0
22 3 63 43 19 58 36 8 50 50
1 0 15 16 2 20 27 1 15 12
3 1 1 1 0 10 7 0 1 0
2 1 13 6 0 12 3 0 11 6
0 0 0 0 0 0 0 0 0 0
1 0 0 3 0 0 0 0 0 4
2 0 2 4 0 4 5 0 7 2
0 0 1 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 5 0 0 0 0 0 1
1 0 5 8 0 5 1 0 1 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2
1 0 0 0 0 0 0 0 0 0
1 0 2 3 0 0 0 0 0 2
0 0 0 0 0 1 2 0 2 0
6 0 6 4 0 7 6 0 10 9
50 10 75 40 10 72 42 8 95 66
2 0 1 0 0 0 0 0 0 0
1 0 0 5 0 0 1 0 0 5
0 0 0 8 1 1 1 0 0 3
0 0 0 8 1 1 1 0 0 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 9 0 1 1 0 0
0 0 0 0 0 3 0 0 1 1
0 0 0 0 0 0 0 0 0 2
0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2
1 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0
1 0 0 2 0 0 0 0 0 1
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0
0 0 3 4 1 0 0 0 2 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
235 2459 1372 365 2395 1527 287 2516 1331 293
BULAN BULAN BULAN
JENIS PEMERIKSAAN
Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-16
KATEGORI PEMERIKSAAN SEDERHANA
HematologI Rutin 1452 1191 1213 1113 1215 1048
Hitung Jenis 5 4 4 10 3 2
Laju Endap Darah 28 32 34 33 26 22
Golongan Darah A,B,O+Rhesus 50 40 38 35 52 32
Waktu Perdarahan 13 8 12 7 10 3
Waktu Pembekuan 13 8 12 7 10 3
Glukosa puasa 161 150 170 211 144 131
Glukosa 2 jam PP /Sewaktu 620 536 575 665 574 554
Urine Rutin 118 101 101 97 104 82
Feses Rutin 14 30 25 23 16 7
Pengecatan BTA 9 10 12 11 13 13
Apus Darah Tepi 9 5 4 5 2 7
Eritrosit 0 0 0 0 0 0
JUMLAH 2492 2115 2200 2217 2169 1904
73 44 77 64 86 60
368 264 310 299 353 343
24 18 32 34 38 22
24 18 31 37 39 22
68 58 82 88 80 59
99 89 110 125 103 89
125 122 175 182 260 221
98 92 86 104 94 132
115 113 99 127 104 144
0 3 9 7 9 10
3 6 2 4 6 5
20 24 17 8 28 16
2 0 1 1 3 1
68 42 49 46 41 34
56 37 39 41 33 31
7 37 39 41 33 31
24 14 30 38 28 20
24 15 31 40 28 20
10 17 8 9 22 9
100 84 105 113 92 82
1308 1097 1332 1408 1480 1351
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 0
32 20 24 21 30 38
0 0 0 0 0 0
10 13 19 7 18 4
6 9 11 10 7 5
0 3 2 1 1 0
0 0 2 1 0 2
5 0 2 1 0 1
13 6 3 7 8 16
0 0 0 1 1 1
9 2 3 4 3 4
9 2 3 4 3 4
2 0 0 1 0 1
6 0 1 1 0 2
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 2 0 0 0
3 0 4 0 4 2
5 1 5 0 4 3
0 0 2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
9 2 7 7 3 9
0 0 1 0 0 2
0 0 0 0 0 0
0 0 0 0 0 0
0 3 2 0 1 0
1 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 0 0 1 0
0 0 0 0 0 0
0 0 0 0 2 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 1 0 0 0
1 0 0 1 0 1
0 0 0 0 0 0
0 0 0 0 0 0
1 0 0 0 1 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1
0 0 0 0 0 0
0 0 0 0 0 5
0 0 0 0 0 0
1 0 0 0 0 0
1 0 0 0 0 0
2 1 1 0 0 1
1 1 0 0 0 1
0 0 0 0 1 0
0 0 0 0 1 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 0
0 0 0 0 1 0
0 0 0 0 0 0
0 0 0 1 1 1
0 0 0 0 0 0
1 0 0 0 0 0
0 0 0 0 1 0
0 0 0 0 1 0
0 0 0 0 1 0
BULAN JANUARI 2017 BULAN FEBRUARI 20
Pasien Pendapatan R. Pendapatan R. Pasien
Pasien R. Inap
Jalan Inap
R, Jalan R, Jalan
471 1442 61,330,000 186,079,980 403
Jumlah 1913
Jumlah 247.409.980 Jumlah 1681
Jumlah 1648
Jumlah 207.673.420 Jumlah 1432
Jumlah 1893
Jumlah 233.237.300 Jumlah 2072
Jumlah Pendapatan
Bulan Total
Umum MOU BPJS
Januari
Februari
Maret
April
Mei
Juni
Juli
Agustus
September
Oktober
November
Desember
Jumlah Rp - Rp - Rp - Rp -
Rata-rata #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Persentase #DIV/0! #DIV/0! #DIV/0! #DIV/0!
BULAN FEBRUARI 2017 BULAN MARET 2017
Jumlah 207.309.930
Jumlah 214.521.460 Jumlah 1662
Jumlah 210.509.000
Jumlah 214.682.630 Jumlah 1809
Jumlah 262.511.500
Jumlah 262.185.000 Jumlah 2134