CONTOH PERHITUNGAN JASA PELAYANAN FKTP

NAMA : FKTP X
JUMLAH PESERTA JKN : 8,176
JUMLAH BESARAN KAPITASI : 6,000
JUMLAH KAPITASI : 48,702,000

JENIS MASA
NO NAMA PEGAWAI JABATAN PENDIDIKAN KETENAGAAN KERJA

1 2

1 drg. Andy Benyamin Kepala Puskesmas S1 150 5

2 Haffandi, SE Ka. TU S1 50 5
3 dr. Luthfa Mudrika Dokter Umum S1 150 5
4 dr. Putri adist Dokter Gigi S1 150 5
5 dr. Hj. Ajizah Dokter Umum S2 150 5
6 Dedy Mulyadi Perawat S1 100 5
7 Yudhi K Amd.Farm Asisten Apoteker D3 60 5
8 Ida Fitriyani Asisten Apoteker D3 60 5
9 Het Herawat, S.Kep Perawat/Surveilans S1 80 5
10 Asep Sofyan Perawat Gigi D3 60 5
11 Urita Administrasi Umum SMA 25 10
12 Indra Gunawan , AMK Perawat D3 60 10
13 Entn Ayatn, Am.d Keb Bidan D3 60 10
14 Nuraeni, SST, Mkes Bidan /Koord. PONED S2 80 10
15 Wet Mulyawat Bidan S1 80 10
16 Dede Hindasah Bidan D3 60 10
17 Ratu Yulia G Adm.Umum/Rek.Medik SMA 25 10
18 Yonnick H.Hendriana, S.Far Apoteker S1 100 10
19 Tomi Maringgi, AMKG Perawat gigi D3 60 10
20 Diana Rahayu, S.Kep Perawat S1 100 10
21 Sit Mardiani, Amd, AK Pranata Lab D3 60 10
22 Sri Wahyuni Eko.R Bidan D3 60 10
23 Djaman, SAP Administrasi Umum D3 50 10
24 Vivin Firliani, Amd. Keb Bidan D3 60 10
25 Hayat Nuur Bidan D3 60 10
26 Yeni Murni H, Amd.Keb Bidan/Promkes D3 60 10
27 Anri Mei Rahayu, SST Bidan S1 80 10
28 drg.Sri Darmayant Dokter Madya S2 150 10
29 dr. Rian Dewi Auriani Dokter Umum S1 150 10
30 Hanifah , AMG Nutrisionis D3 60 10
31 Tut Tri Wahyuni, SKM Promkes S1 80 5
32 Wirda Juanita, AMKL Kesling D3 60 5
33 Suryani, AM.Kep Bidan D3 60 5
 KEHADIRAN
PERSENTASE
TANGGUNG KEHADIRAN
JAWAB (%
JUML. PROGRAM PEMBAGIAN KOLOM 3
JUML.
HARI DIBAGI KOLOM 4)
HARI
MASUK KERJA RANGKAP TUGAS
KERJA
ADMINISTRATIF
3 4 5 6 7 8

25 25 100 255 100%

25 25 30 85 100%
24 25 10 165 96%
25 25 155 100%
25 25 155 100%
22 25 105 88%
23 25 65 92%
25 25 65 100%
25 25 10 95 100%
25 25 65 100%
25 25 35 100%
20 25 10 80 80%
25 25 50 120 100%
25 25 90 100%
25 25 90 100%
23 25 70 92%
24 25 35 96%
24 25 10 120 96%
25 25 10 80 100%
25 25 10 120 100%
25 25 70 100%
21 25 70 84%
20 25 60 80%
25 25 70 100%
25 25 70 100%
25 25 10 80 100%
23 25 90 92%
24 25 160 96%
23 25 160 92%
24 25 10 80 96%
25 25 10 95 100%
25 25 10 75 100%
25 25 65 100%
 PENERIMAAN KAPITASI DENGAN JASA PELAYANAN
JUML. PESERTA 8.176 YANG DITERIMA
JUMLAH TOTAL
SELURUH POINT DENGAN PESERTA
( PERKALIAN 8.176
KOLOM 8 X KOLOM 7) BIAYA (KOLOM 9
JASA PELAYANAN OPERASIONAL DIKALI KOLOM 10 DIBAGI
60% JUML.KOLOM 9)
40%

9 10 11 12

255 29,221,200 19,480,800 2,411,458.25

85 29,221,200 19,480,800 803,819.42
158.4 29,221,200 19,480,800 1,497,941.13
155 29,221,200 19,480,800 1,465,788.35
155 29,221,200 19,480,800 1,465,788.35
92.4 29,221,200 19,480,800 873,798.99
59.8 29,221,200 19,480,800 565,510.60 JASA PELAYANAN
65 29,221,200 19,480,800 614,685.44 YANG DITERIMA
95 29,221,200 19,480,800 898,386.41
65 29,221,200 19,480,800 614,685.44
35 29,221,200 19,480,800 330,984.47
64 29,221,200 19,480,800 605,228.74
120 29,221,200 19,480,800 1,134,803.88
90 29,221,200 19,480,800 851,102.91
90 29,221,200 19,480,800 851,102.91
64.4 29,221,200 19,480,800 609,011.42
33.6 29,221,200 19,480,800 317,745.09
115.2 29,221,200 19,480,800 1,089,411.73
80 29,221,200 19,480,800 756,535.92
120 29,221,200 19,480,800 1,134,803.88
70 29,221,200 19,480,800 661,968.93
58.8 29,221,200 19,480,800 556,053.90
48 29,221,200 19,480,800 453,921.55
70 29,221,200 19,480,800 661,968.93
 70 29,221,200 19,480,800 661,968.93
80 29,221,200 19,480,800 756,535.92
82.8 29,221,200 19,480,800 783,014.68
153.6 29,221,200 19,480,800 1,452,548.97
147.2 29,221,200 19,480,800 1,392,026.10
76.8 29,221,200 19,480,800 726,274.49
95 29,221,200 19,480,800 898,386.41
75 29,221,200 19,480,800 709,252.43
65 29,221,200 19,480,800 614,685.44
3090

Jum.kolom 9
JASA PELAYANAN
YANG DITERIMA