REKAPITULASI PEMBAYARAN KAPITASI PESERTA PER FASKES TINGKAT I

KABUPATEN MOROWALI UTARA

BULAN SEPTEMBER 2020

TOTAL
KODE
NO NAMA FASKES PESERTA NORMA KAPITASI BIAYA KAPITASI
FASKES
TERDAFTAR

1 2 3 6=4+5 7 8=6*7

1 20081302 PUSKESMAS TOMATA 7,714 6,000 46,284,000

2 20081303 PUSKESMAS BETELEME 11,930 5,400 64,422,000
3 20081501 PUSKESMAS KOLONODALE 8,441 6,000 50,646,000
4 20081502 PUSKESMAS TAMBAYOLI 3,300 6,000 19,800,000
5 20081802 PUSKESMAS MALINO 12,219 6,000 73,314,000
6 03130002 PUSKESMAS BATURUBE 13,104 5,100 66,830,400
7 03131806 PUSKESMAS PANDAUKE 9,756 5,400 52,682,400
8 05200002 PUSKESMAS LEE 2,796 5,500 15,378,000
9 05200001 PUSKESMAS PETUMBEA 5,974 6,000 35,844,000
10 0520U001 PUSKESMAS MAYUMBA 5,105 4,050 20,675,250
11 20081101 PUSKESMAS ANUTOLUWU 6,027 4,750 28,628,250
12 20081201 PUSKESMAS PANCA MAKMUR 4,543 5,000 22,715,000
13 05201001 PUSKESMAS POTOWE INDO LIJO 249 4,500 1,120,500
14 0520B003 KLINIK RAPHA MEDIKA 476 9,000 4,284,000
16 0520B004 KLINIK AFIFA 3,509 10,000 35,090,000
17 0313U003 dr. ANAK AGUNG GEDE M.P ASMARA 4,213 -
18 0520U001 dr. I MADE PUJAWAN 715 8,000 5,720,000
19 03130001 KLINIK POLRES MOROWALI 596 8,000 4,768,000
TOTAL 100,667 104,700 548,201,800

Luwuk, 10 September 2020

Kepala

Arif Sugiharto
 REKAPITULASI PEMBAYARAN KAPITASI PESERTA PER FASKES TINGKAT I
KABUPATEN MOROWALI
BULAN SEPTEMBER 2020

KODE TOTAL PESERTA

NO NAMA FASKES NORMA KAPITASI BIAYA KAPITASI
FASKES TERDAFTAR

1 2 3 6=4+5 7 8=6*7

1 20081401 PUSKESMAS BUNGKU 21,058 5,400 113,713,200

2 20081402 PUSKESMAS BAHONSUAI 10,147 4,050 41,095,350
3 20081403 PUSKESMAS WOSU 11,243 5,400 60,712,200
4 03131805 PUSKESMAS LAANTULAJAYA 11,069 4,500 49,810,500
5 20081601 PUSKESMAS KALEROANG 7,716 4,500 34,722,000
6 20081602 PUSKESMAS BAHODOPI 10,906 5,100 55,620,600
7 20081701 PUSKESMAS ULUNAMBO 12,103 5,000 60,515,000
8 03131804 PUSKESMAS BAHOMOTEFE 9,173 5,400 49,534,200
9 03131803 PUSKESMAS LAFEU 6,542 4,675 30,583,850
10 0313B001 KLINIK TAMACO GRAHA KRIDA 1,965 8,000 15,720,000
11 0313B002 KLINIK PT IMIP 28,013 9,500 266,123,500
12 0313U074 dr. SANDRA SUSANTY, MARS 1,749 8,000 13,992,000
13 0313B003 RSU PRATAMA PAKU 2,892 9,000 26,028,000
TOTAL 134,576 78,525 818,170,400

Luwuk, 10 September 2020

Kepala

Arif Sugiharto
 REKAPITULASI PEMBAYARAN KAPITASI PESERTA PER FASKES TINGKAT I
KABUPATEN BANGGAI
BULAN SEPTEMBER 2020

KODE TOTAL PESERTA NORMA

NO NAMA FASKES BIAYA KAPITASI
FASKES TERDAFTAR KAPITASI

1 2 3 6=4+5 7 8=6*7
1 20041401 PUSKESMAS LUWUK 19,575 6,000 117,450,000
2 20041402 PUSKESMAS KAMPUNG BARU 24,161 5,700 137,717,700
3 20041201 PUSKESMAS KINTOM 8,352 4,050 33,825,600
4 20040404 PUSKESMAS BATUI 12,735 4,050 51,576,750
5 20040405 PUSKESMAS SINORANG 9,785 4,750 46,478,750
6 20040401 PUSKESMAS TOILI I 11,068 6,000 66,408,000
7 20040402 PUSKESMAS TOILI II 17,665 6,000 105,990,000
8 20040403 PUSKESMAS TOILI III 14,514 6,000 87,084,000
9 20041403 PUSKESMAS HUNDUHON 8,776 4,950 43,441,200
10 20040801 PUSKESMAS TANGEBAN 7,834 5,700 44,653,800
11 20040803 PUSKESMAS BONEBOBAKAL 4,022 4,500 18,099,000
12 20040802 PUSKESMAS MANTOK 5,088 3,000 15,264,000
13 20040201 PUSKESMAS BALANTAK 4,051 6,000 24,306,000
14 03000905 PUSKESMAS BALANTAK SELATAN 3,142 4,500 14,139,000
15 03001004 PUSKESMAS TEKU 2,974 4,500 13,383,000
16 20041002 PUSKESMAS BUALEMO 9,482 4,500 42,669,000
17 03001005 PUSKESMAS TIKUPON 3,177 4,500 14,296,500
18 20041001 PUSKESMAS PAGIMANA 11,574 4,050 46,874,700
19 20041003 PUSKESMAS LOBU 3,372 4,500 15,174,000
20 20040103 PUSKESMAS TOIMA 3,362 4,500 15,129,000
21 20040101 PUSKESMAS BUNTA 10,013 4,500 45,058,500
22 20041501 PUSKESMAS NUHON 5,871 4,275 25,098,525
23 20040102 PUSKESMAS SAITI 6,655 3,000 19,965,000
24 03000903 PUSKESMAS SIMPANG RAYA 7,598 4,050 30,771,900
25 03000906 PUSKESMAS BIAK 8,240 4,500 37,080,000
26 03001006 PUSKESMAS NAMBO 4,385 5,000 21,925,000
27 0300B003 KLINIK AMIRA MEDICA 2,593 10,000 25,930,000
28 0300B006 KLINIK DEJAVU 392 9,000 3,528,000
29 0300B008 MUHAMMADIYAH SURYA MEDIKA 88 9,000 792,000
30 0300G001 DRG. IRWATI 190 2,000 380,000
31 0300U031 dr. Nurhayati Kasim 372 8,000 2,976,000
32 0300U032 DR. FARAMITHA M.SAUD 308 8,000 2,464,000
33 03000002 KLINIK POLRES BANGGAI 1,854 8,000 14,832,000
34 03000001 POSKES 13.10.03 LUWUK 1,431 8,000 11,448,000
35 0300B007 RSP dr.ABD.Chalik Masulili 3,678 9,000 33,102,000
TOTAL 238,377 194,075 1,229,310,925

Luwuk, 10 September 2020

Kepala

Arif Sugiharto
 REKAPITULASI PEMBAYARAN KAPITASI PESERTA PER FASKES TINGKAT I
KABUPATEN BANGGAI KEPULAUAN
BULAN SEPTEMBER 2020

KODE TOTAL PESERTA NORMA

NO NAMA FASKES BIAYA KAPITASI
FASKES TERDAFTAR KAPITASI

1 2 3 6=4+5 7 8=6*7

1 20070301 PUSKESMAS SALAKAN 8,595 4,950 42,545,250

2 03110903 PUSKESMAS TOTIKUM 6,679 5,500 36,734,500
3 20070302 PUSKESMAS MANSAMAT 4,206 4,500 18,927,000
4 20070502 PUSKESMAS SALEATI 5,711 5,500 31,410,500
5 20070902 PUSKESMAS TATABA 4,072 5,500 22,396,000
6 20070901 PUSKESMAS LUMBI-LUMBIA 4,734 5,500 26,037,000
7 20071303 PUSKESMAS LOLANTANG 6,367 4,950 31,516,650
8 20071302 PUSKESMAS SABANG 7,478 4,050 30,285,900
9 20071301 PUSKESMAS BULAGI 7,216 4,050 29,224,800
10 20070501 PUSKESMAS PATUKUKI 6,493 3,150 20,452,950
11 3110905 PUSKESMAS TINANGKUNG UTARA 4,431 5,500 24,370,500
12 3110906 PUSKESMAS TOTIKUM SELATAN 5,292 5,400 28,576,800
13 03110904 PUSKESMAS BAKALAN RAYA 1,553 3,500 5,435,500
14 0311U022 ABDI GUNAWAN, DR 919 8,000 7,352,000
15 0311U025 DR. ANDI FATRIANI PATSAR MKES 305 8,000 2,440,000
16 03110002 KLINIK POLRES BANGKEP 576 8,000 4,608,000
17 0311B001 RSP BILABANGGAI BUKO SELATAN 6,108 8,640 52,773,120
TOTAL 80,735 94,690 415,086,470

Luwuk, 10 September 2020

Kepala

Arif Sugiharto
 REKAPITULASI PEMBAYARAN KAPITASI PESERTA PER FASKES TINGKAT I
KABUPATEN BANGGAI LAUT
BULAN SEPTEMBER 2020

KODE TOTAL PESERTA NORMA

NO NAMA FASKES BIAYA KAPITASI
FASKES TERDAFTAR KAPITASI

1 2 3 6=4+5 7 8=6*7

1 20071101 PUSKESMAS BANGGAI 8,187 4,950 40,525,650

2 03110001 PUSKESMAS LOKOTOY 2,297 4,500 10,336,500
3 20070602 PUSKESMAS LANTIBUNG 2,501 4,500 11,254,500
4 20070603 PUSKESMAS BUNGIN 4,058 4,500 18,261,000
5 05221001 PUSKESMAS MATANGA 1,853 4,500 8,338,500
6 20010601 PUSKESMAS LIPULALONGO 2,911 4,500 13,099,500
7 05221002 PUSKESMAS ADEAN 2,477 5,000 12,385,000
8 05221003 PUSKESMAS BANGGAI TIMUR RAYA 1,146 4,500 5,157,000
9 05221004 PUSKESMAS TIKSON RAYA 210 3,000 630,000
10 0522B002 KLINIK QUEEN MEDIKA 74 8,000 592,000
11 0311U017 dr. MUHAMAD MAMANG 324 8,000 2,592,000
TOTAL 26,038 55,950 123,171,650

Luwuk, 10 September 2020

Kepala

Arif Sugiharto
 REKAPITULASI PEMBAYARAN KAPITASI PESERTA PER FASKES TINGKAT I
KABUPATEN TOJO UNA UNA
BULAN SEPTEMBER 2020

KODE TOTAL PESERTA NORMA

NO NAMA FASKES BIAYA KAPITASI
FASKES TERDAFTAR KAPITASI

1 2 3 6=4+5 7 8=6*7

1 20101001 PUSKESMAS WAKAI 13,176 4,675 61,597,800

2 20101002 PUSKESMAS LEBITI 8,631 4,500 38,839,500
3 20100801 PUSKESMAS DOLONG 3,618 3,000 10,854,000
4 20100802 PUSKESMAS POPOLII 5,839 3,000 17,517,000
5 20100601 PUSKESMAS AMPANA TETE 20,369 5,700 116,103,300
6 20100602 PUSKESMAS DATARAN BULAN 3,961 4,500 17,824,500
7 20100901 PUSKESMAS AMPANA TIMUR 22,395 5,400 120,933,000
8 20100902 PUSKESMAS AMPANA BARAT 15,185 4,950 75,165,750
9 20100501 PUSKESMAS MAROWO 15,334 4,950 75,903,300
10 20100401 PUSKESMAS UEKULI 11,909 4,950 58,949,550
11 20100402 PUSKESMAS MATAKO 5,667 3,000 17,001,000
12 04120002 PUSKESMAS TOMBIANO 4,833 5,500 26,581,500
13 04120001 PUSKESMAS PASOKAN 3,665 3,000 10,995,000
14 0412U001 dr.Hans Tunggadi 1,255 8,000 10,040,000
15 0412U002 dr.ABD.RAHMAN,DM., MARS 2,286 8,000 18,288,000
16 0412U006 DR.JEANETTE MICHELLE .C 65 8,000 520,000
17 04120004 KLINIK POLRES TOUNA 802 8,000 6,416,000

TOTAL 138,990 89,125 683,529,200

Luwuk, 10 September 2020

Kepala

Arif Sugiharto
3,817,470,445