Klaim 2020

ALOKASI PEMBAGIAN JASA PELAYANAN KESEHATAN NON KAPITASI JAMINAN KESEHATAN NASIONAL
FKTP BORONG TAHUN 2020
Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

Jum Dana/Tgl Jenis / Bulan Obat/BMHP/B Jasa Pelayanan
NO Jumlah Dana Perawat/ Kepala
Transfer Pelayanan BM (20%) (80%) Jumlah Dana Dokter Jumlah Dana Pengelola JKN P Care
Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Juni-19 840,000 168,000 672,000 537,600 107,520 430,080 134,400 80,640 26,880 26,880
2 Juli-19 1,440,000 288,000 1,152,000 921,600 184,320 737,280 230,400 138,240 46,080 46,080
3 Agust-19 2,040,000 408,000 1,632,000 1,305,600 261,120 1,044,480 326,400 195,840 65,280 65,280
4 Sep-19 2,516,500 503,300 2,013,200 1,610,560 322,112 1,288,448 402,640 241,584 80,528 80,528
6,836,500 1,367,300 5,469,200 4,375,360 875,072 3,500,288 1,093,840 656,304 218,768 218,768
PERSALINAN
2 NORMAL
1 Juni-19 9,096,500 1,819,300 7,277,200 5,821,760 5,821,760 1,455,440 873,264 291,088 291,088
2 Juli-19 7,700,000 1,540,000 6,160,000 4,928,000 4,928,000 1,232,000 739,200 246,400 246,400
3 Agust-19 5,600,000 1,120,000 4,480,000 3,584,000 3,584,000 896,000 537,600 179,200 179,200
4 Sep-19 12,600,000 2,520,000 10,080,000 8,064,000 8,064,000 2,016,000 1,209,600 403,200 403,200
34,996,500 6,999,300 27,997,200 22,397,760 22,397,760 5,599,440 3,359,664 1,119,888 1,119,888

AMBULANCE/R
3 UJUKAN Perawat/Bidan Sopir
Juni-19 4,295,000 859,000 3,436,000 2,748,800 1,374,400 1,374,400 687,200 412,320 137,440 137,440
Juli-19 2,551,500 510,300 2,041,200 1,632,960 816,480 816,480 408,240 244,944 81,648 81,648
Agust-19 2,880,000 576,000 2,304,000 1,843,200 921,600 921,600 460,800 276,480 92,160 92,160
Sep-19 3,615,000 723,000 2,892,000 2,313,600 1,156,800 1,156,800 578,400 347,040 115,680 115,680
13,341,500 2,668,300 10,673,200 8,538,560 4,269,280 4,269,280 2,134,640 1,280,784 426,928 426,928
Total 55,174,500 44,139,600 35,311,680 30,167,328 8,827,920 5,296,752 1,765,584 1,765,584
Non Kapitasi : Kapitasi Total Obat/BMH 364

Obat/ BMHP 8,366,600 Jan s/d Maret 29,647,920 38,014,520 291.2
BBM 2,668,300 145.6 35,311,680 35,311,680
2,668,300 8,827,920
44,139,600
6999300
27,997,200
875,072 22397760
859,000 4,295,000
510,300 2,551,500
576,000 2,880,000
723,000 3,615,000
2,668,300
#REF! 13,341,500
2,134,640
#REF!
#REF!
FKTP BORONG (PUSKESMAS PEOT) TAHUN 2020

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
- - - - - - - - - -
PERSALINAN
2 NORMAL
1 Juni-19 - - - - - - - - -
2 Juli-19 1,400,000 280,000 1,120,000 896,000 896,000 224,000 134,400 44,800 44,800
3 Agust-19 700,000 140,000 560,000 448,000 448,000 112,000 67,200 22,400 22,400
4 Sep-19 2,100,000 420,000 1,680,000 1,344,000 1,344,000 336,000 201,600 67,200 67,200
4,200,000 840,000 3,360,000 2,688,000 2,688,000 672,000 403,200 134,400 134,400

AMBULANCE/R
3 UJUKAN Perawat/Bidan Sopir
Juni-19 - - - - - - - - -
Juli-19 - - - - - - - - -
Agust-19 320,000 64,000 256,000 204,800 102,400 102,400 51,200 30,720 10,240 10,240
Sep-19 320,000 64,000 256,000 204,800 102,400 102,400 51,200 30,720 10,240 10,240
640,000 128,000 512,000 409,600 204,800 204,800 102,400 61,440 20,480 20,480
Total 4,840,000 3,872,000 3,097,600 2,892,800 774,400 464,640 154,880 154,880
Mengetahui Borong,
Kepala UPTD Puskesmas Borong Bendahara JKN UPTD Puskesmas borong
Yosefina Nirma, S.ST Yasinta Kurnia

NIP. 19810805 200604 2 027 NIP. 19820822 201001 2 025

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Oktober -19 2,400,000 480,000 1,920,000 1,536,000 307,200 1,228,800 384,000 230,400 76,800 76,800
2 Nov-19 1,800,000 360,000 1,440,000 1,152,000 230,400 921,600 288,000 172,800 57,600 57,600
3 Des-19 4,200,000 840,000 3,360,000 2,688,000 537,600 2,150,400 672,000 403,200 134,400 134,400
Januari - 20 880,000 176,000 704,000 563,200 112,640 450,560 140,800 84,480 28,160 28,160
Februari - 20 6,117,100 1,223,420 4,893,680 3,914,944 782,989 3,131,955 978,736 587,242 195,747 195,747
15,397,100 3,079,420 12,317,680 9,854,144 1,970,829 7,883,315 2,463,536 1,478,122 492,707 492,707
PERSALINAN
2 NORMAL
1 Oktober -19 11,897,100 2,379,420 9,517,680 7,614,144 7,614,144 1,903,536 1,142,122 380,707 380,707
2 Nov-19 11,900,000 2,380,000 9,520,000 7,616,000 7,616,000 1,904,000 1,142,400 380,800 380,800
3 Des-19 9,097,100 1,819,420 7,277,680 5,822,144 5,822,144 1,455,536 873,322 291,107 291,107
4 Januari - 20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000
Februari - 20 7,000,000 1,400,000 5,600,000 4,480,000 4,480,000 1,120,000 672,000 224,000 224,000
50,394,200 10,078,840 40,315,360 32,252,288 32,252,288 8,063,072 4,837,843 1,612,614 1,612,614

AMBULANCE/RUJ
3 UKAN Perawat/Bidan Sopir
Oktober -19 2,240,000 448,000 1,792,000 1,433,600 716,800 716,800 358,400 215,040 71,680 71,680
Nov-19 4,157,100 831,420 3,325,680 2,660,544 1,330,272 1,330,272 665,136 399,082 133,027 133,027
Des-19 3,655,000 731,000 2,924,000 2,339,200 1,169,600 1,169,600 584,800 350,880 116,960 116,960
Januari - 20 2,560,000 512,000 2,048,000 1,638,400 819,200 819,200 409,600 245,760 81,920 81,920
Februari - 20 4,350,000 870,000 3,480,000 2,784,000 1,392,000 1,392,000 696,000 417,600 139,200 139,200
16,962,100 3,392,420 13,569,680 10,855,744 5,427,872 5,427,872 2,713,936 1,628,362 542,787 542,787
Total 82,753,400 66,202,720 52,962,176 45,563,475 13,240,544 7,944,326 2,648,109 2,648,109
Non Kapitasi : Kapitasi Total Obat

Obat/ BMHP 13,158,260 29,687,760 42,846,020
BBM 3,392,420
Silpa Jasa 11,480,035 3,392,420
Silpa 2019obat 53,832,921 Silpa Op 115,184,118 5427872
Total Obat+silpa 96,678,941 66,202,720
69,595,140
6999300
23,094,688
40,315,360
32,252,288
1,970,829 22397760
40,315,360
448,000 2,240,000
831,420 4,157,100
731,000 3,655,000
512,000 2,560,000
870,000 4,350,000
3,392,420
#REF! 16,962,100
2,134,640
5427872
23,094,688

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Oktober -19 2,400,000 480,000 1,920,000 1,536,000 307,200 1,228,800 384,000 230,400 76,800 76,800
2 Nov-19 1,800,000 360,000 1,440,000 1,152,000 230,400 921,600 288,000 172,800 57,600 57,600
3 Des-19 4,200,000 840,000 3,360,000 2,688,000 537,600 2,150,400 672,000 403,200 134,400 134,400
Januari - 20 880,000 176,000 704,000 563,200 112,640 450,560 140,800 84,480 28,160 28,160
Februari - 20 6,117,100 1,223,420 4,893,680 3,914,944 782,989 3,131,955 978,736 587,242 195,747 195,747
15,397,100 3,079,420 12,317,680 9,854,144 1,970,829 7,883,315 2,463,536 1,478,122 492,707 492,707
PERSALINAN
2 NORMAL
1 2,800,000 Oktober -19 9,097,100 1,819,420 7,277,680 5,822,144 5,822,144 1,455,536 873,322 291,107 291,107
2 2,800,000 Nov-19 9,100,000 1,820,000 7,280,000 5,824,000 5,824,000 1,456,000 873,600 291,200 291,200
3 1,400,000 Des-19 7,697,100 1,539,420 6,157,680 4,926,144 4,926,144 1,231,536 738,922 246,307 246,307
4 1,400,000 Januari - 20 9,100,000 1,820,000 7,280,000 5,824,000 5,824,000 1,456,000 873,600 291,200 291,200
Februari - 20 7,000,000 1,400,000 5,600,000 4,480,000 4,480,000 1,120,000 672,000 224,000 224,000
8,400,000 41,994,200 8,398,840 33,595,360 26,876,288 26,876,288 6,719,072 4,031,443 1,343,814 1,343,814
AMBULANCE/RUJ
3 UKAN Perawat/Bidan Sopir 8,063,072
640,000 Oktober -19 1,600,000 320,000 1,280,000 1,024,000 512,000 512,000 256,000 153,600 51,200 51,200
320,000 Nov-19 3,837,100 767,420 3,069,680 2,455,744 1,227,872 1,227,872 613,936 368,362 122,787 122,787
Des-19 3,655,000 731,000 2,924,000 2,339,200 1,169,600 1,169,600 584,800 350,880 116,960 116,960
320,000 Januari - 20 2,240,000 448,000 1,792,000 1,433,600 716,800 716,800 358,400 215,040 71,680 71,680
29,000 Februari - 20 4,060,000 812,000 3,248,000 2,598,400 1,299,200 1,299,200 649,600 389,760 129,920 129,920
15,392,100 3,078,420 12,313,680 9,850,944 4,925,472 4,925,472 2,462,736 1,477,642 492,547 492,547
Total 72,783,400 58,226,720 46,581,376 39,685,075 11,645,344 6,987,206 2,329,069 2,329,069

Obat/ BMHP 11,478,260 29,687,760 41,166,020
BBM 3,078,420
Silpa Jasa 11,480,035
Total Obat+silpa 94,998,941 58,226,720
61,305,140
6999300
33,595,360
1,970,829 22397760
33,595,360
320,000 1,600,000
767,420 3,837,100
731,000 3,655,000
448,000 2,240,000
812,000 4,060,000
3,078,420
#REF! 15,392,100
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
PERSALINAN
2 NORMAL
1 Oktober -19 2,800,000 560,000 2,240,000 1,792,000 1,792,000 448,000 268,800 89,600 89,600
2 Nov-19 2,800,000 560,000 2,240,000 1,792,000 1,792,000 448,000 268,800 89,600 89,600
3 Des-19 1,400,000 280,000 1,120,000 896,000 896,000 224,000 134,400 44,800 44,800
4 12 Januari - 20 1,400,000 280,000 1,120,000 896,000 896,000 224,000 134,400 44,800 44,800
Februari - 20 - - - - - - - -
8,400,000 1,680,000 6,720,000 5,376,000 5,376,000 1,344,000 806,400 268,800 268,800

AMBULANCE/RUJ
5 Oktober -19 640,000 128,000 512,000 409,600 204,800 204,800 102,400 61,440 20,480 20,480
Nov-19 320,000 64,000 256,000 204,800 102,400 102,400 51,200 30,720 10,240 10,240
Des-19 - - - - - - - - -
Januari - 20 320,000 64,000 256,000 204,800 102,400 102,400 51,200 30,720 10,240 10,240
Februari - 20 290,000 58,000 232,000 185,600 92,800 92,800 46,400 27,840 9,280 9,280
1,570,000 314,000 1,256,000 1,004,800 502,400 502,400 251,200 150,720 50,240 50,240
Total 9,970,000 7,976,000 6,380,800 5,878,400 1,595,200 957,120 319,040 319,040

Obat/ BMHP 1,680,000 29,687,760 31,367,760
BBM 314,000
Silpa 2019obat 53,832,921 Silpa Op 115,184,118
Total Obat+silpa 85,200,681
6,720,000
26,876,288
- 22397760
6,720,000
128,000 640,000
64,000 320,000
- -
64,000 320,000
58,000 290,000
314,000
#REF! 1,570,000
2,134,640
Pemberian Pelayanan Langsung (80%)

NO Jumlah Dana Perawat/
Transfer Pelayanan BM (20%) (80%) Jumlah Dana Dokter
Bidan
1 RITP 20% 80%
1 Oktober -19 1,080,000 216,000 864,000 691,200 138,240 552,960 6999300
2 Nov-19 120,000 24,000 96,000 76,800 15,360 61,440
3 Des-19 240,000 48,000 192,000 153,600 30,720 122,880
Januari - 20 360,000 72,000 288,000 230,400 46,080 184,320
Februari - 20 1,080,000 216,000 864,000 691,200 138,240 552,960
2,880,000 576,000 2,304,000 1,843,200 368,640 1,474,560

PERSALINAN
2 NORMAL
1 Oktober -19 11,897,100 2,379,420 9,517,680 7,614,144 7,614,144
2 Nov-19 11,900,000 2,380,000 9,520,000 7,616,000 7,616,000
3 Des-19 9,097,100 1,819,420 7,277,680 5,822,144 5,822,144 40,315,360
4 Januari - 20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000
Februari - 20 7,000,000 1,400,000 5,600,000 4,480,000 4,480,000
50,394,200 10,078,840 40,315,360 32,252,288 32,252,288 368,640 22397760

AMBULANCE/RUJ
3 UKAN Perawat/Bidan Sopir 40,315,360
Oktober -19 2,240,000 448,000 1,792,000 1,433,600 716,800 716,800 448,000 2,240,000
Nov-19 4,157,100 831,420 3,325,680 2,660,544 1,330,272 1,330,272 831,420 4,157,100
Des-19 3,655,000 731,000 2,924,000 2,339,200 1,169,600 1,169,600 731,000 3,655,000
Januari - 20 2,560,000 512,000 2,048,000 1,638,400 819,200 819,200 512,000 2,560,000
Februari - 20 4,350,000 870,000 3,480,000 2,784,000 1,392,000 1,392,000 870,000 4,350,000
16,962,100 3,392,420 13,569,680 10,855,744 5,427,872 5,427,872 3,392,420

#REF! 16,962,100
Total 70,236,300 56,189,040 44,951,232 39,154,720
2,134,640
Obat/ BMHP 10,654,840 29,687,760 40,342,600
BBM 3,392,420
Total Obat+silpa 94,175,521 56,189,040
59,581,460

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Maret 20 8,760,000 1,752,000 7,008,000 5,606,400 1,121,280 4,485,120 1,401,600 840,960 280,320 280,320
2 Apr-20 4,800,000 960,000 3,840,000 3,072,000 614,400 2,457,600 768,000 460,800 153,600 153,600
3
13,560,000 2,712,000 10,848,000 8,678,400 1,735,680 6,942,720 2,169,600 1,301,760 433,920 433,920
PERSALINAN
2 NORMAL
1 Maret 20 12,597,100 2,519,420 10,077,680 8,062,144 8,062,144 2,015,536 1,209,322 403,107 403,107
2 Apr-20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000
3
4
23,097,100 4,619,420 18,477,680 14,782,144 14,782,144 3,695,536 2,217,322 739,107 739,107

AMBULANCE/RUJ
Maret 20 4,930,000 986,000 3,944,000 3,155,200 1,577,600 1,577,600 788,800 473,280 157,760 157,760
Apr-20 6,380,000 1,276,000 5,104,000 4,083,200 2,041,600 2,041,600 1,020,800 612,480 204,160 204,160
11,310,000 2,262,000 9,048,000 7,238,400 3,619,200 3,619,200 1,809,600 1,085,760 361,920 361,920
Total 47,967,100 38,373,680 30,698,944 25,344,064 7,674,736 4,604,842 1,534,947 1,534,947
Non Kapitasi :
Obat/ BMHP 7,331,420
BBM 2,262,000
6999300
16,353,136
18,477,680
32,252,288
1,735,680 22397760
18,477,680
986,000 4,930,000
1,276,000 6,380,000
- -
- -
- -
2,262,000
#REF! 11,310,000
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Maret 20
2 Apr-20
3
- - - - - - - - - -
PERSALINAN
2 NORMAL
1 Maret 20 - - - - - - - - -
2 Apr-20 3,500,000 700,000 2,800,000 2,240,000 2,240,000 560,000 336,000 112,000 112,000
3
4
3,500,000 700,000 2,800,000 2,240,000 2,240,000 560,000 336,000 112,000 112,000

AMBULANCE/RUJ
Maret 20 290,000 58,000 232,000 185,600 92,800 92,800 46,400 27,840 9,280 9,280
Apr-20 290,000 58,000 232,000 185,600 92,800 92,800 46,400 27,840 9,280 9,280
580,000 116,000 464,000 371,200 185,600 185,600 92,800 55,680 18,560 18,560
Total 4,080,000 3,264,000 2,611,200 2,425,600 652,800 391,680 130,560 130,560
Non Kapitasi :
Obat/ BMHP 700,000
BBM 116,000
12,058,400
6999300
652,800
2,800,000
32,252,288
- 22397760
2,800,000
58,000 290,000
58,000 290,000
- -
- -
- -
116,000
#REF! 580,000
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Maret 20 8,760,000 1,752,000 7,008,000 5,606,400 1,121,280 4,485,120 1,401,600 840,960 280,320 280,320
2 Apr-20 4,800,000 960,000 3,840,000 3,072,000 614,400 2,457,600 768,000 460,800 153,600 153,600
3
13,560,000 2,712,000 10,848,000 8,678,400 1,735,680 6,942,720 2,169,600 1,301,760 433,920 433,920
PERSALINAN
2 NORMAL
1 Maret 20 12,597,100 2,519,420 10,077,680 8,062,144 8,062,144 2,015,536 1,209,322 403,107 403,107
2 Apr-20 7,000,000 1,400,000 5,600,000 4,480,000 4,480,000 1,120,000 672,000 224,000 224,000
3
4
19,597,100 3,919,420 15,677,680 12,542,144 12,542,144 3,135,536 1,881,322 627,107 627,107

AMBULANCE/RUJ
Maret 20 4,640,000 928,000 3,712,000 2,969,600 1,484,800 1,484,800 742,400 445,440 148,480 148,480
Apr-20 6,090,000 1,218,000 4,872,000 3,897,600 1,948,800 1,948,800 974,400 584,640 194,880 194,880
12600000
10,730,000 2,146,000 8,584,000 6,867,200 3,433,600 3,433,600 1,716,800 1,030,080 343,360 343,360
Total 43,887,100 35,109,680 28,087,744 22,918,464 7,021,936 4,213,162 1,404,387 1,404,387
Non Kapitasi :
BBM 2,146,000
6999300
15,700,336
15,677,680
32,252,288
1,735,680 22397760
15,677,680
928,000 4,640,000
1,218,000 6,090,000
- -
- -
- -
2,146,000
#REF! 10,730,000
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Maret 20 8,760,000 1,752,000 7,008,000 5,606,400 1,121,280 4,485,120 1,401,600 840,960 280,320 280,320
2 Apr-20 4,800,000 960,000 3,840,000 3,072,000 614,400 2,457,600 768,000 460,800 153,600 153,600
3
8,040,000 1,608,000 6,432,000 5,145,600 1,029,120 4,116,480 1,286,400 771,840 257,280 257,280
3,720,000 744,000 2,976,000 2,380,800 476,160 1,904,640 595,200 357,120 119,040 119,040
VK 720,000 144,000 576,000 460,800 92,160 368,640 115,200 69,120 23,040 23,040
1,080,000 216,000 864,000 691,200 138,240 552,960 172,800 103,680 34,560 34,560
13,560,000 2,712,000 10,848,000 8,678,400 1,735,680 6,942,720 2,169,600 1,301,760 433,920 433,920
Total VK 921,600 6,021,120
PERSALINAN
2 NORMAL
1 Maret 20 12,597,100 2,519,420 10,077,680 8,062,144 8,062,144 2,015,536 1,209,322 403,107 403,107
2 Apr-20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000
3
4
23,097,100 4,619,420 18,477,680 14,782,144 14,782,144 3,695,536 2,217,322 739,107 739,107

AMBULANCE/RUJ
Maret 20 4,930,000 986,000 3,944,000 3,155,200 1,577,600 1,577,600 788,800 473,280 157,760 157,760
Apr-20 6,380,000 1,276,000 5,104,000 4,083,200 2,041,600 2,041,600 1,020,800 612,480 204,160 204,160
11,310,000 2,262,000 9,048,000 7,238,400 3,619,200 3,619,200 1,809,600 1,085,760 361,920 361,920
Total 47,967,100 38,373,680 30,698,944 25,344,064 7,674,736 4,604,842 1,534,947 1,534,947

Non Kapitasi :
BBM 2,262,000
6999300
720
16,353,136
18,477,680
32,252,288
1,735,680 22397760
18,477,680
986,000 4,930,000
1,276,000 6,380,000
- -
- -
- -
2,262,000
#REF! 11,310,000
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1
2
3
PERSALINAN
2 NORMAL
1 Maret 20 1,662,466 1,662,466 1,329,973 1,329,973 332,493 199,496 66,499 66,499
2 1,662,466
3
4
3,324,932 - 1,662,466 1,329,973 1,329,973 332,493 199,496 66,499 66,499

AMBULANCE/RUJ
Total 3,324,932 1,662,466 1,329,973 1,329,973 332,493 199,496 66,499 66,499
Non Kapitasi :
Obat/ BMHP -
BBM -
6999300
332,493
1,662,466
1,662,466
32,252,288
- 22397760
1,662,466
- -
- -
- -
- -
- -
-
#REF! -
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Mei 20 1,920,000 384,000 1,536,000 1,228,800 245,760 983,040 307,200 184,320 61,440 61,440
2 Juni 20 3,720,000 744,000 2,976,000 2,380,800 476,160 1,904,640 595,200 357,120 119,040 119,040
3 Juli 20 4,077,100 815,420 3,261,680 2,609,344 521,869 2,087,475 652,336 391,402 130,467 130,467
9,717,100 1,943,420 7,773,680 6,218,944 1,243,789 4,975,155 1,554,736 932,842 310,947 310,947
PERSALINAN
2 NORMAL
1 Mei 20 12,597,100 2,519,420 10,077,680 8,062,144 8,062,144 2,015,536 1,209,322 403,107 403,107
2 Juni 20 8,400,000 1,680,000 6,720,000 5,376,000 5,376,000 1,344,000 806,400 268,800 268,800
3 Juli 20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000
4
31,497,100 6,299,420 25,197,680 20,158,144 20,158,144 5,039,536 3,023,722 1,007,907 1,007,907

AMBULANCE/RUJ
Mei 20 4,640,000 928,000 3,712,000 2,969,600 1,484,800 1,484,800 742,400 445,440 148,480 148,480
Juni 20 5,060,000 1,012,000 4,048,000 3,238,400 1,619,200 1,619,200 809,600 485,760 161,920 161,920
Juli 20 3,477,100 695,420 2,781,680 2,225,344 1,112,672 1,112,672 556,336 333,802 111,267 111,267
13,177,100 2,635,420 10,541,680 8,433,344 4,216,672 4,216,672 2,108,336 1,265,002 421,667 421,667
Total 54,391,300 43,513,040 34,810,432 29,349,971 8,702,608 5,221,565 1,740,522 1,740,522
Non Kapitasi :
Obat/ BMHP 8,242,840 3,234,200
BBM 2,635,420 57,625,500
- 36,851,300
46,100,400
57,625,500
6999300
14,921,552
25,197,680
32,252,288
1,243,789 22397760
25,197,680
928,000 4,640,000
1,012,000 5,060,000
695,420 3,477,100
- -
- -
2,635,420
#REF! 13,177,100
2,134,640

Bidan Puskesmas
1 KEGIATAN KELOMPOK 20% 80% 60% 20% 20%
1 Maret 792,100 158,420 633,680 506,944 101,389 405,555 126,736 76,042 25,347 25,347
2 Agustus 825,000 165,000 660,000 528,000 105,600 422,400 132,000 79,200 26,400 26,400
3 Sept 792,100 158,420 633,680 506,944 101,389 405,555 126,736 76,042 25,347 25,347
Okto 825,000 165,000 660,000 528,000 105,600 422,400 132,000 79,200 26,400 26,400
3,234,200 646,840 2,587,360 2,069,888 413,978 1,655,910 517,472 310,483 103,494 103,494
2
1
2 2,069,888
3
4
- - - - - - - - - -
Total 3,234,200 2,587,360 2,069,888 1,655,910 517,472 310,483 103,494 103,494
Non Kapitasi :
Obat/ BMHP 646,840
BBM -
6999300
2,587,360
32,252,288
413,978 22397760
-
- -
- -
- -
- -
- -
-
#REF! -
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Mei 20 1,920,000 384,000 1,536,000 1,228,800 245,760 983,040 307,200 184,320 61,440 61,440
2 Juni 20 3,720,000 744,000 2,976,000 2,380,800 476,160 1,904,640 595,200 357,120 119,040 119,040
3 Juli 20 4,077,100 815,420 3,261,680 2,609,344 521,869 2,087,475 652,336 391,402 130,467 130,467
9,717,100 1,943,420 7,773,680 6,218,944 1,243,789 4,975,155 1,554,736 932,842 310,947 310,947
PERSALINAN
2 NORMAL
1 Mei 20 12,597,100 2,519,420 10,077,680 8,062,144 8,062,144 2,015,536 1,209,322 403,107 403,107
2 Juni 20 8,397,100 1,679,420 6,717,680 5,374,144 5,374,144 1,343,536 806,122 268,707 268,707
3 Juli 20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000
4
31,494,200 6,298,840 25,195,360 20,156,288 20,156,288 5,039,072 3,023,443 1,007,814 1,007,814

AMBULANCE/RUJ
Mei 20 4,640,000 928,000 3,712,000 2,969,600 1,484,800 1,484,800 742,400 445,440 148,480 148,480
Juni 20 5,060,000 1,012,000 4,048,000 3,238,400 1,619,200 1,619,200 809,600 485,760 161,920 161,920
Juli 20 3,480,000 696,000 2,784,000 2,227,200 1,113,600 1,113,600 556,800 334,080 111,360 111,360
13,180,000 2,636,000 10,544,000 8,435,200 4,217,600 4,217,600 2,108,800 1,265,280 421,760 421,760
KEGIATAN KELOMPOK 20% 80% 60% 20% 20%

Maret 792,100 158,420 633,680 506,944 506,944 126,736 76,042 25,347 25,347
Agustus 825,000 165,000 660,000 528,000 528,000 132,000 79,200 26,400 26,400
Sept 792,100 158,420 633,680 506,944 506,944 126,736 76,042 25,347 25,347
Okto 825,000 165,000 660,000 528,000 528,000 132,000 79,200 26,400 26,400
3,234,200 646,840 2,587,360 2,069,888 - 2,069,888 517,472 310,483 103,494 103,494
Total 57,625,500 46,100,400 36,880,320 31,418,931 9,220,080 5,532,048 1,844,016 1,844,016
Non Kapitasi :
Obat/ BMHP 8,889,100 3,234,200
BBM 2,636,000 60,859,700
- 40,085,500
48,687,760
60,859,700
6999300
15,439,024
25,195,360
32,252,288
1,243,789 22397760
25,195,360
928,000 4,640,000
1,012,000 5,060,000
696,000 3,480,000
- -
- -
2,636,000
#REF! 13,180,000
8,435,200
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Mei 20 1,920,000 384,000 1,536,000 1,228,800 245,760 983,040 307,200 184,320 61,440 61,440
2 Juni 20 3,720,000 744,000 2,976,000 2,380,800 476,160 1,904,640 595,200 357,120 119,040 119,040
3 Juli 20 4,077,100 815,420 3,261,680 2,609,344 521,869 2,087,475 652,336 391,402 130,467 130,467
9,717,100 1,943,420 7,773,680 6,218,944 1,243,789 4,975,155 1,554,736 932,842 310,947 310,947
PERSALINAN
2 NORMAL
1 12,597,100 Mei 20 8,397,100 1,679,420 6,717,680 5,374,144 5,374,144 1,343,536 806,122 268,707 268,707
2 8,397,100 Juni 20 4,897,100 979,420 3,917,680 3,134,144 3,134,144 783,536 470,122 156,707 156,707
3 10,500,000 Juli 20 7,700,000 1,540,000 6,160,000 4,928,000 4,928,000 1,232,000 739,200 246,400 246,400
4
20,994,200 4,198,840 16,795,360 13,436,288 13,436,288 3,359,072 2,015,443 671,814 671,814

AMBULANCE/RUJ
Mei 20 3,480,000 696,000 2,784,000 2,227,200 1,113,600 1,113,600 556,800 334,080 111,360 111,360
Juni 20 4,480,000 896,000 3,584,000 2,867,200 1,433,600 1,433,600 716,800 430,080 143,360 143,360
Juli 20 3,190,000 638,000 2,552,000 2,041,600 1,020,800 1,020,800 510,400 306,240 102,080 102,080
11,150,000 2,230,000 8,920,000 7,136,000 3,568,000 3,568,000 1,784,000 1,070,400 356,800 356,800

Juli 792,100 158,420 633,680 506,944 506,944 126,736 76,042 25,347 25,347
Agustus 825,000 165,000 660,000 528,000 528,000 132,000 79,200 26,400 26,400
Sept 792,100 158,420 633,680 506,944 506,944 126,736 76,042 25,347 25,347
Okto 825,000 165,000 660,000 528,000 528,000 132,000 79,200 26,400 26,400
3,234,200 646,840 2,587,360 2,069,888 - 2,069,888 517,472 310,483 103,494 103,494
Total 41,861,300 36,076,400 28,861,120 24,049,331 7,215,280 4,329,168 1,443,056 1,443,056
Non Kapitasi :
Obat/ BMHP 6,142,260 3,234,200 1,569,888
BBM 2,230,000 45,095,500 20,156,288
- 24,321,300
38,663,760
45,095,500
6999300
13,434,224
16,795,360
32,252,288
1,243,789 22397760
16,795,360
696,000 3,480,000
896,000 4,480,000
638,000 3,190,000
- -
2,230,000
#REF! 11,150,000
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
- - - - - - - - - -
PERSALINAN
2 NORMAL
1 Mei 20 4,200,000 840,000 3,360,000 2,688,000 2,688,000 672,000 403,200 134,400 134,400
2 Juni 20 3,500,000 700,000 2,800,000 2,240,000 2,240,000 560,000 336,000 112,000 112,000
3 Juli 20 2,800,000 560,000 2,240,000 1,792,000 1,792,000 448,000 268,800 89,600 89,600
4
10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000

AMBULANCE/RUJ
Mei 20 1,160,000 232,000 928,000 742,400 371,200 371,200 185,600 111,360 37,120 37,120
Juni 20 580,000 116,000 464,000 371,200 185,600 185,600 92,800 55,680 18,560 18,560
Juli 20 290,000 58,000 232,000 185,600 92,800 92,800 46,400 27,840 9,280 9,280
2,030,000 406,000 1,624,000 1,299,200 649,600 649,600 324,800 194,880 64,960 64,960
Total 12,530,000 10,024,000 8,019,200 7,369,600 2,004,800 1,202,880 400,960 400,960
Non Kapitasi :
Obat/ BMHP 2,100,000 3,234,200
BBM 406,000 15,764,200
5,010,000
12,611,360
15,764,200
2,004,800
8,400,000
32,252,288
- 22397760
8,400,000
232,000 1,160,000
116,000 580,000
58,000 290,000
- -
- -
406,000
#REF! 2,030,000
2,134,640

Bidan Puskesmas
1 RITP 20% 80% 60% 20% 20%
1 Mei 20 1,920,000 384,000 1,536,000 1,228,800 245,760 983,040 307,200 184,320 61,440 61,440
2 Juni 20 3,720,000 744,000 2,976,000 2,380,800 476,160 1,904,640 595,200 357,120 119,040 119,040
3 Juli 20 4,077,100 815,420 3,261,680 2,609,344 521,869 2,087,475 652,336 391,402 130,467 130,467
9,717,100 1,943,420 7,773,680 6,218,944 1,243,789 4,975,155 1,554,736 932,842 310,947 310,947
PERSALINAN
2 NORMAL
1 Mei 20 12,597,100 2,519,420 10,077,680 8,062,144 8,062,144 2,015,536 1,209,322 403,107 403,107
2 Juni 20 8,400,000 1,680,000 6,720,000 5,376,000 5,376,000 1,344,000 806,400 268,800 268,800
3 Juli 20 10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000
4
31,497,100 6,299,420 25,197,680 20,158,144 20,158,144 5,039,536 3,023,722 1,007,907 1,007,907

AMBULANCE/RUJ
Mei 20 4,640,000 928,000 3,712,000 2,969,600 1,484,800 1,484,800 742,400 445,440 148,480 148,480
Juni 20 5,060,000 1,012,000 4,048,000 3,238,400 1,619,200 1,619,200 809,600 485,760 161,920 161,920
Juli 20 3,480,000 696,000 2,784,000 2,227,200 1,113,600 1,113,600 556,800 334,080 111,360 111,360
13,180,000 2,636,000 10,544,000 8,435,200 4,217,600 4,217,600 2,108,800 1,265,280 421,760 421,760

Juli 792,100 158,420 633,680 506,944 506,944 126,736 76,042 25,347 25,347
Agustus 825,000 165,000 660,000 528,000 528,000 132,000 79,200 26,400 26,400
Sept 792,100 158,420 633,680 506,944 506,944 126,736 76,042 25,347 25,347
Okto 825,000 165,000 660,000 528,000 528,000 132,000 79,200 26,400 26,400
3,234,200 646,840 2,587,360 2,069,888 - 2,069,888 517,472 310,483 103,494 103,494
Total 57,628,400 46,102,720 36,882,176 31,420,787 9,220,544 5,532,326 1,844,109 1,844,109
Non Kapitasi :
Obat/ BMHP 8,889,680 3,234,200 2,635,420
BBM 2,636,000 60,862,600
- 40,088,400
48,690,080
60,862,600
1,930,000
6999300
15,439,488
25,197,680
32,252,288
1,243,789 22397760
25,197,680
928,000 4,640,000
1,012,000 5,060,000
696,000 3,480,000
- -
- -
1,265,280 1,265,280
2,636,000
#REF! 14,445,280
2,108,800
2,134,640
205

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ALOKASI PEMBAGIAN JASA PELAYANAN KESEHATAN NON KAPITASI JAMINAN KESEHATAN NASIONAL

FKTP BORONG TAHUN 2020

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

34,996,500 6,999,300 27,997,200 22,397,760 22,397,760 5,599,440 3,359,664 1,119,888 1,119,888

Total 55,174,500 44,139,600 35,311,680 30,167,328 8,827,920 5,296,752 1,765,584 1,765,584

Non Kapitasi : Kapitasi Total Obat/BMH 364

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

4,200,000 840,000 3,360,000 2,688,000 2,688,000 672,000 403,200 134,400 134,400

Total 4,840,000 3,872,000 3,097,600 2,892,800 774,400 464,640 154,880 154,880

Yosefina Nirma, S.ST Yasinta Kurnia

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

50,394,200 10,078,840 40,315,360 32,252,288 32,252,288 8,063,072 4,837,843 1,612,614 1,612,614

Total 82,753,400 66,202,720 52,962,176 45,563,475 13,240,544 7,944,326 2,648,109 2,648,109

Non Kapitasi : Kapitasi Total Obat

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

Total 72,783,400 58,226,720 46,581,376 39,685,075 11,645,344 6,987,206 2,329,069 2,329,069

Non Kapitasi : Kapitasi Total Obat

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

8,400,000 1,680,000 6,720,000 5,376,000 5,376,000 1,344,000 806,400 268,800 268,800

Total 9,970,000 7,976,000 6,380,800 5,878,400 1,595,200 957,120 319,040 319,040

Non Kapitasi : Kapitasi Total Obat

Pemberian Pelayanan Langsung (80%)

2,880,000 576,000 2,304,000 1,843,200 368,640 1,474,560

50,394,200 10,078,840 40,315,360 32,252,288 32,252,288 368,640 22397760

16,962,100 3,392,420 13,569,680 10,855,744 5,427,872 5,427,872 3,392,420

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

23,097,100 4,619,420 18,477,680 14,782,144 14,782,144 3,695,536 2,217,322 739,107 739,107

Total 47,967,100 38,373,680 30,698,944 25,344,064 7,674,736 4,604,842 1,534,947 1,534,947

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

3,500,000 700,000 2,800,000 2,240,000 2,240,000 560,000 336,000 112,000 112,000

Total 4,080,000 3,264,000 2,611,200 2,425,600 652,800 391,680 130,560 130,560

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

19,597,100 3,919,420 15,677,680 12,542,144 12,542,144 3,135,536 1,881,322 627,107 627,107

Total 43,887,100 35,109,680 28,087,744 22,918,464 7,021,936 4,213,162 1,404,387 1,404,387

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

23,097,100 4,619,420 18,477,680 14,782,144 14,782,144 3,695,536 2,217,322 739,107 739,107

Total 47,967,100 38,373,680 30,698,944 25,344,064 7,674,736 4,604,842 1,534,947 1,534,947

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

3,324,932 - 1,662,466 1,329,973 1,329,973 332,493 199,496 66,499 66,499

Total 3,324,932 1,662,466 1,329,973 1,329,973 332,493 199,496 66,499 66,499

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

31,497,100 6,299,420 25,197,680 20,158,144 20,158,144 5,039,536 3,023,722 1,007,907 1,007,907

Total 54,391,300 43,513,040 34,810,432 29,349,971 8,702,608 5,221,565 1,740,522 1,740,522

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

Total 3,234,200 2,587,360 2,069,888 1,655,910 517,472 310,483 103,494 103,494

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

31,494,200 6,298,840 25,195,360 20,156,288 20,156,288 5,039,072 3,023,443 1,007,814 1,007,814

KEGIATAN KELOMPOK 20% 80% 60% 20% 20%

3,234,200 646,840 2,587,360 2,069,888 - 2,069,888 517,472 310,483 103,494 103,494

Total 57,625,500 46,100,400 36,880,320 31,418,931 9,220,080 5,532,048 1,844,016 1,844,016

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

20,994,200 4,198,840 16,795,360 13,436,288 13,436,288 3,359,072 2,015,443 671,814 671,814

KEGIATAN KELOMPOK 20% 80% 60% 20% 20%

Total 41,861,300 36,076,400 28,861,120 24,049,331 7,215,280 4,329,168 1,443,056 1,443,056

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

10,500,000 2,100,000 8,400,000 6,720,000 6,720,000 1,680,000 1,008,000 336,000 336,000

Total 12,530,000 10,024,000 8,019,200 7,369,600 2,004,800 1,202,880 400,960 400,960

Pemberian Pelayanan Langsung (80%) Pemberi Pelayanan Tidak Langsung(20%)

31,497,100 6,299,420 25,197,680 20,158,144 20,158,144 5,039,536 3,023,722 1,007,907 1,007,907

KEGIATAN KELOMPOK 20% 80% 60% 20% 20%

3,234,200 646,840 2,587,360 2,069,888 - 2,069,888 517,472 310,483 103,494 103,494

Total 57,628,400 46,102,720 36,882,176 31,420,787 9,220,544 5,532,326 1,844,109 1,844,109

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