LAMPIRAN KEPUTUSAN

KEPALA BPJS KESEHATAN CABANG PADANG

TENTANG PENETAPAN JUMLAH PESERTA TERDAFTAR PER FASKES
BULAN JANUARI 2023 DAN SUSULAN DESEMBER 2022
KAB.PESISIR SELATAN

PESERTA NON PBI PESERTA PBI SUSULAN NORMA BIAYA

NO KODE NAMA FASKES TOTAL NORMA BIAYA KAPITASI KAPITASI KAPITASI TOTAL BIAYA KOMPENSASI TOTAL
FASKES PESERTA KAPITASI KAPITASI DIBAYARKAN
SUSULAN SUSULAN
PPU PBPU BP JUMLAH APBD PANTI APBN JUMLAH NON PBI PBI JK
1 2 3 4 5 6 7=4+5+6 8 9 10 11=8+9+10 12=7+11 13 14=13*12 15 16 17 18=(15+16)*17 19=14+18 20 21=19-20
1 03030102 BRG-BRG BELANTAI 711 369 58 1,138 1,213 7,306 8,519 9,657 6,000 57,942,000 10 6,000 60,000 58,002,000 58,002,000
2 03030101 TARUSAN 2,664 1,373 379 4,416 2,927 11,558 14,485 18,901 4,750 89,779,750 30 6,000 180,000 89,959,750 89,959,750
3 03030201 KOTO BERAPAK 2,092 651 259 3,002 1,977 6,100 8,077 11,079 6,000 66,474,000 12 6,000 72,000 66,546,000 66,546,000
4 03030202 PASAR BARU 2,337 824 261 3,422 2,905 9,378 12,283 15,705 6,000 94,230,000 17 6,000 102,000 94,332,000 94,332,000
5 03030203 ASAM KUMBANG 590 182 43 815 420 4,668 5,088 5,903 5,500 32,466,500 5 5,225 26,125 32,492,625 32,492,625
6 03030301 SALIDO 5,363 1,264 761 7,388 3,833 10,025 13,858 21,246 6,000 127,476,000 14 6,000 84,000 127,560,000 127,560,000
7 03030302 LUMPO 1,170 322 123 1,615 1,060 4,190 5,250 6,865 5,000 34,325,000 7 4,750 33,250 34,358,250 34,358,250
8 03030401 PASAR KUOK 1,814 801 224 2,839 2,478 9,047 11,525 14,364 5,500 79,002,000 22 6,000 132,000 79,134,000 79,134,000
9 03030402 SURANTIH 2,147 1,625 96 3,868 3,657 18,342 21,999 25,867 5,100 131,921,700 68 5,400 367,200 132,288,900 132,288,900
10 03030403 IV KOTO MUDIK 798 403 106 1,307 1,690 3,240 4,930 6,237 6,000 37,422,000 16 6,000 96,000 37,518,000 37,518,000
11 03030501 KAMBANG 3,656 1,926 278 5,860 2,583 14,796 17,379 23,239 6,000 139,434,000 39 6,000 234,000 139,668,000 139,668,000
12 03030502 KOTO BARU 1,117 367 120 1,604 995 8,075 9,070 10,674 5,000 53,370,000 5 5,000 25,000 53,395,000 53,395,000
13 03030601 BALAI SELASA 2,920 1,232 368 4,520 1,065 13,074 14,139 18,659 6,000 111,954,000 25 6,000 150,000 112,104,000 112,104,000
14 03030602 AIR HAJI 2,611 1,521 169 4,301 2,524 18,067 20,591 24,892 5,700 141,884,400 47 6,000 282,000 142,166,400 142,166,400
15 03030701 INDRAPURA 6,502 927 152 7,581 1,414 6,439 7,853 15,434 5,500 84,887,000 30 4,500 135,000 85,022,000 85,022,000
16 03030702 TAPAN 3,144 780 126 4,050 2,093 5,774 7,867 11,917 5,700 67,926,900 18 5,400 97,200 68,024,100 68,024,100
17 03030703 TJ. BERINGIN 3,820 842 48 4,710 577 6,830 7,407 12,117 3,150 38,168,550 12 4,500 54,000 38,222,550 38,222,550
18 03030704 TANJUNG MAKMUR 2,831 628 13 3,472 431 2,938 3,369 6,841 6,000 41,046,000 24 5,400 129,600 41,175,600 41,175,600
19 00420014 POSKES 01.10.21 PAINAN 758 20 65 843 1 1 844 8,000 6,752,000 8,000 6,752,000 6,752,000
20 00421001 PUSKESMAS AIR PURA 644 319 26 989 1,058 5,453 6,511 7,500 3,500 26,250,000 17 5,000 85,000 26,335,000 26,335,000
21 00421002 RANAH AMPEK HULU TAPAN 394 109 4 507 846 5,197 6,043 6,550 4,750 31,112,500 10 5,000 50,000 31,162,500 31,162,500
22 0042B003 KLINIK PAINAN 5,871 1,510 391 7,772 244 244 8,016 10,000 80,160,000 15 10,000 150,000 80,310,000 80,310,000
23 0042B005 KLINIK SAFA PRATAMA 52 22 1 75 7 7 82 9,000 738,000 9,000 738,000 738,000
24 0042G002 drg. Mimi Ermawati 476 420 25 921 130 130 1,051 2,000 2,102,000 4 2,000 8,000 2,110,000 2,110,000
25 0042U083 dr. Reny Marlina 336 148 38 522 18 18 540 8,000 4,320,000 8,000 4,320,000 4,320,000
26 0042U083 dr. Refni Syilfia 555 458 28 1,041 157 157 1,198 8,000 9,584,000 4 8,000 32,000 9,616,000 9,616,000
27 0042U086 DR. H. EDWIN RIVA'I 267 90 3 360 11 11 371 8,000 2,968,000 2 8,000 16,000 2,984,000 2,984,000
28 00420015 KLINIK PRATAMA POLRES PESSEL 1,197 21 55 1,273 7 7 1,280 9,000 11,520,000 11,520,000 11,520,000
TOTAL 56,837 19,154 4,220 80,211 35,746 171,072 206,818 287,029 1,605,216,300 453 2,600,375 1,607,816,675 1,607,816,675