REKAPITULASI KLAIM NON KAPITASI BPJS
YANG MASUK KE REKENING BJB
|
FASKES PUSKESMAS LEGONKULON
|
BULAN APRIL DAN MEI 2014
|
NO
|
BULAN
|
JML KASUS
|
RITP
|
JML KASUS
|
PERSALINAN
|
JML KASUS
|
AMBULAN
|
TOTAL KASUS
|
JUMLAH
|
|
1
|
Maret
|
24
|
Rp
4,000,000
|
-
|
Rp -
|
-
|
Rp -
|
24
|
Rp
4,000,000
|
|
2
|
April
|
11
|
Rp
1,885,000
|
1
|
Rp 585,000
|
2
|
Rp 391,000
|
14
|
Rp
2,861,000
|
|
TOTAL
|
35
|
Rp
5,885,000
|
1
|
Rp 585,000
|
2
|
Rp 391,000
|
38
|
Rp
6,861,000
|
||
Legonkulon, 20 Januari 2015
Mengetahui
Mengetahui Bendahara JKN
Kepala FKTP UPTD Puskesmas Legonkulon
dr.H. HASYARI, MM
NIP.19701226 200604 1 004
TITIN NURHAYAT,S.ST
NIP.19701226 200604 1 004
NIP.19701226 200604 1 004
NO
|
BULAN
|
JML KASUS
|
RITP
|
JML KASUS
|
PERSALINAN
|
JML KASUS
|
AMBULAN
|
TOTAL KASUS
|
JUMLAH
|
1
|
Januari
|
20
|
Rp
2,700,000
|
-
|
Rp -
|
-
|
Rp -
|
20
|
Rp 2,700,000
|
2
|
Februari
|
15
|
Rp
2,500,000
|
-
|
Rp -
|
-
|
Rp -
|
15
|
Rp 2,500,000
|
3
|
Maret
|
24
|
Rp
4,000,000
|
1
|
Rp 600,000
|
-
|
Rp -
|
25
|
Rp 4,600,000
|
4
|
April
|
11
|
Rp
1,900,000
|
1
|
Rp 600,000
|
2
|
Rp 406,000
|
14
|
Rp 2,906,000
|
5
|
Mei
|
16
|
Rp
3,400,000
|
-
|
Rp -
|
-
|
Rp -
|
16
|
Rp 3,400,000
|
6
|
Juni
|
16
|
Rp
3,800,000
|
-
|
Rp -
|
-
|
Rp -
|
16
|
Rp3,800,000
|
7
|
Juli
|
12
|
Rp
3,200,000
|
-
|
Rp -
|
-
|
Rp -
|
12
|
Rp 3,200,000
|
8
|
Agustus
|
9
|
Rp
2,200,000
|
5
|
Rp
3,000,000
|
-
|
Rp -
|
14
|
Rp
5,200,000
|
9
|
September
|
12
|
Rp
2,300,000
|
2
|
Rp
1,350,000
|
-
|
Rp -
|
14
|
Rp3,650,000
|
10
|
Oktober
|
13
|
Rp
2,600,000
|
1
|
Rp 600,000
|
-
|
Rp -
|
14
|
Rp3,200,000
|
11
|
November
|
12
|
Rp
1,900,000
|
3
|
Rp
1,950,000
|
-
|
Rp -
|
15
|
Rp 3,850,000
|
12
|
Desember
|
7
|
Rp
1,400,000
|
2
|
Rp
1,200,000
|
-
|
Rp
-
|
9
|
Rp 2,600,000
|
JUMLAH TOTAL
|
167
|
Rp
31,900,000
|
15
|
Rp
9,300,000
|
2
|
Rp 406,000
|
184
|
Rp 41,606,000
|
NO
|
BULAN
|
JML KASUS
|
RITP
|
JML KASUS
|
PERSALINAN
|
JML KASUS
|
AMBULANCE
|
TOTAL KASUS
|
JUMLAH
|
1
|
Januari
|
11
|
Rp
2,100,000
|
1
|
Rp 600,000
|
-
|
Rp -
|
12
|
Rp
2,700,000
|
2
|
Februari
|
10
|
Rp
2,200,000
|
3
|
Rp
1,950,000
|
-
|
Rp -
|
13
|
Rp
4,150,000
|
3
|
Maret
|
15
|
Rp
3,000,000
|
-
|
Rp -
|
-
|
Rp -
|
15
|
Rp
3,000,000
|
4
|
April
|
25
|
Rp
4,800,000
|
-
|
Rp -
|
-
|
Rp -
|
25
|
Rp
4,800,000
|
5
|
Mei
|
26
|
Rp
3,700,000
|
1
|
Rp 600,000
|
-
|
Rp -
|
27
|
Rp
4,300,000
|
6
|
Juni
|
13
|
Rp
2,500,000
|
5
|
Rp
3,000,000
|
-
|
Rp -
|
18
|
Rp
5,500,000
|
7
|
Juli
|
14
|
Rp
2,000,000
|
3
|
Rp
1,800,000
|
-
|
Rp -
|
17
|
Rp
3,800,000
|
8
|
Agustus
|
17
|
Rp
2,700,000
|
2
|
Rp
1,350,000
|
-
|
Rp -
|
19
|
Rp
4,050,000
|
JUMLAH TOTAL
|
131
|
Rp
23,000,000
|
15
|
Rp
9,300,000
|
-
|
Rp -
|
146
|
Rp
32,300,000
|
Legonkulon, 20 Januari 2015
Mengetahui
Mengetahui Bendahara JKN
Kepala FKTP UPTD Puskesmas Legonkulon
dr.H. HASYARI, MM
NIP.19701226 200604
1 004
TITIN NURHAYAT,S.ST
NIP.19701226
200604 1 004