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06/2009
MONTH OF PAYMENT JUL 08 AUG 08 SEP 08 OCT 08 NOV 08 DEC 08 JAN 09 FEB 09 MAR 09 APR 09 MAY 09 JUN 09 TOTAl **** TOWN OF SOUTHOLD **ww EMPLOYEE HEALTH CARE PLAN ISLAND GROUo 7/ 7/09 CLAIM LAG REPORT - AMOUNT BILLED PLAN YEAR 7/ 1/08 - 6/30/09 CLAIHS All Units ................................................................... MONT~ OF SERVICE ................................................................... JUL 08 AUG 08 SEP 08 OCT 08 NOV 08 DEC 08 JAN 09 FEB 09 MAR 09 APR 09 MAY 09 JUN 09 TOTAL 71222.76 14.8) 139726,01 29.0) 113760,39 23.'6) 12570.51 2.6) 66502,38 13.8) 64643.47 13.4) 4015.71 0.8) 2289.46 0.5) 1515.00 0.3) 890.84 0.2) 143.00 0.0) 4547.55 0.9) 481827.08 0,00 84356.94 21.9) 185024,15 48.0) 84459.95 21.9) 7604.37 2.0) 5037.02 1.3) 2671.73 0.7) 10981.24 2.9) 4704.48 1.2) 85.00 0.0) 514.76 0.1) 0.00 385439.64 0.00 0.00 88692.94 19.9) 200747.54 45.1) 125395.68 28.1) 6026.26 1.4) 3831.92 0.9) 5254.63 1,2) 5603,79 1.3) 8140.00 ( 1.8) 472.83 ( 0.1) 1230.00 ( 0.3) 0.00 0.00 0.00 72360.83 ( 8.9) 420033.68 (51.6) 245474.23 (30.1) 7062.83 ( 0.9) 13932.94 ( 1.7) 11556.70 ( 1,4) 1990.56 ( 0.2) 26893.83 (3.3) 15281.92 ¢ 1.9) 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58998.31 0.00 11.9) 189745.5~ 8169'.25 38.2) 17.4) 165341.77 176798.48 33.3) 37.6) 14827.48 124367.82 3.0) 13358.96 2.7) 8970.51 1.8) 44708.40 9.0) 863.00 0.2) 0.00 0.00 0.00 0.00 103600.13 0.00 21.6) 143142.54 73460.50 26.4) 29.9) (12.9) 51120.67 165814,64 189993.03 10.9) 34.6) ( 33.5) 3662.15 30402.36 145153.04 0.8) 6.3) ( 25.6) 15937.81 21654.69 14885.74 3.4) 4.5) ( 2.6) 16694.89 14307.28 143883.68 3.5) 3.0) (25.4) 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 94864.79 0.00 0.00 0.00 (13.5) 303764.47 79299.20 0.00 0.00 ( 43.1) ( 21.5) 270916.79 135449.33 79233.67 0.00 (38.4) (36.7) (21.3) 35163.60 154026.01 292387,59 120363.98 ( 5.0) (41.8) (78.7) (100.0) 445415.59 814587.52 496813.97 470273.07 478921.54 567375.99 704709.65 368774.54 371621.26 120363.98 71222.76 ( 1.3) 224082.95 ( 3.9) 387477.48 ( 6.8) 370138.83 ( 6.5) 678534.42 (11.9) 592617.77 (10.4) 463322.57 8.1) 388256.61 6.8) 538532.06 9,4) 582358.13 10,2) 610810.85 10.7) 798769.50 14.0) 5706123.93 MONTH OF PAYMENT JUL 08 AUG 08 SEP 08 OCT 08 NOV 08 DEC 08 JAN 09 FEB 09 MAR 09 APR 09 MAY 09 JUN 09 **** TOWN OF SOUTHOLD EMPLOYEE NEALTH CARE PLAN ISLAND GROUP 7/ 7/09 CLAIM LAG REPORT - AMOUNT PAID PLAN YEAR 7/ 1/08 - 6/30/09 CLAIMS All Units ................................................................... MONTH OF SERVICE ........ =-r ........................................................ JUL 08 AUG 08 BEP 08 OCT 08 NOV 08 DEC 08 JAN 09 FEB 09 MAR 09 APR 09 MAY 09 JUN 09 TOTAL 49203.93 23.6) 77771.23 37.2) 62661.67 30,0) 3044.69 1.5) 3881.90 1.9) 10609.55 5.1) 74.72 0.0) 284.50 0.1) 362,46 0,2) 530.78 0.3) 87.55 0.0) 359.01 0.2) 0.00 64606.73 28.2) 102109.26 44,5) 55424.96 24.2) 3284.43 1.4) 702.90 0.3) 65.18 0.0) 913.64 0.4) 1876.03 0.8) 85.00 0.0) 259,43 0.1) 0.00 0.00 0.00 63883.04 30.2) 99271.06 47.0) 42568.90 20.1) 1245.14 0.6) 558.26 0.3) 1195.23 0.6) 942.58 0.5) 1170.49 0.6) 211.05 0.1) 232.00 0.1) 0.00 0.00 0.00 50691.98 (15.8) 135413.40 (42.1) 109941.29 (34.2) 1003.16 ( 0.3) 2206.10 ( 0.7) 7676.33 ( 2.4) 154.39 ( 0.1) 4141.73 ( 1.3) 10533.03 ( 0.00 0.00 0.00 0.00 42293.81 16.5) 97982.47 38.1) 87610.83 34.1) 6777.60 2.6) 2770.29 1,1) 6204.97 2.4) 13187.85 5.1) 42.00 0.0~ 0.00 0.00 O.OO O.O0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54299.25 (24.9) 75280.75 (34.5) 42573.20 (19.5) 33282.6' (15.3) 763.08 C 0.4) 859.37 ( 0.4) 11007.31 ( 5.0) 0.00 0.00 0.00 57403.32 0.00 0.00 24.2) 86271.15 55283.00 0.00 36.4) (24.0) 64583.69 105035.90 65678.48 27.3) (45.5) (22.6) 8835.41 58949.98 159219.08 3.7) (25.6) (54.7) 8544.79 8687.54 44528.74 3.6) ( 3.8) ( 15.3) 11362.54 2678.58 21760.98 4.8) ( 1.2) ( 7.5) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 52224,51 0.00 0.00 (29.4) 80160.41 58778.13 0.00 (45.2) (30.9) 45042.97 131721.08 82189.62 (25.4) (69.2) (100.0) TOTAL 208871.99 229327.56 211277.75 321761.41 256869.82 218065.57 237000.90 230635.00 291187.28 177427.89 190499.21 82189.62 49203.93 1.9) 142377.96 5.4) 228653.97 8.6> 208432.69 7,8) 227442.44 8,6) 274780.60 10.3) 221996.22 8.4) 195504.42 7.4) 282208.37 10.6) 288137.69 10.8) 219446.59 8.3) 316929.12 (11.9) 2655114.00 TOWN OF SOUTHOLD PROCEDURE FREQUENCY REPORT EMPLOYEE ~EALTH BENEFIT PLANS ISLAND GROUP PROCESS DATES: 6/ 1/09 - 6/30/09 PAGE 1 DATE 7/ 8/09 PROC CATEGORY DESCRIPTION NUM SVCS TOT.BILLED AVE.BILLED 6001 HOSPITAL RO0 HOSPITAL ROOM AND BOARD 6020 SURGERY AMBULATORY OUT PATIENT SURGERY 6030 SURGERY SURGERY 6050 ANESTHESIA ANESTHESIA 6060 OFFICE VISIl PHYSICIAN OFFICE VISIT 6061 OFFICE VISIT CONSULTATION 6999 EMERGENCY RO EMERGENCY TREATMENT MEDICAL EMERGENCY 700i EMERGENCY RO PNYS -REATMENT MED EMERG 7040 XRAY 7051XRAY 7054 DIAGNOSTIC 7055 XRAY 7060 LABORATORY S 7062 LABORATORY S 7144 MEDICAL SUPP 7151 OTHER 7189 MENTAL OR NE 7221 THERAPY 7249 OTHER X-RAY OUT-PATIENI RADIOLOGY/PATHOLOGY MEDICAL TESTING XRAY INTERP LABORATORY OUT-PATIENT LAB 80% INJECTIONS DURABLE MID EQUIP M/N OFFICE VISIT PHYSIOTHERAPY AMBULANCE 9000 OFFICE VISIT PP OFFICE VISIT 9001 EMERGENCY RO PP ER VISIT 9002 AUDIT/CONSUL PP COB 9004 AUDIT/CONSUL PP DIABETIC SUPPLIES 9005 PREVENTATIVE IMMUNIZATIONS WELL CHILD 9006 PREVENTATIVE PP INJECTIONS 9007 MENTAL OR NE PP M/N 9009 OFFICE VISIT PP WELL CARE 9010 DOCTOR SERVI PP HOSPITAL VISIT 9014 MEDICAL SUPP PP DURABLE MEB EQUIP 9020 SURGERY PP SURGERY 9025 DIAGNOSTIC P P TESTING 9026 OFFICE VISIT PP ALLERGY 9040 OTHER PP CHIROPRACTIC 9045 THERAPY PP PHYSICAL THERAPY ,9046 OTHER PP NURSING 9050 AUDIT/CONSUL PP CONSULTATION 9055 ~RESCRIPTION RX PHARMACARE 9060 OTHER 9070 DIAGNOSTIC 9080 XRAY 9081XRAY 9085 DIAGNOSTIC 9090 ANESTHESIA PP HOME INFUSION THERAPY PP MAMMOGRAPRY PP RADIOLOGY PP XRAY [NTERP PP EKG PP ANESTHESIA 9095 LABORATORY S PP LAB 9099 MISCELLANEOU PP MISCELLANEOUS 9105 MISCELLANEOU PSI HOSP DISCOUNT FEE 9108 AUDIT/CONSUL NYS SURCHARGE 9109 MISCELLANEOU NYS GME~S 9205 THERAPY PP NERVE CONDUCTION 9209 XRAY PP CT SCAN TOT.PAID AVE.PAID 4 59997.24 14999.31 20729.02 5182.26 8 31815.97 3977.00 22542.25 2817.78 8 4398.70 549.84 2541.47 317.68 3 2119.00 706.33 1247.18 415.73 25 3458.40 138.34 783.51 31.34 2 616.00 308.00 ~3.83 36.92 13 18988.68 1460.67 15029.91 1156.15 ~O0.OO 400.00 0.00 0.00 16 71027.48 4439.22 62810.24 3925.64 10 2518.00 251.80 '319.76 -31.98 1 405.00 405.00 324.00 324.00 3 895.00 298.33 0.00 0.00 21 6305.75 300:27 4365.87 207.90 19 2524.79 132.88 1857.08 97.74 3 355.00 118.33 223.20 74.40 2 253.00 126.50 0.00 0.00 18 1495.00 83.06 700.00 38.89 5 1115.01 E23.00 196.00 39.20 2 782.00 391.00 0.00 0.00 179 23753.95 132.70 12750.53 71.23 11 5230.00 4~5.45 1555.75 141.43 409 295022.60 721.33 11871.15 29.02 11 2077.85 188.90 1506.~ 136.98 9 1140.00 126.67 624.00 69.33 11 449.00 40.82 121.38 11.03 51 6885.00 135.00 3787.00 74.25 11 2980.00 270.91 1086.00 98.73 33 5665.00 171.67 3260.00 98.79 5 2943.44 588.69 1530.98 306.20 56 61374.10 1704.84 14247.00 395.75 58 11570.31 199.49 8136.00 140.28 16 793.50 49.59 520.00 32.50 33 1728.32 52.37 561.00 17.00 12 1924.44 160.37 1155.04 94.59 4 340.00 85.00 170.00 42.50 24 7788.00 324.50 4688.00 195.33 2 51721.89 25860.95 51721.89 25860.95 6 3400.33 566.72 3400.33 566.72 11 2528.93 229.90 1219.00 110.82 31 8659.00 279.32 3457.00 111.52 65 10282.00 158.18 3565.81 54.86 24 2132.45 ~.85 743.45 30.98 12 8635.00 719.58 4321.00 360.08 260 22369.33 86.04 6940.68 26.69 11 1426.87 129.72 1124.58 102.23 13 28924'.15 2224.93 28924.15 2224.93 I 6468.00 6468.00 6468.00 6468.00 1 2107.00 2107.00 2107.00 2107.00 5 1985.00 397.00 412.00 82.40 2 1725.00 862.50 763.00 581.50 TOTAL 1521 793500.48 521.70 315822.29 207.64