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Fort Hood Clinics Volume II

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Fort Hood Clinics Volume II

Table of Contents

Part Page

A Data Call 3

B Relevant Section 703 Report Detail 13

C DHA TRICARE Health Plan Network Review 14

D Network Insight Assessment Summary (Independent Government Assessment) 19

E P4I Measures 37

F JOES-C 12-month Rolling Data 54

G Base Mission Brief 55

H MTF Mission Brief 67

I Fort Hood Referral Data 93

J MTF Portfolio (Full) 94

Part A Fort Hood Data Call (1 of 10) Mission Readiness

MTF Name MTF DMIS ID Assigned Deployable Capability Officer Enlisted ARC Civ

CRDAMC 0110 Number of Reverse PROFIS assigned to Deployable Units 110 34 0 0

Medical Hold Medical hold beds Line or medical funded How do you execute medical hold What is your definition of medical

hold

We do not have MED Hold capabilities in the Army We have TDA slots to accommodate 360 Soldiers in Transition from Compo 1 2 and 3

We are funded with Operational and Maintenance Army (OMA) funds

We are governed by Army Regulation 40-58 Warrior Care and Transition Program

We do not have MED hold capability We transition Soldiers that are wounded ill and injured back to duty or to civilian force are governed by Army Regulation 40-58 Warrior Care and Transition Program

Part A Fort Hood Data Call (2 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0362 CRDAMC every unit on Red River receives PM support

Red River Army Depot CRDAMC provides Preventive Medicine to Red River (a unit 7 hours away from us)

Fort Hood 0110 CRDAMC every unit on post Credentials CRDMAC provides credentialing services for every provider on post

Fort Hood 0110 CRDAMC every unit on post MED Maintenance CRDAMC provides medical maintenance for every unit with medical equipment on post

Fort Hood 0110 CRDAMC every unit on post Taskers from III Corps

CRDAMC provides medical support for every large event - 4th July Christmas Tree Lightning Vet Day parades concerts German Fest Memorial Day Change of Command Ceremonies FallSpring Clean UPS

Fort Hood 0110 CRDAMC every unit on post III Corps SPARTA Clinic this clinic serves patients in acute distress from ortho injuries CRDAMC hosts this clinic at the direction of the senior mission CDR on post

Fort Hood 0110 CRDAMC every unit on post School Based Clinics CRDAMC supports on post schools with school based clinics The physician (pediatrician) goes into the schools and treats patients at the school so children do not miss school

Fort Hood 0110 Fort Hood Veterinary Clinic every unit on post Animal Services

Public Health Activity-Fort Hood provide treatment of military owned animals (K-9 working dogs working horses) also provide services to SoldiersFamilies for family pets

Fort Hood NA MSTC every unit on post MSTC CRDAMC provides support to the MSTC a virtual training center

Fort Hood NA Defense Commissary Agency

every unit on post Facility and Standards Inspections Public Health Activity-Fort Hood

Fort Hood NA Logistics Readiness Center every unit on post Food Delivery

Inspections Public Health Activity-Fort Hood

Part A Fort Hood Data Call (3 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Mobile Flu Shots CRDAMC provides a mobile flu shot team to provide shots to patients during flu season

Fort Hood 0110 CRDAMC every unit on post Hearing Conservation CRDAMC provides support to Hearing Conservation center on post this service checks Soldiers hearing

Fort Hood 0110 CRDAMC every unit on post Medical Records Management

CRDAMC provides medical records management for every unit on post

Fort Hood 0110 CRDAMC every unit on post Sexual Assault Records CRDAMC maintains sexual assault records for the post

Fort Hood 0110 CRDAMC every unit on post Release of Information CRDAMC maintains ROI of medical record information to everyone on post to include legal hearings court martials custody disputes Retirement Records sent to the VA

Fort Hood 0110 CRDAMC every unit on post Family Advocacy Program Maintain records of FAP records for every unit on post

Fort Hood 0110 CRDAMC every unit on post IDES (MEB Support) CRDAMC maintains the IDES office and processes all MEB for everyone on post

Fort Hood 0110 CRDAMC every unit on post Casualty Reporting CRDAMC notifies III Corps upon the deathserious injury of a Soldier

Fort Hood 0110 CRDAMC every unit on post MASCAL CRDAMC maintains records tracks patients provides patient care during MASCAL events (this post has had several real life MASCAL events)

Fort Hood 0110 CRDAMC every unit on post Birth RegistrationDeath CRAMC maintains birthdeath records for post

Fort Hood 0110 CRDAMC every unit on post Line of Duty CRDAMC processes LOD requests for Soldiers

Fort Hood 0110 CRDAMC every unit on post SEC of the Army Designee Program

CRDAMC processes all claims for SEC of the Army Designee program

Part A Fort Hood Data Call (4 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Air Evacuations CRDAMC processes all air evacuations receiving Soldiers injured in overseas conflict

Fort Hood 1599 TMC 12 every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood Russel Collier every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood 1601 TMC 14 every unit on post ARNG Training Support

7405th TMC CRDAMC EMS provide sick call and medical treatment for ARNG units on Fort Hood for training

Fort Hood 0110 Deployment Readiness Center every unit on post Soldier Readiness

Processing

7215th MSUCRDAMC provides mobilizationde-mobilization services immunizations lab clinical review SHAPE dental psychology hearing optometry PHA Fort Hood is one of two deployment readiness locations for the Dept of the Army

Fort Hood 0110 Copeland Center every unit on post Medical InOut Processing

CRDAMC Soldier Readiness Division (SRD) assists with Soldier inout processing of post Medical assists are co-located in the Welcome Center to provide medical assessments when Soldiers arrive on post

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC orders medical supplies for every unit on post we have 33 Active Customers (COMPO 123) In FY 18 spent $44M In FY19 spent $880K Special Missions - in FY18 outfitted the 3 Combat Support Hospitals (CSH) spent $365M III CORP Readiness spent $26M in FY18 In FY19 III Corp spent $6M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains over 200 lines III CORPS Medical Material

Sets and CLVIII stock

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains control of West Fort Hood Warehouse

that houses medical supplies

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

  • Structure Bookmarks
    • Figure
    • Figure
    • Part Page
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Figure
    • Figure
    • Figure
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 75 107
    • Figure
    • Figure
    • Figure
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
    • Figure
    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
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    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure

Table of Contents

Part Page

A Data Call 3

B Relevant Section 703 Report Detail 13

C DHA TRICARE Health Plan Network Review 14

D Network Insight Assessment Summary (Independent Government Assessment) 19

E P4I Measures 37

F JOES-C 12-month Rolling Data 54

G Base Mission Brief 55

H MTF Mission Brief 67

I Fort Hood Referral Data 93

J MTF Portfolio (Full) 94

Part A Fort Hood Data Call (1 of 10) Mission Readiness

MTF Name MTF DMIS ID Assigned Deployable Capability Officer Enlisted ARC Civ

CRDAMC 0110 Number of Reverse PROFIS assigned to Deployable Units 110 34 0 0

Medical Hold Medical hold beds Line or medical funded How do you execute medical hold What is your definition of medical

hold

We do not have MED Hold capabilities in the Army We have TDA slots to accommodate 360 Soldiers in Transition from Compo 1 2 and 3

We are funded with Operational and Maintenance Army (OMA) funds

We are governed by Army Regulation 40-58 Warrior Care and Transition Program

We do not have MED hold capability We transition Soldiers that are wounded ill and injured back to duty or to civilian force are governed by Army Regulation 40-58 Warrior Care and Transition Program

Part A Fort Hood Data Call (2 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0362 CRDAMC every unit on Red River receives PM support

Red River Army Depot CRDAMC provides Preventive Medicine to Red River (a unit 7 hours away from us)

Fort Hood 0110 CRDAMC every unit on post Credentials CRDMAC provides credentialing services for every provider on post

Fort Hood 0110 CRDAMC every unit on post MED Maintenance CRDAMC provides medical maintenance for every unit with medical equipment on post

Fort Hood 0110 CRDAMC every unit on post Taskers from III Corps

CRDAMC provides medical support for every large event - 4th July Christmas Tree Lightning Vet Day parades concerts German Fest Memorial Day Change of Command Ceremonies FallSpring Clean UPS

Fort Hood 0110 CRDAMC every unit on post III Corps SPARTA Clinic this clinic serves patients in acute distress from ortho injuries CRDAMC hosts this clinic at the direction of the senior mission CDR on post

Fort Hood 0110 CRDAMC every unit on post School Based Clinics CRDAMC supports on post schools with school based clinics The physician (pediatrician) goes into the schools and treats patients at the school so children do not miss school

Fort Hood 0110 Fort Hood Veterinary Clinic every unit on post Animal Services

Public Health Activity-Fort Hood provide treatment of military owned animals (K-9 working dogs working horses) also provide services to SoldiersFamilies for family pets

Fort Hood NA MSTC every unit on post MSTC CRDAMC provides support to the MSTC a virtual training center

Fort Hood NA Defense Commissary Agency

every unit on post Facility and Standards Inspections Public Health Activity-Fort Hood

Fort Hood NA Logistics Readiness Center every unit on post Food Delivery

Inspections Public Health Activity-Fort Hood

Part A Fort Hood Data Call (3 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Mobile Flu Shots CRDAMC provides a mobile flu shot team to provide shots to patients during flu season

Fort Hood 0110 CRDAMC every unit on post Hearing Conservation CRDAMC provides support to Hearing Conservation center on post this service checks Soldiers hearing

Fort Hood 0110 CRDAMC every unit on post Medical Records Management

CRDAMC provides medical records management for every unit on post

Fort Hood 0110 CRDAMC every unit on post Sexual Assault Records CRDAMC maintains sexual assault records for the post

Fort Hood 0110 CRDAMC every unit on post Release of Information CRDAMC maintains ROI of medical record information to everyone on post to include legal hearings court martials custody disputes Retirement Records sent to the VA

Fort Hood 0110 CRDAMC every unit on post Family Advocacy Program Maintain records of FAP records for every unit on post

Fort Hood 0110 CRDAMC every unit on post IDES (MEB Support) CRDAMC maintains the IDES office and processes all MEB for everyone on post

Fort Hood 0110 CRDAMC every unit on post Casualty Reporting CRDAMC notifies III Corps upon the deathserious injury of a Soldier

Fort Hood 0110 CRDAMC every unit on post MASCAL CRDAMC maintains records tracks patients provides patient care during MASCAL events (this post has had several real life MASCAL events)

Fort Hood 0110 CRDAMC every unit on post Birth RegistrationDeath CRAMC maintains birthdeath records for post

Fort Hood 0110 CRDAMC every unit on post Line of Duty CRDAMC processes LOD requests for Soldiers

Fort Hood 0110 CRDAMC every unit on post SEC of the Army Designee Program

CRDAMC processes all claims for SEC of the Army Designee program

Part A Fort Hood Data Call (4 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Air Evacuations CRDAMC processes all air evacuations receiving Soldiers injured in overseas conflict

Fort Hood 1599 TMC 12 every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood Russel Collier every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood 1601 TMC 14 every unit on post ARNG Training Support

7405th TMC CRDAMC EMS provide sick call and medical treatment for ARNG units on Fort Hood for training

Fort Hood 0110 Deployment Readiness Center every unit on post Soldier Readiness

Processing

7215th MSUCRDAMC provides mobilizationde-mobilization services immunizations lab clinical review SHAPE dental psychology hearing optometry PHA Fort Hood is one of two deployment readiness locations for the Dept of the Army

Fort Hood 0110 Copeland Center every unit on post Medical InOut Processing

CRDAMC Soldier Readiness Division (SRD) assists with Soldier inout processing of post Medical assists are co-located in the Welcome Center to provide medical assessments when Soldiers arrive on post

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC orders medical supplies for every unit on post we have 33 Active Customers (COMPO 123) In FY 18 spent $44M In FY19 spent $880K Special Missions - in FY18 outfitted the 3 Combat Support Hospitals (CSH) spent $365M III CORP Readiness spent $26M in FY18 In FY19 III Corp spent $6M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains over 200 lines III CORPS Medical Material

Sets and CLVIII stock

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains control of West Fort Hood Warehouse

that houses medical supplies

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

  • Structure Bookmarks
    • Figure
    • Figure
    • Part Page
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Figure
    • Figure
    • Figure
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 75 107
    • Figure
    • Figure
    • Figure
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
    • Figure
    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
    • Figure
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    • Figure
    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure

Part A Fort Hood Data Call (1 of 10) Mission Readiness

MTF Name MTF DMIS ID Assigned Deployable Capability Officer Enlisted ARC Civ

CRDAMC 0110 Number of Reverse PROFIS assigned to Deployable Units 110 34 0 0

Medical Hold Medical hold beds Line or medical funded How do you execute medical hold What is your definition of medical

hold

We do not have MED Hold capabilities in the Army We have TDA slots to accommodate 360 Soldiers in Transition from Compo 1 2 and 3

We are funded with Operational and Maintenance Army (OMA) funds

We are governed by Army Regulation 40-58 Warrior Care and Transition Program

We do not have MED hold capability We transition Soldiers that are wounded ill and injured back to duty or to civilian force are governed by Army Regulation 40-58 Warrior Care and Transition Program

Part A Fort Hood Data Call (2 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0362 CRDAMC every unit on Red River receives PM support

Red River Army Depot CRDAMC provides Preventive Medicine to Red River (a unit 7 hours away from us)

Fort Hood 0110 CRDAMC every unit on post Credentials CRDMAC provides credentialing services for every provider on post

Fort Hood 0110 CRDAMC every unit on post MED Maintenance CRDAMC provides medical maintenance for every unit with medical equipment on post

Fort Hood 0110 CRDAMC every unit on post Taskers from III Corps

CRDAMC provides medical support for every large event - 4th July Christmas Tree Lightning Vet Day parades concerts German Fest Memorial Day Change of Command Ceremonies FallSpring Clean UPS

Fort Hood 0110 CRDAMC every unit on post III Corps SPARTA Clinic this clinic serves patients in acute distress from ortho injuries CRDAMC hosts this clinic at the direction of the senior mission CDR on post

Fort Hood 0110 CRDAMC every unit on post School Based Clinics CRDAMC supports on post schools with school based clinics The physician (pediatrician) goes into the schools and treats patients at the school so children do not miss school

Fort Hood 0110 Fort Hood Veterinary Clinic every unit on post Animal Services

Public Health Activity-Fort Hood provide treatment of military owned animals (K-9 working dogs working horses) also provide services to SoldiersFamilies for family pets

Fort Hood NA MSTC every unit on post MSTC CRDAMC provides support to the MSTC a virtual training center

Fort Hood NA Defense Commissary Agency

every unit on post Facility and Standards Inspections Public Health Activity-Fort Hood

Fort Hood NA Logistics Readiness Center every unit on post Food Delivery

Inspections Public Health Activity-Fort Hood

Part A Fort Hood Data Call (3 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Mobile Flu Shots CRDAMC provides a mobile flu shot team to provide shots to patients during flu season

Fort Hood 0110 CRDAMC every unit on post Hearing Conservation CRDAMC provides support to Hearing Conservation center on post this service checks Soldiers hearing

Fort Hood 0110 CRDAMC every unit on post Medical Records Management

CRDAMC provides medical records management for every unit on post

Fort Hood 0110 CRDAMC every unit on post Sexual Assault Records CRDAMC maintains sexual assault records for the post

Fort Hood 0110 CRDAMC every unit on post Release of Information CRDAMC maintains ROI of medical record information to everyone on post to include legal hearings court martials custody disputes Retirement Records sent to the VA

Fort Hood 0110 CRDAMC every unit on post Family Advocacy Program Maintain records of FAP records for every unit on post

Fort Hood 0110 CRDAMC every unit on post IDES (MEB Support) CRDAMC maintains the IDES office and processes all MEB for everyone on post

Fort Hood 0110 CRDAMC every unit on post Casualty Reporting CRDAMC notifies III Corps upon the deathserious injury of a Soldier

Fort Hood 0110 CRDAMC every unit on post MASCAL CRDAMC maintains records tracks patients provides patient care during MASCAL events (this post has had several real life MASCAL events)

Fort Hood 0110 CRDAMC every unit on post Birth RegistrationDeath CRAMC maintains birthdeath records for post

Fort Hood 0110 CRDAMC every unit on post Line of Duty CRDAMC processes LOD requests for Soldiers

Fort Hood 0110 CRDAMC every unit on post SEC of the Army Designee Program

CRDAMC processes all claims for SEC of the Army Designee program

Part A Fort Hood Data Call (4 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Air Evacuations CRDAMC processes all air evacuations receiving Soldiers injured in overseas conflict

Fort Hood 1599 TMC 12 every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood Russel Collier every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood 1601 TMC 14 every unit on post ARNG Training Support

7405th TMC CRDAMC EMS provide sick call and medical treatment for ARNG units on Fort Hood for training

Fort Hood 0110 Deployment Readiness Center every unit on post Soldier Readiness

Processing

7215th MSUCRDAMC provides mobilizationde-mobilization services immunizations lab clinical review SHAPE dental psychology hearing optometry PHA Fort Hood is one of two deployment readiness locations for the Dept of the Army

Fort Hood 0110 Copeland Center every unit on post Medical InOut Processing

CRDAMC Soldier Readiness Division (SRD) assists with Soldier inout processing of post Medical assists are co-located in the Welcome Center to provide medical assessments when Soldiers arrive on post

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC orders medical supplies for every unit on post we have 33 Active Customers (COMPO 123) In FY 18 spent $44M In FY19 spent $880K Special Missions - in FY18 outfitted the 3 Combat Support Hospitals (CSH) spent $365M III CORP Readiness spent $26M in FY18 In FY19 III Corp spent $6M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains over 200 lines III CORPS Medical Material

Sets and CLVIII stock

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains control of West Fort Hood Warehouse

that houses medical supplies

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

  • Structure Bookmarks
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    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
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    • Specialty Number of Practice Sites Number of Physicians
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    • Grand Total 65 86
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    • Specialty Number of Practice Sites Number of Physicians
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    • Grand Total 75 107
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    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
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    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
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    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure

Part A Fort Hood Data Call (2 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0362 CRDAMC every unit on Red River receives PM support

Red River Army Depot CRDAMC provides Preventive Medicine to Red River (a unit 7 hours away from us)

Fort Hood 0110 CRDAMC every unit on post Credentials CRDMAC provides credentialing services for every provider on post

Fort Hood 0110 CRDAMC every unit on post MED Maintenance CRDAMC provides medical maintenance for every unit with medical equipment on post

Fort Hood 0110 CRDAMC every unit on post Taskers from III Corps

CRDAMC provides medical support for every large event - 4th July Christmas Tree Lightning Vet Day parades concerts German Fest Memorial Day Change of Command Ceremonies FallSpring Clean UPS

Fort Hood 0110 CRDAMC every unit on post III Corps SPARTA Clinic this clinic serves patients in acute distress from ortho injuries CRDAMC hosts this clinic at the direction of the senior mission CDR on post

Fort Hood 0110 CRDAMC every unit on post School Based Clinics CRDAMC supports on post schools with school based clinics The physician (pediatrician) goes into the schools and treats patients at the school so children do not miss school

Fort Hood 0110 Fort Hood Veterinary Clinic every unit on post Animal Services

Public Health Activity-Fort Hood provide treatment of military owned animals (K-9 working dogs working horses) also provide services to SoldiersFamilies for family pets

Fort Hood NA MSTC every unit on post MSTC CRDAMC provides support to the MSTC a virtual training center

Fort Hood NA Defense Commissary Agency

every unit on post Facility and Standards Inspections Public Health Activity-Fort Hood

Fort Hood NA Logistics Readiness Center every unit on post Food Delivery

Inspections Public Health Activity-Fort Hood

Part A Fort Hood Data Call (3 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Mobile Flu Shots CRDAMC provides a mobile flu shot team to provide shots to patients during flu season

Fort Hood 0110 CRDAMC every unit on post Hearing Conservation CRDAMC provides support to Hearing Conservation center on post this service checks Soldiers hearing

Fort Hood 0110 CRDAMC every unit on post Medical Records Management

CRDAMC provides medical records management for every unit on post

Fort Hood 0110 CRDAMC every unit on post Sexual Assault Records CRDAMC maintains sexual assault records for the post

Fort Hood 0110 CRDAMC every unit on post Release of Information CRDAMC maintains ROI of medical record information to everyone on post to include legal hearings court martials custody disputes Retirement Records sent to the VA

Fort Hood 0110 CRDAMC every unit on post Family Advocacy Program Maintain records of FAP records for every unit on post

Fort Hood 0110 CRDAMC every unit on post IDES (MEB Support) CRDAMC maintains the IDES office and processes all MEB for everyone on post

Fort Hood 0110 CRDAMC every unit on post Casualty Reporting CRDAMC notifies III Corps upon the deathserious injury of a Soldier

Fort Hood 0110 CRDAMC every unit on post MASCAL CRDAMC maintains records tracks patients provides patient care during MASCAL events (this post has had several real life MASCAL events)

Fort Hood 0110 CRDAMC every unit on post Birth RegistrationDeath CRAMC maintains birthdeath records for post

Fort Hood 0110 CRDAMC every unit on post Line of Duty CRDAMC processes LOD requests for Soldiers

Fort Hood 0110 CRDAMC every unit on post SEC of the Army Designee Program

CRDAMC processes all claims for SEC of the Army Designee program

Part A Fort Hood Data Call (4 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Air Evacuations CRDAMC processes all air evacuations receiving Soldiers injured in overseas conflict

Fort Hood 1599 TMC 12 every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood Russel Collier every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood 1601 TMC 14 every unit on post ARNG Training Support

7405th TMC CRDAMC EMS provide sick call and medical treatment for ARNG units on Fort Hood for training

Fort Hood 0110 Deployment Readiness Center every unit on post Soldier Readiness

Processing

7215th MSUCRDAMC provides mobilizationde-mobilization services immunizations lab clinical review SHAPE dental psychology hearing optometry PHA Fort Hood is one of two deployment readiness locations for the Dept of the Army

Fort Hood 0110 Copeland Center every unit on post Medical InOut Processing

CRDAMC Soldier Readiness Division (SRD) assists with Soldier inout processing of post Medical assists are co-located in the Welcome Center to provide medical assessments when Soldiers arrive on post

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC orders medical supplies for every unit on post we have 33 Active Customers (COMPO 123) In FY 18 spent $44M In FY19 spent $880K Special Missions - in FY18 outfitted the 3 Combat Support Hospitals (CSH) spent $365M III CORP Readiness spent $26M in FY18 In FY19 III Corp spent $6M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains over 200 lines III CORPS Medical Material

Sets and CLVIII stock

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains control of West Fort Hood Warehouse

that houses medical supplies

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

  • Structure Bookmarks
    • Figure
    • Figure
    • Part Page
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Figure
    • Figure
    • Figure
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 75 107
    • Figure
    • Figure
    • Figure
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
    • Figure
    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
    • Figure
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    • Figure
    • Figure
    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure

Part A Fort Hood Data Call (3 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Mobile Flu Shots CRDAMC provides a mobile flu shot team to provide shots to patients during flu season

Fort Hood 0110 CRDAMC every unit on post Hearing Conservation CRDAMC provides support to Hearing Conservation center on post this service checks Soldiers hearing

Fort Hood 0110 CRDAMC every unit on post Medical Records Management

CRDAMC provides medical records management for every unit on post

Fort Hood 0110 CRDAMC every unit on post Sexual Assault Records CRDAMC maintains sexual assault records for the post

Fort Hood 0110 CRDAMC every unit on post Release of Information CRDAMC maintains ROI of medical record information to everyone on post to include legal hearings court martials custody disputes Retirement Records sent to the VA

Fort Hood 0110 CRDAMC every unit on post Family Advocacy Program Maintain records of FAP records for every unit on post

Fort Hood 0110 CRDAMC every unit on post IDES (MEB Support) CRDAMC maintains the IDES office and processes all MEB for everyone on post

Fort Hood 0110 CRDAMC every unit on post Casualty Reporting CRDAMC notifies III Corps upon the deathserious injury of a Soldier

Fort Hood 0110 CRDAMC every unit on post MASCAL CRDAMC maintains records tracks patients provides patient care during MASCAL events (this post has had several real life MASCAL events)

Fort Hood 0110 CRDAMC every unit on post Birth RegistrationDeath CRAMC maintains birthdeath records for post

Fort Hood 0110 CRDAMC every unit on post Line of Duty CRDAMC processes LOD requests for Soldiers

Fort Hood 0110 CRDAMC every unit on post SEC of the Army Designee Program

CRDAMC processes all claims for SEC of the Army Designee program

Part A Fort Hood Data Call (4 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Air Evacuations CRDAMC processes all air evacuations receiving Soldiers injured in overseas conflict

Fort Hood 1599 TMC 12 every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood Russel Collier every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood 1601 TMC 14 every unit on post ARNG Training Support

7405th TMC CRDAMC EMS provide sick call and medical treatment for ARNG units on Fort Hood for training

Fort Hood 0110 Deployment Readiness Center every unit on post Soldier Readiness

Processing

7215th MSUCRDAMC provides mobilizationde-mobilization services immunizations lab clinical review SHAPE dental psychology hearing optometry PHA Fort Hood is one of two deployment readiness locations for the Dept of the Army

Fort Hood 0110 Copeland Center every unit on post Medical InOut Processing

CRDAMC Soldier Readiness Division (SRD) assists with Soldier inout processing of post Medical assists are co-located in the Welcome Center to provide medical assessments when Soldiers arrive on post

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC orders medical supplies for every unit on post we have 33 Active Customers (COMPO 123) In FY 18 spent $44M In FY19 spent $880K Special Missions - in FY18 outfitted the 3 Combat Support Hospitals (CSH) spent $365M III CORP Readiness spent $26M in FY18 In FY19 III Corp spent $6M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains over 200 lines III CORPS Medical Material

Sets and CLVIII stock

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains control of West Fort Hood Warehouse

that houses medical supplies

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

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    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
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    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
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    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 75 107
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    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
    • Figure
    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
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    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure

Part A Fort Hood Data Call (4 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 CRDAMC every unit on post Air Evacuations CRDAMC processes all air evacuations receiving Soldiers injured in overseas conflict

Fort Hood 1599 TMC 12 every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood Russel Collier every unit on post Aviation Medicine CRDAMC provides a flight surgeon to perform flight medicine flight physicals

Fort Hood 1601 TMC 14 every unit on post ARNG Training Support

7405th TMC CRDAMC EMS provide sick call and medical treatment for ARNG units on Fort Hood for training

Fort Hood 0110 Deployment Readiness Center every unit on post Soldier Readiness

Processing

7215th MSUCRDAMC provides mobilizationde-mobilization services immunizations lab clinical review SHAPE dental psychology hearing optometry PHA Fort Hood is one of two deployment readiness locations for the Dept of the Army

Fort Hood 0110 Copeland Center every unit on post Medical InOut Processing

CRDAMC Soldier Readiness Division (SRD) assists with Soldier inout processing of post Medical assists are co-located in the Welcome Center to provide medical assessments when Soldiers arrive on post

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC orders medical supplies for every unit on post we have 33 Active Customers (COMPO 123) In FY 18 spent $44M In FY19 spent $880K Special Missions - in FY18 outfitted the 3 Combat Support Hospitals (CSH) spent $365M III CORP Readiness spent $26M in FY18 In FY19 III Corp spent $6M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains over 200 lines III CORPS Medical Material

Sets and CLVIII stock

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains control of West Fort Hood Warehouse

that houses medical supplies

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

  • Structure Bookmarks
    • Figure
    • Figure
    • Part Page
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Figure
    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Figure
    • Figure
    • Figure
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 75 107
    • Figure
    • Figure
    • Figure
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
    • Figure
    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
    • Figure
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    • Figure
    • Figure
    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure

Part A Fort Hood Data Call (5 of 10) Installation

Installation Name

MTF DMIS ID

Affiliated Location Name

Affiliated Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC maintains contingency management of operation

forces medical supply needs with $267M

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC maintains over 563 lines of DLA stocked items over 9K pieces of medical equipment over 300 users of the DMLSS system In FY18 spent $82M in DHP dollars

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies CRDAMC will spend approximately $75M on Stock Mgmt

Fort Hood 0110 Support Operational Force every unit on post Medical Supplies

CRDAMC medical logistics team plays a big part in the Emergency Management Planning for post to include MEMP revisions Inspection program for MASCAL carts MASCAL Exercise coordinator for LOG TSMP Coordinator trains all TSMP users

Fort Hood NA Fort Hood Ranges NA Over 80 Weapon Ranges Unit medics provide range support

Fort Hood NA Phantom Warrior Academy NA

Advanced NCO training for Enlisted Soldiers

CRDAMC provides medical support to Soldiers who undergo training at this Academy Soldiers come from different posts and local units for this training

Fort Hood 0110 Ambulance Support on post

every person on post

Provide Ambulance service to post

CRDAMC bears the cost of providing ambulance support to the entire post 54 people work in section 7 ambulance trucks 5 are staffed 247 2018 answered 5K calls

Fort Hood NA Air Assault Training

every person attending training

Provide Ambulancemedic support to training event

CRDAMC provides ambulance support to this training event for every person who attends Soldiers come from different posts and local units to attend this training

Fort Hood 0110 Dental Care every Soldier on post

6 Dental Clinics 1 mobilization site for people deploying 126 military personnel 148 GS employees 53 contract employees In FY18 they performed 350K procedures on 126416 patients

Part A Fort Hood Data Call (6 of 10) Installation

Installation MTF DMIS Affiliated Affiliated Name ID Location Name Location DMIS ID Installation Mission Medical Units assigned to mission

Fort Hood 0110 ED Medic Training Program medic on post training ED has line unit medics rotating through the ED to keep

medical skills green

Fort Hood 0110 Occupational Health every unit on post

OCC health screenings for all of Ft Hood to include firefighters police officers civilian pilot instructors all of CRDAMC staff must be checked by OCC Health

Fort Hood 0110 Army Public Health Nurses every unit on post

Army Public Health nurses provide all of the STD training screening and treatment for post communicable disease prevention (flu Ebola global pandemic)

Fort Hood 0110 Behavioral Health every unit on post Special Schools BH screen

Soldiers attending special schools (Sniper School Special Operations) has a special BH screening that must be performed by a military provider

Fort Hood 0110 Retiree Health Fair

every retiree within a 200 mile radius

provide health screens for retirees

In conjunction with III Corp we host a Retiree Health Fair once a year this build esprit de corps goodwill with the retiree population and ensures seniors get blood pressure checks flu shots etc

Fort Hood 0110 Pregnancy Fair Pregnant Spouses provide a health fair for pregnant spouses

The hospital hosts a Pregnancy Fair once a year to teach the right way to put a car seat in the car why you should eat healthy during a pregnancy what to expect during childbirth how to register your child I DEERS afar birth etcthis builds good will from the population

Part A Fort Hood Data Call (7 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Family Medicine Residency GME 6 18 3 years NA

Baylor Scott amp White McLanes Childrens Hospital (Temple TX) Baylor Scott amp White Memorial Hospital (Temple TX) Olin Teague Veterans Medical Center (Temple TX) USUHS

Emergency Medicine Residency GME 10 30 3 years NA

Hillcrest Baptist Medical Center John Peter Smith Hospital (Tarrant County Hospital District) New York City Poison Control Center St Joseph Regional Health Center Texas AampM College of Medicine-Scott and White Medical Center University Medical Center at Brackenridge University of Texas Health Science Center at San Antonio USUHS

Psychiatry Residency GME 6 0 3 years NA Set to begin AY 19-20

Baylor Scott and White Residency Program 0 Unk 3015 Day

Increments 12 Thirty-day and fifteen-day clinical rotations in our emergency andor urology departments

Doctor Nurse Practitioners Phase II Program

Up to 10 3 1 year NA Central Texas Veterans Medical Center (Temple TX) USUHS

Social Work Internship (Phase II) Up to 8 20 2 years 12 per year BAMC AMEDCampS

Certified Registered Nurse Anesthetists (Phase II)

Up to 10 8 2 years NA BAMC AMEDCampS

ENT Residency (BAMC) Unk 3 to 4 at CRDAMC per AY

60-Day Increments NA Joint service clinical otolaryngology rotations at CRDAMC

BAMC owned residents and program

General Surgery Residency (BAMC) Unk

10 at CRDAMC per AY

4-Week Increments NA Joint service clinical general surgery rotations at CRDAMC

BAMC owned residents and program

OB-Gyn Residency (BAMC) Unk

18 at CRDAMC per AY

8-Week Increments NA

Joint service clinical OB_GYNMother BabyLabor and Delivery rotations at CRDAMC BAMC owned residents and program

Part A Fort Hood Data Call (8 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

Pediatric Residency Program (BAMC) Unk 22 at CRDAMC

per AY 4-Week Increments NA Joint service clinical emergency or nursey department

rotations at CRDAMC BAMC owned residents and program

Pharmacy Resident (Central Texas VA) 0 Unk 4-Week

Increments No more than five per month Begins spring 2019

Pharmacy Students (Univ Texas at Tyler)

0 (Some are USARNG members)

8 to 12 at CRDAMC per AY

5-Week Increments

one to two per clinical rotation Clinical rotations in CRDAMCs pharmacy department

Doctor Physical Therapy (Baylor University)

0 (Some are USARNG members)

2 8-Week Increments

No more than five per rotation Clinical physical therapy department rotations at CRDAMC

Podiatric Residency (Baylor Scott amp White) 0 4 at CRDAMC

per AY 6 to 12 month rotations per AY 4 Clinical rotations in CRDAMCs podiatry department

Psychology Program (BAMCSAMC) 0 2 to 4 at

CRDAMC per AY 4-Week Increments two to four per year Clinical rotations in CRDAMCs behavioral health

department

Medical Student (Texas AampM Univ)

0 (Some are USARNG members)

4 to 10 at CRDAMC per month

2 to 4-Week rotations per AY

Four to ten per month Clinical rotations in all of CRDAMCs departments

66G OBGYN Course 8 students per cycle

16 week rotation 3 cycles per FY none All clinicals are completed at CRDAMC Combines an 8 week

didactic component with an 8 week clinical practicum

CNTP - Clinical Nurse Transition Program

4 - 6 students per cycle

24 week rotation 3 cycles per FY none

All clinicals are completed at CRDAMC Provides novice nurses a structured orientation to transition from academia to professional nursing practice

NSTP- Nurse Summer Training Program

6 - 8 students per cycle

28 day rotation 2 cycles per CY none

All clinicals are completed at CRDAMC 28 day clinical immersion experience providing Army ROTC Nurse Cadets clinical experience in a hospital setting while introducing them to the duties roles responsibilities expectations and expectations of the Army Nurse Corps

Part A Fort Hood Data Call (9 of 10) Medical Education and Training

Name of Program Certified DOD New Starts

Number in Program Program Length Non-Military Users Associated locations

MSR - Medical Skills Readiness for FORSCOM soldiers

varies 28 day rotation Number of cycles vary per FY

none All clinicals are completed at CRDAMC FY 18 ended with 57 participates completing skills training

Reserve and National Guard Medical Skills Readiness (MSR)

average 30 per cycle

5 day rotation Rotations vary based on mobilization and deployment

none All clinicals are completed at CRDAMC

Medic Tables 3 - 12 students per cycle

7 day rotation 7 cycles per CY All clinicals are completed at CRDAMC

SFMS - Special Forces Medical Sergeants Phase II Program

2 students per cycle

30 day rotation 8 cycle per CY none All clinicals are completed at CRDAMC

Central Texas College Medical Laboratory Technician

7 - 10 students per cycle

one cycle per CY all All clinicals are completed at CRDAMC

Central Texas College Medical Paramedic Program

9 - 24 students per cycle

4 cycles per CY 85 Clinicals are completed at Behavior Health Unit CRDAMC ORRecovery CRDAMC Pediatric Clinic CRDAMC Emergency Department and Fort Hood EMS

Advanced Cardiac Life Support (ACLS)

250 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Pediatric Advanced Life Support (PALS)

180 studentsCY 16 hrs 50 This course is centralized to Hospital Education for training

and instruction

Basic Life Support (BLS) 1000 studentsCY 45 hrs 60 This course is centralized to Hospital Education for training

and instruction

Part A Fort Hood Data Call (10 of 10) Exceptional Family Member Program Summary Report

The mission of EFMP is to respond to HRC inquiry of Soldiers enrolled in the EFMP program when they are being considered for an assignment Currently the CRDAMC EFMP office responds to HRC assignment questions screen personnel to see if they are a candidate for EFMP and they enroll people into the program Currently in EFMP office there is one physician 2 case managers 2 MSA Army locations do not track personnel in the EFMP system so we are unable to answer your question The computer system that is used to place people in EFMP is PERSNET and it is not able to tell how many children assigned to Ft Hood are in the EFMP program and how many are seeing a particular specialty We can provide you with the 2 services that we do not have in this area - we prefer to not have family members assigned to Ft Hood who require Developmental Pediatric Care or Pediatric Neurology needs There is a long waiting list to get into this type of service

Part B Relevant Section 703 Report Detail There was no relevant Section 703 Report detail for Building 36000 Charles Moore Health Clinic or Russell Collier Health Clinic

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Part C DHA TRICARE Health Plan Network Review

Pre-Decisional Document ndash For Official Use Only

Part D Network Insight Assessment Summary(Independent Government Assessment)

MHS Section 703 Workgroup Darnall-Hood

Network Assessment Discussion

12 April 2019

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (1 of 2)

Scenario Darnall-Hood has three clinics Russell Collier Health Clinic Charles Moore Health Clinic and Building 36000 which are being evaluated for conversion to a Service Member Only Clinic1

bull 99 of non-AD MTF Prime amp Plus beneficiaries are living within the 30-minute drive-time boundary for Primary Care concentrated around the MTF location

bull 99 of MTF Prime Reliant amp Medicare Eligible beneficiaries are living within the 60-minute drive-time boundary for Specialty Care concentrated around the MTF location

Beneficiary Category2

Within 30-min

Within 60-min

Outside 60-min

Non-AD MTF Prime1 18032 154 0

Plus 0 0 0 Total 18032 154 0

Beneficiary Category3

Within 30-min

Within 60-min

Outside 60-min

MTF Prime4 28561 172 0 Reliant 7 0 0

Medicare Eligible 0 0 0

Total 28568 172 0 2 Includes 319 Medicare Eligible MTF Prime beneficiaries

3 Includes 319 Medicare Eligible MTF Prime beneficiaries Impacted Beneficiary Definition

Specialty OP (if applicable) MTF Prime + Reliant + Medicare Eligible (OP Workload) (Enrolled Population) PC Non-AD MTF Prime + Plus (Enrolled Population)

1 Impacted Beneficiaries for Darnall-Hood clinics were calculated by Enrollment Site due to individual clinics not being assigned member lives by Catchment ID MTF Services Area or PRISM ID The Enrollment IDs were restricted to zip codes within 60 minutes of Darnall-Hood

Note To estimate the geographic market within a 30-minute drive time of the MTF we assumed an average driving speed of 30 MPH and thus a 15-mile radius around the Zip code of the MTF was determined as the geographic market

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (2 of 2)

The potential impact of new MHS Beneficiaries on the total population is well below the 10 threshold for both population groups and thus will not materially impact supply and demand of services in the market

Primary Care Non-AD MTF Prime and Plus Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 107 37184 84 52

5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42

65 and over 4 00 46106 104 00 Total 18186 1000 441521 1000 41

Specialty OP MTF Prime Reliant and Medicare Eligible Population

Age Group MHS Impacted Population

of Total MHS Target Population Population Total of Population Total Impacted Population

Introduced 0 to 4 1938 67 90326 75 21

5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16

65 and over 4 00 154871 129 00 Total 28740 1000 1203090 1000 24

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (2 of 4)

The commercial primary care network within the 30-minute drive-time standard is capable of accepting the specific demand from the 18186 impacted beneficiaries

Current Supply

bull The majority of Primary Care providers are located in Bell and McLennan Counties where ~83 of impacted TRICARE beneficiaries reside

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) has averaged less than 99 and the growth rate is projected to decrease over the next 5 years to 52

bull Impacted TRICARE beneficiaries account for only 41 of the population

Resulting ShortageSurplus

bull There is a sufficient surplus of primary care providers in the market to handle the TRICARE Beneficiaries released into the market

bull Bell County where the MTF and most beneficiaries reside will be able to supply excess providers to the county and the surrounding county

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 115 zip codes five complete counties (Coryel Lampasas Burnet Hamilton Bell) and eleven partial counties (Bosque Burleson Comanche Erath Falls Hill McLennan Milam Mills Travis Williamson)

bull Of the 28740 impacted specialty care beneficiaries attributed to Darnall-Hood 99 are represented within the 40-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27

= 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

bull The majority of specialty care providers operate in Bell McLennan Travis and Williamson counties

Current Supply

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Forecasted Demand

Resulting ShortageSurplus

bull There are sufficient AllergyImmunology and Psychiatry providers across the geographic market bull Bell County where 89 of impacted beneficiaries reside has a sufficient supply of specialist but there is an overall shortage across the geographic market

for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

Darnall-Hood Network Adequacy Analysis (4 of 4)

The commercial specialty care network within the 60-minute drive-time standard may have difficulty of accepting the specific demand from the 28740 impacted beneficiaries in pulmonology

Current Supply

bull The majority of specialty care providers operate in Bell county which is where ~

Forecasted Demand

bull Population growth over the last five years (2014 to 2018) in the 60 minute drive time has averaged 93 and is projected to decrease considerably over the next 5 years to 39

bull Impacted TRICARE beneficiaries account for only 43 of population and will not have any significant impact on services demanded

Resulting ShortageSurplus

bull There is sufficient supply of AllergyImmunology and Psychiatry providers across the geographic market to accept incremental demand

bull There an overall shortage across the geographic market for Pulmonology specialists and so demand from the surrounding counties may crowd the market in Bell County

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (1 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Primary Care

Primary Care Practice Profiles

Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 61 17 Medium (5-9) 4 63 Grand Total 65 22

Practice Name Monthly Extended Hours

Thomas Moore Health Clinic 80 Salado Medical Clinic 60 Family Medicine Clinic 30 Ernesto Malave MD 20 Jacquelene M Adiele MD 20 Dave E Webster DO 10 Grand Total 220

HS Alignment Number of Practices

Number of Physicians

Other 2 2 (Aligned to Multiple Health Systems) 52 37 Baylor scott amp white health 11 47 Grand Total 65 86

(Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 Scott amp White Medical Center ndash Temple 5 Hillcrest Medical Center 1 Baylor Scott amp White Medical Center ndash Brenham 1 Coryell Memorial Healthcare System 2 Cedar Park Regional Medical Center 1 Seton Medical Center Williamson 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 65 86 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (2 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a good number of providers to meet MHS access standards for AllergyImmunology Care

AllergyImmunology Practice Profiles

Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians

Average Physicians Number of Number of

Small (1-4) 12 15 (Aligned to Multiple Hospitals) 7 7 Hill Regional Hospital Grand Total 12 15

Practice Name Monthly Extended Hours

1 3 Baylor Scott amp White Round Rock Hospital 1 2 Providence Health Center 1 2 St Davidrsquos Georgetown Hospital 1 1

Allergy amp Asthma Care Waco 40 Baylor Scott amp White Medical Center -Round Rock 1 Harker Heights Allergy 40

Greater Austin Allergy Asthma amp Immunology PLLC 30 Practices without a physician count have either opted to not participate in

Grand Total 12 15

Allergy amp Asthma Clinic Of Central Texas 30 Grand Total 140

datamedicaregov or have declined to answer survey questions

HS Alignment Number of Practices

Number of Physicians

(Aligned to Multiple Health Systems) 11 13 Baylor Scott amp White Health 1 2 Grand Total 12 15

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (3 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering after hours care the market is projected to have a large number of providers to meet MHS access standards for Psychiatric Care

Psychiatry Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 48 15 Large (10+) 1 100 Grand Total 49 18

Practice Name Monthly Extended Hours

Waco VA Medical Center Psychiatry 1050 Georgetown Behavioral Health Institute Psychiatry 1050 Waco Center For Youth 1050 Behavioral Health At Round Rock Clinic 100 Austin Mind amp Wellness 80 Zeitgeist Wellness Group 40 Charles E Holland PHD 40 Cedar Crest Clinic 30 Grand Total 3440

HS Alignment Number of Practices

Number of Physicians

Other 10 20 (Aligned to Multiple Health Systems) 39 45

(Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 49 65 Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 49 65

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (4 of 6) Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and the lack of providers offering after hours care the market is projected to have a limited number of providers that will meet MHS access standards for Pulmonology Care

Pulmonology Practice Profiles

Practice Site Size Number of Practice Sites

Average Physicians per Site

Small (1-4) 11 24 Medium (5-9) 3 50 Grand Total 14 34

Practice Name Monthly Extended Hours

Waco Lung Associates 00 Baylor Scott amp White Health 00 Austin Childrenrsquos Chest Associates 00 Scott And White Clinic 00 Freddie M Morales MD Pulmonary Disease amp Internal Medicine Clinic 00 Austin Critical Care Specialists PA 00 Georgetown Sleep Center PA 00 Williamson Pulmonary amp Sleep Associates 00 Georgetown Pulmonary Associates 00 Scott White Temple Clinic Pulmonary 00 VA Medical Service Pulmonary Section 00 Grand Total 00

HS Alignment Number of Practices

Number of Physicians

Other 3 15 (Aligned to Multiple Health Systems) 9 6 Baylor Scott amp White Health 2 6

(Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center - Temple 1 Baylor Scott amp White Medical Center Hillcrest 1

Hospital Alignment Number of Practice Sites

Number of Physicians

Grand Total 14 27

Practices without a physician count have either opted to not participate in datamedicaregov or have declined to answer survey questions

Grand Total 14 27

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (5 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Primary Care and AllergyImmunology providers are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 27 12 High Likelihood 5 1 Medium Likelihood 30 69 Low Likelihood 3 4 Grand Total 65 86

AllergyImmunology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians Contracted with TRICARE 3 1 Medium Likelihood 8 13 Low Likelihood 1 1 Grand Total 12 15

Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Area PA Internal Medicine Freedom Urgent Care PLLC Family Practice LHP Texas Md Services Inc Family Practice

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 3 T A R G E T E D P R A C T I C E P R O F I L E S

Darnall-Hood Targeted Practice Profiles (6 of 6)

While ability and willingness to accept TRICARE patients must be confirmed the majority of providers in the Darnall-Hood geographic market are accepting government-sponsored insurance and many Psychiatric and Pulmonology care providers are already contracted to provide services to TRICARE beneficiaries

Psychiatric Care Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Contracted Practice Sample Specialty Georgetown Pulmonary Associates Pulmonology

Contracted with TRICARE 8 4 Cedar Crest Clinic Psychiatric High Likelihood Freddie M Morales MD Pulmonary Disease amp Internal

Medicine Clinic Pulmonology 3 2

Medium Likelihood 26 49 Lone Star Circle Of Care Behavioral Health Psychiatric Low Likelihood 12 10

Grand Total 49 65 Williamson Pulmonary amp Sleep Associates Pulmonology Scott And White Clinic Psychiatric Providence Health Alliance Psychiatric

Pulmonology Providers Likelihood of offering services to TRICARE Number of Sum of members Sites Physicians

Metroplex Clinic Physicians Inc Psychiatric Central Counties Center For Mental Health And Mental Retardation Srvs Psychiatric

Contracted with TRICARE 7 6 High Likelihood 2 Medium Likelihood 5 21 Grand Total 14 27

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood ndash The provider organization has a history of submitting Out-of-Network claims to TRICARE Medium Likelihood ndash Providers are accepting Medicare andor Medicaid Low Likelihood ndash The provider organization has a history of not accepting Government Sponsored Health Plan patients

Note The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and ldquoIn-Networkrdquo designation during the claims process These provider claims are marked as Out-of-Network by default

Pre-Decisional Document ndash For Official Use Only

Appendix A 1 Alternate Slides

Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (1 of 4)

Primary Care

Key

bull The depicted geography represents a 15-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 38 zip codes and seven partial counties (Bell Burnet Coryell Falls Hamilton Lampasas McLennan)

bull Of the 18186 impacted primary care beneficiaries attributed to Darnall-Hood 99 are represented within the 15-mile radius boundary around the MTF

Specialty Number of Practice Sites

Number of Physicians

Family Practice 36 43 Geriatric Medicine 2 4 Internal Medicine 18 11 Pediatrics 9 28

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code Grand Total 65 86

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 2 N E T W O R K A D E Q U A C Y E V A L U A T I O N

Darnall-Hood Network Adequacy Analysis (3 of 4)

Specialty Care

Key = 40-mile (60-minute) boundary

= Density of beneficiaries by zip code

bull The above geography represents a 40-mile radius which was used due to this geography being an urban area

bull The identified drive time includes 163 zip codes one complete county (El Paso) and three partial counties (Dona Ana Hudspeth Otero)

bull Of the 14278 impacted specialty care beneficiaries attributed to Darnall-Hood 100 are represented within the 40-mile radius boundary

Specialty Number of Practice Sites

Number of Physicians

AllergyImmunology 12 15 Psychiatric 49 65 Pulmonology 14 27 Grand Total 75 107

Shading is based on population within the zip code and map scale Pre-Decisional Document ndash For Official Use Only

S E C T I O N 1 F A C I L I T Y B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

Network Assessment Darnall-Hood (3 of 3)

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence to determine the geography for a network adequacy analysis that conservatively estimates the appropriate drive-time standards for the specific scenario under evaluation

Bell

15027

83

Burnet Coryell

2514

Lampasas

532

McLennan Milam Williamson Comanche Falls Bosque

Primary Care (MTF Prime

Plus Reliant)

11

0

16 1 82 1 2 1

14 3 0 0 0 0 0 0

Specialty Care (MTF Prime Reliant and

Medicare Eligible)

25439

89

11

0

2638 534 28 2 86 1 2 1

9 2 0 0 0 0 0 0

30-Minute Drive-Time Boundary

Hamilton

Lampasas

Burnet Bell

Falls

McLennan

Coryel

Primary Geography for Evaluation Primary Care Services Bell Specialty Care Services Bell

Secondary Geography for Evaluation Primary Care Services Coryell Lampasas

Specialty Care Services Coryell Lampasas

60-Minute Drive-Time Boundary

Erath

Comanche

Hamilton

Mills

Lampasas

Burnet

Travis

Williamson Milam

Burleson

Bell

Falls

McLennan Coryel

Bosque Hill

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Pre-Decisional Document ndash For Official Use Only

Part E P4I Measures (1 of 17)

Part E P4I Measures (2 of 17)

Part E P4I Measures (3 of 17)

Part E P4I Measures (4 of 17)

Part E P4I Measures (5 of 17)

Part E P4I Measures (6 of 17)

Part E P4I Measures (7 of 17)

Part E P4I Measures (8 of 17)

Part E P4I Measures (9 of 17)

Part E P4I Measures (10 of 17)

Part E P4I Measures (11 of 17)

Part E P4I Measures (12 of 17)

Part E P4I Measures (13 of 17)

Part E P4I Measures (14 of 17)

Part E P4I Measures (15 of 17)

Part E P4I Measures (16 of 17)

Part E P4I Measures (17 of 17)

Part F JOES Patient Experience

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part G Base Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part H MTF Mission Brief

Part I Fort Hood Referral Data

Due to the amount of data please see attached file ldquoRussell Collier Referrals June 18-December 2018 (002)rdquo for more information

Part J MTF Portfolio (Full)

DARNALL ARMY MEDICAL CENTER ndash FT HOOD

FOUO 1

Table of Contents

Section Slide Overviewhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3 Inpatient Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip5

Laboratoryhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip85

Ambulatory Carehelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip19 Pharmacyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip42 Radiologyhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70

Staffinghelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip106 Eligible Population and Enrollmenthelliphelliphelliphelliphellip129

FOUO 2

AMC Darnall ndash Overview

of Buildings and Age1 2 53 Built Beds1 79 Beds2 FY 2019 Projected Beds

SERVICE BEDS Bassinett 20 MedSurg 19 Mental Health 18 OB 20 ICU 18 TOTAL 95

ADPL3 ADPL FY14 FY15 FY16 FY17 FY18 ADPL w Newborn 616 615 589 564 573 ADPL wo Newborn 427 428 431 423 431

1 Source DHA Facilities Management Division 2 Source P4I Occupancy Rate Measure 3 Source MDR SIDR includes inferreds FOUO

3

AMC Darnall ndash Overview

Avg of Encounters per day1 Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 2018

0110 AMC DARNALL-HOOD 2222 2182 2193 2794 2674 0362 RED RIVER ARMY DEPOT 10 9 8 8 7 1592 MONROE CONSOLIDATED-HOOD 272 297 264 220 159 1599 TMC-12-HOOD 46 56 62 67 33 1601 TMC-14-HOOD 24 17 15 28 17 6014 CHARLES MOORE HLTH CLN-HOOD 434 532 465 301 337 6076 RUSSELL COLLIER HLTH CLIN-HOOD 237 303 324 301 312 6077 IA-TBI-1-CLINIC-HOOD 53 60 32 6078 IA-INTENSV OUTPT DAY TMT-HOOD 69 35 24 6109 CBMH WEST KILLEEN-HOOD 1 6111 CBMH HARKER HEIGHTS-HOOD 147 161 189 180 196 6112 CBMH KILLEEN-HOOD 178 155 175 174 166 6113 CBMH COPPERAS COVE-HOOD 168 164 157 154 154 6164 EBH 56 EBHT BLDG 2255-HOOD 15 108 91 6165 EBH 8 EBHT-HOOD 9 87 77 6171 EBH TEAM A 1-1CD-HOOD 48 34 44 42 6172 EBH TEAM B 2-1CD-HOOD 38 43 47 42 6173 EBH TEAM C 3-1CD-HOOD 42 48 38 46 6174 EBH TEAM D 3CR-HOOD 32 44 58 43 6227 NICOE-INTREPID SPIRIT-HOOD 61 90 95 7236 BENNETT FAM CARE CLINIC-HOOD 245 234 248 256 247 7347 BLDG 36000-HOOD 14 153 223

ER or Immediate Care2 Y ndash AMC Darnall

1 Source M2 CAPER MEPRS B only ER (BIA) and Immediate Care (BHI) omitted Monday-Friday only 2 Source M2 CAPER ER (BIA) or Immediate Care (BHI) coded FOUO

4

Inpatient Care

Return to TOC

FOUO 5

AMC Darnall ndash Trends in Direct Care ADPL1 ndash Overall and by Product Line

TOTAL FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH

MEDIAN 75TH 90TH MAX

616 300 500 550 620 680 730 860

615 400 510 560 610 670 720 860

589 320 450 520 595 660 710 830

564 320 460 510 560 620 670 810

573 360 470 510 560 630 700 900

ADPL BY PRODUCT LINE AND FY PRODUCT LINE 2014 2015 2016 2017 2018 CIRC DIGEST ENT GYN MH NERVOUS NEWBORNsup2 OB ORTHO OTHER RESP

119 222 046 108 1122 093 1892 1732 102 553 172

109 218 041 122 1145 098 1864 1714 128 532 179

083 299 047 102 1222 062 1581 1590 128 570 207

101 252 043 087 1324 093 1415 1398 157 587 189

102 235 070 081 1304 067 1422 1411 158 688 198

TOTAL 6161 6148 5891 5644 5735

OBSTETRICS - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

173 50 120 140 170 200 230 290

171 70 120 150 170 200 220 260

159 50 110 130 160 190 210 260

140 40 90 120 140 160 190 250

141 00 100 110 140 160 190 270

NEWBORN2 - PATIENT LOAD BY FY FY 2014 2015 2016 2017 2018

MEAN MIN 10TH 25TH MEDIAN 75TH 90TH MAX

189 50 130 160 190 220 250 290

186 80 140 160 180 210 240 290

158 30 100 130 160 190 210 340

141 50 100 110 140 160 190 260

142 10 100 110 140 170 190 250 1 Source MDR SIDR (includes newborn nursery and inferreds)

2 Defined as MDC 15 FOUO 6

AMC Darnall ndash IP Workload CMI and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

DispositionAdmissions Case Mix Index (CMI) CostPaid per DispAdm CostPaid per MS-RWP DC PC DC PC DC PC2 DC PC2

Dispositions Admissions MS-RWP

Dispositions MS-RWP Admissions

Full Cost Dispositions

Amount Paid Admissions

Full Cost MS-RWP

Amount Paid MS-RWP

FY 20183

MED 1819 1216 06720 10834 6091 $ 9613 $ 9064 $ 8873 $ SURG 968 576 15316 30000 18324 $ 25492 $ 11964 $ 8498 $

OB 2221 464 05310 05794 9557 $ 5124 $ 17998 $ 8843 $ NEWBORN 2081 505 03519 08412 5788 $ 7789 $ 16449 $ 9259 $

MH 845 44 05396 05222 8821 $ 4686 $ 16346 $ 8973 $ TOTAL 7934 2805 06393 13412 8765 $ 11726 $ 13709 $ 8743 $

FY 20173

MED 1687 1225 06973 10109 5929 $ 8478 $ 8502 $ 8387 $ SURG 1102 652 16157 25959 18580 $ 22697 $ 11500 $ 8743 $

OB 2202 540 05261 05333 9269 $ 4737 $ 17618 $ 8882 $ NEWBORN 2039 529 03492 07094 5879 $ 6236 $ 16837 $ 8791 $

MH 858 27 04659 05422 8025 $ 4687 $ 17225 $ 8644 $ TOTAL 7888 2973 06627 12138 8844 $ 10483 $ 13346 $ 8637 $

FY 20163

MED 1612 1282 06727 09388 5757 $ 7735 $ 8558 $ 8239 $ SURG 969 697 15433 27097 18379 $ 22889 $ 11909 $ 8447 $

OB 2511 603 05428 05897 8699 $ 4934 $ 16028 $ 8366 $ NEWBORN 2391 613 03375 08681 5159 $ 7293 $ 15286 $ 8401 $

MH 851 37 06497 05326 7743 $ 4345 $ 11918 $ 8158 $ TOTAL 8334 3232 06363 12375 8142 $ 10358 $ 12797 $ 8370 $

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

7

AMC Darnall ndash FY18 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2018 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1283 06605 9204 $ 17 06648 8259 $ 88 06741 8395 $ 3 06245 7895 $ 309 07225 8580 $ 119 06653 9570 $ 1819 06720 9064 $ SURG 828 15329 11790 $ 8 12002 12775 $ 62 15177 12324 $ 1 12964 17566 $ 33 18040 13997 $ 36 13557 13009 $ 968 15316 11964 $

OB 2028 05319 17972 $ 5 05099 19618 $ 94 05307 17863 $ 0 00000 0 $ 0 00000 0 $ 94 05045 18669 $ 2221 05307 17999 $ NEWBORN 1474 03343 15635 $ 2 02052 18003 $ 478 03386 16838 $ 0 00000 0 $ 0 00000 0 $ 127 06069 20836 $ 2081 03518 16450 $

MH 737 05425 16203 $ 17 05105 21977 $ 40 05509 17391 $ 0 00000 0 $ 5 05319 6888 $ 46 04950 16808 $ 845 05396 16346 $ TOTAL 6350 06438 13780 $ 49 06641 14263 $ 762 05081 14611 $ 4 07925 11850 $ 347 08226 9694 $ 422 06523 15501 $ 7934 06392 13709 $

55 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2018 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 750 11035 8982 $ 4 09977 7111 $ 225 10575 8605 $ 0 00000 0 $ 3 11013 8363 $ 234 10452 8802 $ 1216 10834 8873 $ SURG 330 32767 8450 $ 2 47665 6589 $ 135 28810 8769 $ 0 00000 0 $ 3 27269 8322 $ 106 22645 8355 $ 576 30000 8498 $

OB 36 06261 8850 $ 0 00000 0 $ 26 06420 9110 $ 0 00000 0 $ 0 00000 0 $ 402 05712 8823 $ 464 05794 8843 $ NEWBORN 2 04521 6031 $ 0 00000 0 $ 84 10938 8753 $ 0 00000 0 $ 0 00000 0 $ 419 07925 9408 $ 505 08412 9259 $

MH 28 05103 9164 $ 0 00000 0 $ 10 05339 9559 $ 0 00000 0 $ 0 00000 0 $ 6 05582 7227 $ 44 05222 8973 $ TOTAL 1146 16986 8685 $ 6 22540 6743 $ 480 15433 8728 $ 0 00000 0 $ 6 19141 8334 $ 1167 08994 8891 $ 2805 13412 8743 $

95 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 8 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

AMC Darnall ndash FY17 IP Workload by Enrollment Status1

Work performed by AMC Darnall3

AMC DARNALL-HOOD - FY 2017 DIRECT CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP Disp CMI CostRWP

MED 1196 06681 8600 $ 13 06664 8470 $ 77 07361 9038 $ 0 00000 0 $ 264 07851 8011 $ 137 07649 8434 $ 1687 06973 8502 $ SURG 915 16136 11325 $ 8 12041 11322 $ 92 15670 11529 $ 0 00000 0 $ 47 19769 13421 $ 40 14332 12854 $ 1102 16157 11500 $

OB 1947 05249 17596 $ 4 04701 16254 $ 96 05463 17697 $ 0 00000 0 $ 0 00000 0 $ 155 05302 17865 $ 2202 05261 17618 $ NEWBORN 1704 03382 16227 $ 2 01570 26019 $ 90 02633 14045 $ 0 00000 0 $ 0 00000 0 $ 243 04595 20550 $ 2039 03492 16837 $

MH 755 04668 17031 $ 25 04355 16330 $ 30 04823 21598 $ 0 00000 0 $ 2 06787 6406 $ 46 04480 18657 $ 858 04659 17225 $ TOTAL 6517 06485 13471 $ 52 06034 12715 $ 385 07570 12859 $ 0 00000 0 $ 313 09634 9671 $ 621 06064 15317 $ 7888 06627 13346 $

66 MCSC

Work performed by a provider within AMC Darnallrsquos catchment area2

AMC DARNALL-HOOD - FY 2017 PURCHASED CARE INPATIENT WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP Adms CMI PaidRWP

MED 682 10371 8477 $ 4 08362 7438 $ 284 10241 8493 $ 2 09186 6566 $ 2 11165 7598 $ 251 09273 8016 $ 1225 10109 8387 $ SURG 365 25557 8994 $ 2 20411 8929 $ 173 26906 8606 $ 0 00000 0 $ 1 36204 8779 $ 111 25815 8147 $ 652 25959 8743 $

OB 48 05603 9249 $ 0 00000 0 $ 24 05804 9224 $ 0 00000 0 $ 0 00000 0 $ 468 05281 8823 $ 540 05333 8882 $ NEWBORN 1 33265 7961 $ 0 00000 0 $ 1 08072 9642 $ 0 00000 0 $ 0 00000 0 $ 527 07043 8797 $ 529 07094 8791 $

MH 17 05134 8553 $ 0 00000 0 $ 5 05759 9884 $ 0 00000 0 $ 0 00000 0 $ 5 06067 7730 $ 27 05422 8644 $ TOTAL 1113 15086 8776 $ 6 12378 8257 $ 487 15892 8581 $ 2 09186 6566 $ 3 19511 8328 $ 1362 08375 8477 $ 2973 12138 8637 $

97 MCSC

1 Source DC = MDR SIDR PC = MDR TED-Institutional (excludes non-acute facilities OHI=Y resource sharing and patients still in the hospital) and Non-institutional (professional services for inpatient care) Includes all beneficiaries Includes ldquofixrdquo to newborn enrollment information

2 Purchased Care includes 13 increase for overhead burdening 9 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

DIRECT CARE PURCHASED CARE AMC DARNALL-HOOD ENROLLEES

Treated At Ft Hood

Product Line Tmt DMIS ID Name DC DISPS DC CMI

DC COST PER RWP4

YES

YES TotalOverall NO

MED SURG

OB NEWBORN

MH

MED

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AMC BAMC-FSH ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR AMC WILLIAM BEAUMONT-BLISS AMC WOMACK-BRAGG NMC SAN DIEGO ACH MARTIN-BENNING AMC TRIPLER-SHAFTER

1466 849

2028 1474

739 6556

70 7 7 5 3 2 2 2 2

06678 15395 05319 03368 05423 06501 09813 06137 06573 08156 05743 04490 11175 05035 06975

9072 $ 11838 $ 17972 $ 15542 $ 16179 $

$ 13595 13606 $ 46332 $ 16472 $ 17870 $

7208 $ 13186 $ 23879 $

6821 $ 15534 $

SURG AMC BAMC-FSH 105 19344 12018 $ LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC WOMACK-BRAGG 5 05500 18306 $ AMC BAMC-FSH 4 05900 16510 $ ACH LEONARD WOOD 2 02560 21064 $ ACH BLANCHFIELD-CAMPBELL 2 04235 15765 $

NEWBORN AMC BAMC-FSH 5 01722 19143 $ AMC WOMACK-BRAGG 3 01777 9214 $ AF-H-633rd MEDGRP JBLE-LANGLEY 2 01640 10805 $ NMC PORTSMOUTH 2 02205 12229 $

MH AMC BAMC-FSH 23 11101 52183 $ LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $ AMC WOMACK-BRAGG 2 03680 14902 $

NO TotalOverall 305 11984 $ 16989 TOTALOVERALL 6861 06745 $ 13863

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP4

MED SURG

OB MH

17 8 5

17

06648 12002 05099 05105

$8259 $12775 $19618 $21977

TotalOverall 47 06836 $14215

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP3

MED SURG

OB NEWBORN

MH

939 517

80 77 35

10858 32572 06611 20218 05388

$ 10374 $ 10456

8587 $ $ 11039

9001 $ TotalOverall 1648 17785 $ 10415

Hospital Name2 City State FY18 Adms Distance Scott And White Mem Hosp Temple TX 1131 284 Metroplex Adventist Hosp Killeen TX 224 24 Seton Med Cen Harker Heights TX 223 91 Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX 32 659 Seton Med Cen Williamson Round Rock TX 27 489 North Austin Medical Ctr Austin TX 24 582 Seton Med Cen Austin TX 20 670 Dell ChildrenS Med Cen Austin TX 17 651 St Joseph Regional Health Cen Bryan TX 14 1050 Dell Seton Med Cen Austin TX 13 670 Round Rock Med Cen Round Rock TX 13 511 Providence Health Cen Waco TX 11 627 University Health Systems San Antonio TX 11 1480 Cook Ft Worth Childrens Fort Worth TX 11 1500 Texas Childrens Hosp Houston TX 10 1980

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Includes ldquofixrdquo to newborn enrollment information Direct Care data are truncated for small volumes

2 Source TED-Institutional citystatedistance from AHA or GoogleMapquest Truncated list of civilian hospitals seeing sitersquos enrollees 3 Purchased Care includes 13 increase for overhead burdening 10 4 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY18 IP Enrollee Sources of Care1

AD Only DIRECT CARE PURCHASED CARE

AMC DARNALL-HOOD ENROLLEES Treated At Ft

Hood Product Line Tmt DMIS ID Name DC-DIPS DC CMI DC COST

PER RWPsup3 YES MED AMC DARNALL-HOOD 337 06738 8631 $

SURG AMC DARNALL-HOOD 248 16160 11273 $ OB AMC DARNALL-HOOD 533 05333 19094 $ MH AMC DARNALL-HOOD 614 05480 16235 $

YES TotalOverall 1732 07209 $ 13910 NO MED AMC BAMC-FSH

ACH WEED-IRWIN LANDSTUHL REGIONAL MEDCEN WALTER REED NATL MIL MED CNTR ACH MARTIN-BENNING

34 7 6 5 2

11970 06137 06957 08156 05035

13436 $ 46332 $ 16312 $ 17870 $

6821 $ SURG AMC BAMC-FSH 62 21111 12101 $

LANDSTUHL REGIONAL MEDCEN 6 12378 13446 $ ACH WEED-IRWIN 4 12995 51441 $ WALTER REED NATL MIL MED CNTR 3 27320 28802 $ AMC EISENHOWER-GORDON 2 11190 6858 $

OB AMC BAMC-FSH 2 04685 15020 $ MH AMC BAMC-FSH 23 11101 52183 $

LANDSTUHL REGIONAL MEDCEN 19 04406 13768 $ NMC SAN DIEGO 5 05314 18121 $ ACH BRIAN ALLGOOD-SEOUL 4 04313 37580 $ AMC WILLIAM BEAUMONT-BLISS 4 05430 14346 $ WALTER REED NATL MIL MED CNTR 3 01980 25536 $

NO TotalOverall 191 13099 $ 18855 TOTALOVERALL 1923 07794 $ 14735

DARNALL AMC-FT HOOD

Product Line PC Adms PC CMI

PC PAID PER

RWP2

MED SURG

OB MH

146 98 16

8

13362 38417 06342 07540

$ 11545 8413 $ 8904 $ 8792 $

TotalOverall 268 21931 9465 $

RELIANTS SEEN AT AMC DARNALL-HOOD

Product Line DC-DISPS DC CMI DC COST

PER RWP3

MED SURG

OB MH

TotalOverall

17 8 5

17 47

06648 12002 05099 05105 06836

$8259 $12775 $19618 $21977 $14215

1 Source DC = MDR SIDR PC = MDR TED-Institutional Enrollment defined by Parent Enrollment Site (includes Prime and Plus) Direct Care data are truncated for small volumes 2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

11

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

765 CESAREAN SECTION W CCMCC 236 775 21560 33 09136 766 CESAREAN SECTION WO CCMCC 181 465 13311 26 07354 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 156 184 17781 12 11398 470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 88 183 16943 21 19253 621 OR PROCEDURES FOR OBESITY WO CCMCC 84 149 14054 18 16731 343 APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CCMCC 78 85 8318 11 10664 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 56 95 7260 17 12964 627 THYROID PARATHYROID amp THYROGLOSSAL PROCEDURES WO CCMCC 35 42 3821 12 10916 767 VAGINAL DELIVERY W STERILIZATION ampOR DampC 35 86 2487 25 07107 110 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE 0-17 31 41 3027 13 09763 742 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY W CCMCC 28 46 3990 16 14251 418 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE W CC 16 71 2555 44 15969 134 OTHER EAR NOSE MOUTH amp THROAT OR PROCEDURES AGE gt17 WO CCM 15 15 1560 10 10399 482 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 WO CCMCC 15 27 2270 18 15133 581 OTHER SKIN SUBCUT TISS amp BREAST PROC WO CCMCC 14 23 2253 16 16089 620 OR PROCEDURES FOR OBESITY W CC 14 47 3041 34 21718 340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WO CCMCC 13 23 1369 18 10532 355 HERNIA PROCEDURES EXCEPT INGUINAL amp FEMORAL AGE gt17 WO CCMCC 12 22 1634 18 13619 769 POSTPARTUM amp POST ABORTION DIAGNOSES W OR PROCEDURE 12 26 1397 22 11640 770 ABORTION W DampC ASPIRATION CURETTAGE OR HYSTEROTOMY 12 18 798 15 06646

TOTAL 1131 2423 129427 21 11444

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

12 1 Source M2 SIDR performed in the MTF FOUO

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Direct Care (IP) MS-DRG MS-DRG Description Disp Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 1197 2550 50721 21 04237 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 900 1923 18451 21 02050 795 NORMAL NEWBORN 873 1545 10729 18 01229 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 331 842 16694 25 05044 882 NEUROSES EXCEPT DEPRESSIVE 328 1850 18988 56 05789 881 DEPRESSIVE NEUROSES 225 1247 11834 55 05259 781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 130 284 6606 22 05082 885 PSYCHOSES 117 895 5874 76 05020 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 101 184 6373 18 06310 313 CHEST PAIN 94 108 6507 11 06922 790 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MAJOR PROB 88 227 6483 26 07367 880 ACUTE ADJUSTMENT REACTION amp PSYCHOSOCIAL DYSFUNCTION 77 375 4624 49 06005 898 ALCOHOLDRUG ABUSE OR DEPENDENCE WO REHABILITATION THERAPY AGE 61 291 2657 48 04356 791 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W MINOR PROB 60 143 1848 24 03081 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 54 120 3569 22 06609 680 NEONATE BIRTHWT 2000-2499G WO SIGNIF OR PROC W OTHER PROB 52 213 5076 41 09762 141 BRONCHITIS amp ASTHMA AGE 0-17 50 86 2059 17 04117 918 POISONING amp TOXIC EFFECTS OF DRUGS AGE gt17 WO MCC 48 213 2696 44 05618 641 MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDSELECTROLYTES gt17 W 44 99 2718 23 06178 195 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 WO CCMCC 42 81 2314 19 05510

TOTAL 4872 13276 186822 27 03835

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 SIDR performed in the MTF FOUO 13

AMC Darnall ndash FY18 Top 20 Surgical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

470 MAJOR HIPKNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM 291 983 56026 34 19253 765 CESAREAN SECTION W CCMCC 93 327 8530 35 09172 460 SPINAL FUSION EXCEPT CERVICAL WO MCC 80 161 28138 20 35173 766 CESAREAN SECTION WO CCMCC 74 170 5383 23 07274 621 OR PROCEDURES FOR OBESITY WO CCMCC 68 100 11230 15 16515 247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT WO MCC 63 167 16399 27 26030 455 COMBINED ANTERIORPOSTERIOR SPINAL FUSION WO CCMCC 47 78 19891 17 42321 473 CERVICAL SPINAL FUSION WO CCMCC 38 39 8216 10 21621 853 INFECTIOUS amp PARASITIC DISEASES W OR PROCEDURE W MCC 36 425 19304 118 53622 330 MAJOR SMALL amp LARGE BOWEL PROCEDURES W CC 34 196 8100 58 23824 483 MAJOR JOINTLIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 32 65 7226 20 22581 481 HIP amp FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE gt17 W CC 27 118 5805 44 21500 246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES O 22 77 7509 35 34132 472 CERVICAL SPINAL FUSION W CC 22 41 5775 19 26250 329 MAJOR SMALL amp LARGE BOWEL PROCEDURES W MCC 20 201 9271 101 46355 331 MAJOR SMALL amp LARGE BOWEL PROCEDURES WO CCMCC 20 84 3439 42 17195 419 LAPAROSCOPIC CHOLECYSTECTOMY WO CDE WO CCMCC 20 49 2593 25 12965 164 MAJOR CHEST PROCEDURES W CC 19 118 5019 62 26416 743 UTERINE amp ADNEXA PROC FOR NON-MALIGNANCY WO CCMCC 18 30 2052 17 11400 620 OR PROCEDURES FOR OBESITY W CC 17 29 3285 17 19324

TOTAL 1041 3458 233191 33 22401

Total Direct Care Surgical = 1452 Total Purchased Care Surgical = 1987

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 14

AMC Darnall ndash FY18 Top 20 Medical MS-DRGs1

Purchased Care (IP) MS-DRG MS-DRG Description Adms Days MSRWP ALOS CMI

775 VAGINAL DELIVERY WO COMPLICATING DIAGNOSES 347 1072 17477 31 05037 795 NORMAL NEWBORN 309 486 3798 16 01229 871 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 W MCC 234 1270 40060 54 17120 792 NEONATE BIRTHWT gt2499G WO SIGNIF OR PROC W OTHER PROB 163 351 3324 22 02039 999 UNGROUPABLE 117 813 000 69 00000 291 HEART FAILURE amp SHOCK W MCC 115 550 13504 48 11743 189 PULMONARY EDEMA amp RESPIRATORY FAILURE 111 499 11912 45 10732 392 ESOPHAGITIS GASTROENT amp MISC DIGEST DISORDERS AGE gt17 WO MCC 80 202 5225 25 06531 872 SEPTICEMIA OR SEVERE SEPSIS WO MV gt96 HOURS AGE gt17 WO MCC 79 330 6339 42 08024 378 GI HEMORRHAGE W CC 78 277 6835 36 08763 193 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W MCC 59 245 6353 42 10768 690 KIDNEY amp URINARY TRACT INFECTIONS AGE gt17 WO MCC 58 179 3847 31 06633 774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 57 129 2838 23 04979 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 56 227 5917 41 10566 683 RENAL FAILURE W CC 54 174 3931 32 07280 287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH WO MCC 53 136 6932 26 13079 194 SIMPLE PNEUMONIA amp PLEURISY AGE gt17 W CC 52 199 4060 38 07808 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 51 171 5621 34 11022 603 CELLULITIS AGE gt17 WO MCC 51 169 2954 33 05792 101 SEIZURES AGE gt17 WO MCC 50 153 3743 31 07486

TOTAL 2174 7632 154670 35 07115

Total Direct Care Medical = 6482 Total Purchased Care Medical = 4682

1 Source M2 TED-Institutional based on where the beneficiary lives (Catchment Area ID) FOUO 15

AMC Darnall ndash Civilian Hospitals1

Hospital Name City State Accred GME

DNV Accred

Joint Comm Accred

Gen MedSurg

Beds MedSurg ICU Beds

NICU Beds

Total Beds

OB Care

OB Care Beds

Womenrsquos Health Svcs ER

ER Visits

Gen MedSurg Ped Care

Certified Trauma Center

Trauma Center Certified Level

Total Births

Inpatient Days

Avg Daily

Census

FY18 Enrollee

Adms

Driving Distance

from MTF

Sole Comm Hosp

Scott And White Mem Hosp Temple TX Y N Y 335 33 43 647 Y 40 Y Y 101291 Y Y Regl Res Trauma Cen 2469 164930 452 1131 284 N Metroplex Adventist Hosp Killeen TX Y N Y 56 47 0 177 Y 31 Y Y 47437 Y Y Other 1215 24098 66 224 24 N Seton Med Cen Harker Heights TX N N Y 55 10 0 83 Y 18 Y Y 47306 N Y Other 990 9577 26 223 91 N Health South Surg Hosp Austin TX 61 639 St Davids Hosp Austin TX Y Y Y 281 56 32 595 Y 96 Y Y 86681 N Y Other 5186 145455 399 32 659 Seton Med Cen Williamson Round Rock TX Y N Y 92 26 0 126 Y 8 Y Y 28732 N Y Comm Trauma Cen 347 31874 87 27 489 N North Austin Medical Ctr Austin TX Y N Y 170 24 57 398 Y 105 Y Y 93640 Y N 6911 101582 278 24 582 Seton Med Cen Austin TX Y Y Y 195 56 44 382 Y 60 Y Y 32108 N Y Other 4805 95581 262 20 670 Dell ChildrenS Med Cen Austin TX Y N Y 0 0 32 189 N 0 N Y 70748 Y Y Regl Res Trauma Cen 0 37690 103 17 651 St Joseph Regional Health Cen Bryan TX Y N Y 84 24 4 222 Y 16 N Y 61880 Y Y Comm Trauma Cen 1553 55336 152 14 1050 N Dell Seton Med Cen Austin TX N N Y 13 670 Round Rock Med Cen Round Rock TX N N Y 78 18 12 171 Y 39 Y Y 42531 N Y Comm Trauma Cen 1694 40881 112 13 511 N Providence Health Cen Waco TX Y N Y 284 85642 1849 95616 262 11 627 N University Health Systems San Antonio TX Y N Y 337 81 35 639 Y 37 Y Y 93725 Y Y Regl Res Trauma Cen 2911 170439 467 11 1480 N Cook Ft Worth Childrens Fort Worth TX Y N Y 0 0 80 372 N 0 N Y 104344 Y Y Comm Trauma Cen 0 80522 221 11 1500 N Texas Childrens Hosp Houston TX Y N Y 0 0 132 743 Y 73 Y Y 126112 Y Y Regl Res Trauma Cen 5719 206572 566 10 1980 N

1 Source AHA Dataviewer 2017 FOUO 16

=

AMC Darnall ndash Workload and Costs for Purchased Care1

Non-Acute Care

ALL CLAIMS 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1267 9884217 $ 7801 $ 1362 11772452 $ 8644 $ 1095 9413944 $ 8597 $ 46 Rehabilitation 19 112095 $ 5900 $ 25 302191 $ 12088 $ 17 98377 $ 5787 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 180 1662966 $ 9239 $ 156 1525183 $ 9777 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 22 849116 $ 38596 $ 17 865215 $ 50895 $ 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 361 839439 $ 2325 $ 357 748725 $ 2097 $ 383 1007163 $ 2630 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 160 2919985 $ 18250 $ 108 990502 $ 9171 $ 116 2105809 $ 18154 $

Total - All Claims 2272 17123133 $ 7537 $ 2258 16890018 $ 7480 $ 1890 15904260 $ 8415 $

OHI FLAG N (TRICARE PRIMARY PAYOR) 2016 2017 2018 Institution Type Inst Type Name

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

EDIPNDate Count

PC-Total Amt Paid

Paid per EDIPNDate

22 Psych Hosp or Unit of 1166 9759420 $ 8370 $ 1282 11664080 $ 9098 $ 1030 9324832 $ 9053 $ 46 Rehabilitation 3 87249 $ 29083 $ 7 267016 $ 38145 $ 3 69513 $ 23171 $ 70 Home Health Care Agency 248 827017 $ 3335 $ 215 647366 $ 3011 $ 99 304387 $ 3075 $ 72 Residential Treatment Center 178 1648984 $ 9264 $ 155 1522494 $ 9823 $ 153 1410220 $ 9217 $ 73 Extended Care Facility 10 681614 $ 68161 $ 10 834756 $ 83476 $ 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 39 193243 $ 4955 $ 31 148421 $ 4788 $ 31 224281 $ 7235 $ 78 Non-hospital based hospice 15 28300 $ 1887 $ 18 38384 $ 2132 $ 7 17216 $ 2459 $ 93 Critical Access Hospital 57 2779250 $ 48759 $ 21 861331 $ 41016 $ 43 1990967 $ 46302 $

Total - OHI = N Claims 1716 16005078 $ 9327 $ 1739 15983849 $ 9191 $ 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area FOUO 17

=

AMC Darnall ndash FY18 Workload and Costs for Purchased Care1 Non-Acute Care by Enrollment Status

Inst Type Inst Type Name

ALL CLAIMS

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 671 6004874 $ 8949 $ 6 $ 80105 $ 13351 205 2026845 $ 9887 $ 0 -$ -$ 18 28382 $ $ 1577 195 1273739 $ $ 6532 1095 9413944 $ 8597 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 12 20666 $ $ 1722 2 8198 $ $ 4099 17 98377 $ 5787 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 10 713077 $ $ 71308 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 6 44237 $ $ 7373 1 21152 $ $ 21152 20 1547144 $ 77357 $ 76 Skilled Nursing Facility 12 69046 $ 5754 $ 0 -$ -$ 7 59612 $ 8516 $ 0 -$ -$ 344 816814 $ $ 2374 20 61692 $ $ 3085 383 1007163 $ 2630 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 30 1623480 $ $ 54116 0 -$ -$ 15 345947 $ 23063 $ 0 -$ -$ 68 107134 $ $ 1576 3 29249 $ $ 9750 116 2105809 $ 18154 $

Total - All Claims 809 8792078 $ $ 10868 6 $ 80105 $ 13351 353 4232386 $ 11990 $ 0 -$ -$ 448 1017232 $ $ 2271 274 1782460 $ $ 6505 1890 15904260 $ 8415 $

Inst Type Inst Type Name

OHI FLAG N 2

EDIPN Date Count

PC-Total Amt Paid

Prime-Site

Paid per EDIPN Date

Reliant Prime-Other Plus TFL Not Enrolled

EDIPN Date Count

PC-Total Amt Paid

Total

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

EDIPN Date Count

PC-Total Amt Paid

Paid per EDIPN Date

22 Psych Hosp or Unit of 656 5984732 $ 9123 $ 6 $ 80105 $ 13351 191 2007639 $ 10511 $ 0 -$ -$ 2 3178 $ $ 1589 175 1249179 $ $ 7138 1030 9324832 $ 9053 $ 46 Rehabilitation 2 42526 $ $ 21263 0 -$ -$ 1 26987 $ 26987 $ 0 -$ -$ 0 -$ -$ 0 -$ -$ 3 69513 $ 23171 $ 70 Home Health Care Agency 62 191142 $ 3083 $ 0 -$ -$ 21 70062 $ 3336 $ 0 -$ -$ 0 -$ -$ 16 43182 $ $ 2699 99 304387 $ 3075 $ 72 Residential Treatment Center 18 135754 $ 7542 $ 0 -$ -$ 100 932414 $ 9324 $ 0 -$ -$ 0 -$ -$ 35 342052 $ $ 9773 153 1410220 $ 9217 $ 73 Extended Care Facility 9 711291 $ $ 79032 0 -$ -$ 3 768678 $ 256226 $ 0 -$ -$ 0 -$ -$ 1 21152 $ $ 21152 13 1501120 $ 115471 $ 76 Skilled Nursing Facility 10 62899 $ 6290 $ 0 -$ -$ 6 55491 $ 9249 $ 0 -$ -$ 7 59535 $ $ 8505 8 46355 $ $ 5794 31 224281 $ 7235 $ 78 Non-hospital based hospice 4 12179 $ 3045 $ 0 -$ -$ 1 1839 $ 1839 $ 0 -$ -$ 0 -$ -$ 2 3198 $ $ 1599 7 17216 $ 2459 $ 93 Critical Access Hospital 28 1620444 $ $ 57873 0 -$ -$ 13 342817 $ 26371 $ 0 -$ -$ 0 -$ -$ 2 27706 $ $13853 43 1990967 $ 46302 $

Total - OHI = N Claims 789 8760966 $ $ 11104 6 $ 80105 $ 13351 336 4205928 $ 12518 $ 0 -$ -$ 9 62714 $ $ 6968 239 1732823 $ $ 7250 1379 14842537 $ 10763 $

1 Source MDR TEDI and MDR TED-NI Work performed by a provider within the sitersquos catchment area 2 TRICARE is the primary payor FOUO

18

Ambulatory Care

Return to TOC

FOUO 19

AMC Darnall ndash Direct Care Appointments by Appointment Status1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appointment Status

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 424556 50 473843 50 432815 47 1603 66 2334 70 2526 66 24938 34 17763 29 17874 40 3 Canceled 101636 12 107829 11 96805 11 289 12 360 11 340 9 4661 6 3697 6 3569 8 4 No Show 25786 3 28811 3 25623 3 267 11 284 9 397 10 1126 2 836 1 494 1 5 Walk In 190776 23 223082 23 242300 26 259 11 290 9 403 11 16931 23 21100 35 8799 20 6 Sick Call 773 0 855 0 837 0 3337 5 4703 8 3091 7 7 Telcon 88067 10 104336 11 103527 11 15 1 2 0 20521 28 11285 19 9983 22 8 LWOBS 3219 0 2684 0 3785 0 1 0 1 0 3 0 92 0 73 0 29 0 9 Admin 12392 1 11165 1 8214 1 52 2 147 4 1196 2 1091 2 766 2 10 Occ-Svc 679 0 1802 0 937 0 1 0 97 0 108 0 27 0 Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appointment Status

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 8543 49 11409 61 4946 56 1 0 82056 48 70129 55 66841 52 3 Canceled 1475 9 1598 9 879 10 77 2 63 1 11 0 19224 11 12658 10 12504 10 4 No Show 163 1 242 1 105 1 5150 3 2767 2 1862 1 5 Walk In 2545 15 971 5 219 2 2663 71 5449 78 2608 61 27639 16 21719 17 22854 18 6 Sick Call 29 0 16 0 26 0 866 23 1263 18 1361 32 3736 2 1613 1 1466 1 7 Telcon 4258 25 4029 22 2543 29 116 3 224 3 236 6 32260 19 17545 14 20677 16 8 LWOBS 10 0 44 0 18 0 3 0 12 0 41 1 139 0 142 0 59 0 9 Admin 315 2 260 1 75 1 4 0 4 0 7 0 1454 1 1367 1 1878 1 10 Occ-Svc 1 0 41 0 1 0 4 0 4 0 150 0 118 0 68 0 Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 20

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 45213 46 40949 45 37632 40 20544 37 20933 39 21038 36 3 Canceled 12206 12 11343 12 10499 11 6 30 5443 10 6088 11 6775 12 4 No Show 4029 4 3406 4 3453 4 1703 3 1851 3 2155 4 5 Walk In 7858 8 12266 13 10957 12 3139 6 3456 6 3635 6 6 Sick Call 84 0 8 0 4 0 7 Telcon 28263 29 23055 25 31109 33 11 55 24522 44 20978 39 24469 42 8 LWOBS 126 0 72 0 40 0 17 0 20 0 22 0 9 Admin 722 1 416 0 182 0 3 15 99 0 121 0 167 0 10 Occ-Svc 52 0 63 0 110 0 28 0 19 0 47 0 Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appointment Status

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 20491 39 22009 43 18661 38 17295 36 18517 40 19269 42 15618 53 17971 62 3 Canceled 5602 11 5693 11 5673 11 5413 11 4944 11 5449 12 4413 15 4802 17 4 No Show 2269 4 2133 4 2016 4 1661 3 1460 3 1583 3 930 3 1155 4 5 Walk In 2996 6 3534 7 3615 7 2216 5 2849 6 2480 5 5324 18 2212 8 6 Sick Call 2 0 7 Telcon 20952 40 18275 35 19388 39 20950 44 17771 39 17411 38 2827 10 2513 9 8 LWOBS 5 0 6 0 2 0 16 0 7 0 14 0 14 0 22 0 9 Admin 188 0 118 0 186 0 73 0 126 0 86 0 319 1 222 1 10 Occ-Svc 15 0 6 0 35 0 20 0 124 0 9 0 26 0 10 0 Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 21

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 11913 51 12589 55 4247 43 7055 53 8155 61 7764 62 8363 60 7282 59 3 Canceled 2708 12 2785 12 1060 11 1734 13 2026 15 1593 13 1914 14 1611 13 4 No Show 1087 5 927 4 306 3 505 4 605 5 135 1 193 1 232 2 5 Walk In 4632 20 3698 16 1827 18 2946 22 1844 14 1571 12 2461 18 2779 22 6 Sick Call 7 Telcon 2636 11 2803 12 2357 24 989 7 481 4 1375 11 829 6 409 3 8 LWOBS 5 0 4 0 1 0 2 0 3 0 2 0 8 0 9 Admin 230 1 52 0 161 2 100 1 206 2 181 1 91 1 33 0 10 Occ-Svc 7 0 1 0 10 0 2 0 1 0 2 0 1 0 Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appointment Status

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 5223 36 4738 42 6454 47 5863 46 7712 45 6916 50 9276 65 19615 69 20414 65 3 Canceled 1965 13 1346 12 1986 14 1490 12 2302 13 2414 17 2696 19 4401 16 6080 19 4 No Show 363 2 252 2 253 2 257 2 387 2 595 4 331 2 797 3 951 3 5 Walk In 4424 30 3188 29 3274 24 2960 23 4477 26 2865 21 1337 9 2256 8 2785 9 6 Sick Call 5 0 7 Telcon 2388 16 1520 14 1796 13 2202 17 2341 14 1029 7 426 3 825 3 585 2 8 LWOBS 8 0 5 0 4 0 4 0 10 0 16 0 8 0 9 0 20 0 9 Admin 273 2 102 1 84 1 18 0 2 0 16 0 89 1 367 1 506 2 10 Occ-Svc 4 0 5 0 4 0 3 0 3 0 1 0 2 0 18 0 23 0 Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 22

AMC Darnall ndash Direct Care Appointments by Appointment Status1

Appointment Status

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2 Kept 32070 44 33711 46 29523 41 23319 48 35338 50 3 Canceled 6374 9 7062 10 7138 10 7 2 6138 13 9400 13 4 No Show 1484 2 1314 2 1167 2 2245 5 3027 4 5 Walk In 12113 17 12987 18 16085 23 29 10 2779 6 5275 7 6 Sick Call 4047 6 3705 5 1759 2 7 Telcon 15878 22 13931 19 14575 20 264 87 13412 28 17493 25 8 LWOBS 70 0 62 0 38 0 34 0 50 0 9 Admin 1060 1 1218 2 880 1 740 2 592 1 10 Occ-Svc 7 0 29 0 50 0 2 1 48 0 11 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 23

AMC Darnall ndash Direct Care Appointments by Appointment Type1

0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD Appt Type Group

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 28426 3 53824 6 55753 6 16130 22 15092 25 11509 26 ACUTE 20119 2 20460 2 24600 3 103 4 132 4 112 3 83 0 16 0 2 0 APV 4191 0 4768 0 4752 1 EROOM 60477 7 47715 5 47875 5 FTR 272850 32 291218 31 253904 28 24 1 20252 28 15398 25 17736 40 GRP 106569 13 104916 11 106243 12 1367 2 1500 2 340 1 PCM 1 0 1 0 PROC 81146 10 101541 11 89903 10 3315 5 2261 4 651 1 RNDS 1 0 ROUT 623 0 315 0 714 0 SPEC 81815 10 90248 9 78281 9 22 1 4 0 3 0 1239 2 1093 2 817 2 T-CON 91729 11 108849 11 107201 12 15 1 3 0 21186 29 11712 19 10179 23 WELL 99937 12 130553 14 145616 16 2294 94 3161 95 3701 97 9327 13 13584 22 3398 8 (blank) Grand Total 847884 954407 914843 2434 3324 3816 72899 60656 44632

Appt Type Group

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 6555 38 7558 41 2849 32 38479 22 29446 23 24958 19 ACUTE 2 0 1244 33 1778 25 1848 43 147 0 55 0 152 0 APV EROOM FTR 6069 35 6836 37 3328 38 1 0 4 0 50034 29 31260 24 33016 26 GRP 11 0 2 0 36479 21 32217 25 31708 25 PCM 170 0 181 0 203 0 PROC 4 0 134 4 13 0 39 1 1491 1 3161 2 1020 1 RNDS ROUT 2171 58 1869 27 1988 47 647 0 205 0 112 0 SPEC 239 1 28 0 19 0 1 0 3336 2 4224 3 4091 3 T-CON 4465 26 4143 22 2652 30 123 3 234 3 243 6 33054 19 18490 14 21491 17 WELL 57 2 3126 45 145 3 7971 5 8819 7 11458 9 (blank) Grand Total 17339 18569 8852 3730 7020 4268 171808 128058 128209

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 24

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6109 - CBMH WEST KILLEEN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 18578 19 17775 19 14693 16 4 20 11710 21 11196 21 10226 18 ACUTE APV EROOM FTR 44149 45 44438 49 41776 44 18819 34 20682 39 22733 39 GRP 64 0 14 0 15 0 7 0 1 0 31 0 PCM PROC 1026 1 558 1 194 0 7 0 2 0 RNDS ROUT 1 0 3 0 4 0 SPEC 680 1 502 1 1091 1 229 0 453 1 T-CON 28939 29 23591 26 31581 34 16 80 24952 45 21356 40 24865 43 WELL 5116 5 4697 5 4632 5 (blank) Grand Total 98553 91578 93986 0 0 20 55495 53466 58308

Appt Type Group

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 8457 16 11108 21 6782 14 9314 20 12238 27 11729 25 ACUTE 2932 10 3646 13 APV EROOM FTR 22703 43 21695 42 22204 45 16787 35 15318 33 15094 33 13722 47 13010 45 GRP 1 0 10 0 1 0 2 0 1 0 7556 26 6908 24 PCM PROC 5 0 978 2 RNDS ROUT 6 0 3 0 SPEC 10 0 308 1 837 2 745 2 2383 8 2791 10 T-CON 21349 41 18653 36 19752 40 21541 45 18236 40 17755 38 2872 10 2549 9 WELL (blank) Grand Total 52520 51774 49576 47644 45798 46301 0 29471 28907

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 25

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1707 7 2012 9 1070 11 1355 10 1003 8 1177 9 1718 12 2337 19 APV EROOM FTR 12164 52 11106 49 4694 47 7745 58 8098 61 6602 52 7563 55 6304 51 GRP 4632 20 4766 21 1148 12 1733 13 2727 20 1950 15 2044 15 2110 17 PCM 8 0 6 0 2 0 4 0 2 0 1 0 PROC 18 0 5 0 2 0 3 0 4 0 1 0 6 0 RNDS ROUT 103 0 42 0 3 0 188 1 4 0 2 0 3 0 7 0 SPEC 1921 8 2110 9 654 7 1296 10 998 7 1495 12 1685 12 1177 10 T-CON 2673 12 2817 12 2381 24 1015 8 490 4 1386 11 839 6 413 3 WELL (blank) Grand Total 0 23218 22858 9960 13341 13322 12620 13855 12355

Appt Type Group

6173 - EBH TEAM C 3-1CD-HOOD 6174 - EBH TEAM D 3CR-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR ACUTE 1688 12 1164 10 1337 10 1762 14 1812 11 1239 9 25 0 26 0 31 0 APV EROOM FTR 6013 41 5692 51 7754 56 5758 45 9362 54 7539 54 7549 53 16720 59 19515 62 GRP 3100 21 1775 16 1681 12 1600 13 2068 12 2484 18 2790 20 3935 14 4905 16 PCM PROC 14 0 42 0 123 1 44 0 3 0 54 0 999 7 546 2 652 2 RNDS ROUT 128 1 36 0 16 0 16 0 1 0 4 0 1 0 1 0 SPEC 1237 8 879 8 1142 8 1339 10 1640 10 1500 11 2364 17 6206 22 5646 18 T-CON 2468 17 1568 14 1802 13 2278 18 2348 14 1037 7 437 3 853 3 613 2 WELL 1 0 2 0 (blank) Grand Total 14648 11156 13855 12797 17234 13857 14165 28288 31364

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 26

AMC Darnall ndash Direct Care Appointments by Appointment Type1

Appt Type Group

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD 2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

2016 - Appts

2016 - Total

2017 - Appts

2017 - Total

2018 - Appts

2018 - Total

24HR 25001 34 22889 31 21093 30 30 10 12896 26 13634 19 ACUTE 9 0 7 0 12 0 APV EROOM FTR 16869 23 21710 29 21520 30 19805 41 25825 36 GRP 30 0 170 0 239 0 839 2 4620 6 PCM PROC 6774 9 6924 9 4761 7 818 2 7231 10 RNDS ROUT 11 0 7 0 SPEC 2132 3 2682 4 2383 3

272 90 645

13712 1 28

2047 17828

3 25 T-CON 16390 22 14260 19 14936 21

WELL 5887 8 5370 7 6271 9 (blank) 1 0 Grand Total 73103 74019 71215 302 48715 71186

1 Source M2 Appointment includes MEPRS Codes B FBI and FBN FOUO 27

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT 0110 - AMC DARNALL-HOOD 0362 - RED RIVER ARMY DEPOT 1592 - MONROE CONSOLIDATED-HOOD LINE Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total

DERM 8581 701 9282 119 ENT 6432 335 6767 087 ER 43888 555 44443 571 IMSUB 44603 8355 52958 681 MH 55035 14798 69833 898 OBGYN 54714 9812 64526 830 OPTOM 10729 151 10880 140 2972 4 2976 750 ORTHO 111086 2647 113733 1463 OTHER 59903 2829 62732 807 2929 0 2929 10000 PC 263257 57567 320824 4126 26725 9987 36712 9250 SURG 6184 2526 8710 112 SURGSUB 9265 3704 12969 167 TOTAL 673677 103980 777657 2929 0 2929 29697 9991 39688

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454

PRODUCT LINE

1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD

28

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134

6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE

6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 20161 2523 22684 10000 OBGYN OPTOM ORTHO 1295 2 1297 331 OTHER PC 22265 19383 41648 10000 20448 17412 37860 9669 SURG SURGSUB TOTAL 22265 19383 41648 21743 17414 39157 20161 2523 22684

PRODUCT LINE

6112 - CBMH KILLEEN-HOOD 6113 - CBMH COPPERAS COVE-HOOD 6164 - EBH 56 EBHT BLDG 2255-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 29

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466

PRODUCT LINE

6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD

Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 10000 9783 1030 10813 10000 4709 20 4729 1990 OBGYN OPTOM ORTHO OTHER 18469 570 19039 8010 PC SURG SURGSUB TOTAL 9723 1799 11522 9783 1030 10813 23178 590 23768

6174 - EBH TEAM D 3CR-HOOD PRODUCT LINE

6173 - EBH TEAM C 3-1CD-HOOD 6227 - NICOE-INTREPID SPIRIT-HOOD

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 30

AMC Darnall ndash FY18 Direct Care Ambulatory Encounters (CAPER)1

PRODUCT LINE

7236 - BENNETT FAM CARE CLINIC-HOOD 7347 - BLDG 36000-HOOD Seen Telcon Total of Total Seen Telcon Total of Total

DERM ENT ER IMSUB 18314 1151 19465 3350 MH 24 0 24 004 OBGYN OPTOM 5765 20 5785 935 ORTHO 8254 220 8474 1369 OTHER PC 33274 14344 47618 7696 22262 16353 38615 6646 SURG SURGSUB TOTAL 47293 14584 61877 40600 17504 58104

1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO 31

AMC Darnall ndash Direct Care Ambulatory Surgery1

MEPRS MEPRS Description FY 2017

Encounters FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC 1773 1635 BAN PULMONARY DISEASE CLINIC 15 22 BBA GENERAL SURGERY CLINIC 820 682 BBD OPHTHALMOLOGY CLINIC 369 350 BBF OTOLARYNGOLOGY CLINIC 749 765 BBG PLASTIC SURGERY CLINIC 41 126 BBI UROLOGY CLINIC 412 434 BBL PAIN MANAGEMENT CLINIC 5 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC 489 473 BEA ORTHOPEDIC CLINIC 1027 1049 BEF PODIATRY CLINIC 478 488

TOTAL 6178 6025

FY18 Ambulatory Surgery with Additional Detail

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BAG GASTROENTEROLOGY CLINIC Digestive 1632 BAG GASTROENTEROLOGY CLINIC Other 3

Sub-Total 1635 BAN PULMONARY DISEASE CLINIC Respiratory System 22

Sub-Total 22 BBA GENERAL SURGERY CLINIC Cardiovascular System 15 BBA GENERAL SURGERY CLINIC Digestive 446 BBA GENERAL SURGERY CLINIC HemicLymphatic 11 BBA GENERAL SURGERY CLINIC Integumentary System 168 BBA GENERAL SURGERY CLINIC Musculoskeletal System 36 BBA GENERAL SURGERY CLINIC Other 6

Sub-Total 682 BBD OPHTHALMOLOGY CLINIC Eye 343 BBD OPHTHALMOLOGY CLINIC Other 7

Sub-Total 350 BBF OTOLARYNGOLOGY CLINIC Auditory 125 BBF OTOLARYNGOLOGY CLINIC Digestive 256 BBF OTOLARYNGOLOGY CLINIC Endocrine 18 BBF OTOLARYNGOLOGY CLINIC Integumentary System 12 BBF OTOLARYNGOLOGY CLINIC Other 11 BBF OTOLARYNGOLOGY CLINIC Respiratory System 343

Sub-Total 765

MEPRS MEPRS Description Surgical Group2 FY 2018

Encounters BBG PLASTIC SURGERY CLINIC Integumentary System 114 BBG PLASTIC SURGERY CLINIC Other 12

Sub-Total 126 BBI UROLOGY CLINIC Female Genital 17 BBI UROLOGY CLINIC Male Genital 179 BBI UROLOGY CLINIC Other 10 BBI UROLOGY CLINIC Urinary 228

Sub-Total 434 BBL PAIN MANAGEMENT CLINIC Other 1

Sub-Total 1 BCB OBSTETRICS AND GYNECOLOGY CLINIC Digestive 35 BCB OBSTETRICS AND GYNECOLOGY CLINIC Female Genital 346 BCB OBSTETRICS AND GYNECOLOGY CLINIC Integumentary System 10 BCB OBSTETRICS AND GYNECOLOGY CLINIC Maternity 82

Sub-Total 473 BEA ORTHOPEDIC CLINIC Integumentary System 17 BEA ORTHOPEDIC CLINIC Musculoskeletal System 949 BEA ORTHOPEDIC CLINIC Nervous 83

Sub-Total 1049 BEF PODIATRY CLINIC Musculoskeletal System 483 BEF PODIATRY CLINIC Other 5

Sub-Total 488 GRAND TOTAL 6025

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID 2 Based on the Optum grouping (eg CPT codes 20000-29999 are for the Musculoskeletal System) Only the 1st procedural CPT investigated FOUO

32

AMC Darnall ndash FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

Procedure 1 Procedure Name Encounters Prov Agg Total RVU 45378 COLONOSCOPYFLEXIBLEDIANOSTIC 664 453719 45380 COLONOSCOPYFLEXW BXSINGMUL 399 317971 43239 EGDFLEXTRANSORLBXSINGMULT 318 201600 66984 CATARACT SURG WIOL 1 STAGE 255 405268 30520 REPAIR OF NASAL SEPTUM 170 577466 45385 COLONOSCOPYFLEXREM TUMSNARE 148 156024 47562 LAPAROSCOPIC CHOLECYSTECTOMY 136 304379 58661 LAPAROSCOPY REMOVE ADNEXA 112 270327 29888 ARTHRSCP ANT CRUCI LIG RPRAUG 102 439969 42820 REMOVE TONSIL amp ADENOIDltAGE12 102 131478 69436 TYMPANOSTOMY (V TUBE)GEN ANES 94 74813 23430 REPAIR BICEPS TENDON 82 274770 52356 CYSTOURETHRURETLITHINS STNT 77 159278 29806 SHOULDER ARTHROSCOPYSURGERY 76 340373 29827 ARTHROSCOP ROTATOR CUFF REPR 75 424327 42826 REMOVAL OF TONSILS 65 63484 49585 REPR UMB HRN5+YRS REDUCIBLE 64 111963 28296 CORHAL VALDIS METATAR OSTEOT 58 106038 29881 ARTHKNESXMENISCEC (MEDLAT) 58 104409 58558 HYSTEROSCOPY BIOPSY 54 64826

1 Source M2 CAPER based on the Same Day Surgery Flag Based on Parent Tmt DMIS ID Only Procedure 1 analyzed Prov Agg Total RVU is for the entire encounter FOUO

33

AMC Darnall ndash Ambulatory Workload and Cost1

DC = work performed in the MTF PC = work performed by a provider within the sitersquos catchment area

Product Line

EncountersServices Average RVU CostPaid per RVU DC PC DC PC DC PC2

Encounters Services RVU

Encounters RVU

Services Full Cost RVU

Amount Paid RVU

FY 20183

PC 736455 378867 169 087 90 $ 47 $ OBGYN 64526 7478 289 197 99 $ 47 $

MH 159632 387749 240 078 89 $ 77 $ OTHER 423446 496246 265 141 115 $ 45 $ TOTAL 1384059 1270340 212 106 100 $ 53 $

FY 20173

PC 720853 367137 181 085 94 $ 52 $ OBGYN 63000 15298 273 157 103 $ 48 $

MH 201604 295496 202 112 84 $ 68 $ OTHER 429290 522277 253 135 110 $ 45 $ TOTAL 1414747 1200208 210 114 99 $ 52 $

FY 20163

PC 673419 376992 168 101 99 $ 55 $ OBGYN 65603 19133 257 157 104 $ 51 $

MH 124370 155710 206 221 109 $ 52 $ OTHER 365987 716307 234 117 126 $ 51 $ TOTAL 1229379 1268142 196 126 110 $ 52 $

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 3 Direct Care costs based on respective FY except for FY18 which is based on FY17 adjusted for inflation FOUO

34

AMC Darnall ndash FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 622795 165 95 $ 51789 206 45 $ 34152 181 62 $ 21 141 181 $ 14339 147 135 $ 13359 191 94 $ 736455 169 90 $ OBGYN 58711 290 99 $ 217 286 148 $ 3107 273 96 $ 2 217 76 $ 183 303 166 $ 2306 282 92 $ 64526 289 99 $

MH 150970 241 89 $ 2401 221 92 $ 4313 228 87 $ 1 060 218 $ 28 387 87 $ 1919 200 85 $ 159632 240 89 $ OTHER 364321 271 114 $ 14875 160 60 $ 20226 236 117 $ 32 203 146 $ 9651 330 151 $ 14341 236 161 $ 423446 265 115 $ TOTAL 1196797 213 102 $ 69282 197 50 $ 61798 207 87 $ 56 178 154 $ 24201 221 145 $ 31925 218 126 $ 1384059 212 100 $

45 MCSC 15 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 101053 100 53 $ 204 113 79 $ 146027 077 48 $ 37 132 34 $ 9005 151 46 $ 122541 084 40 $ 378867 087 47 $ OBGYN 1241 201 50 $ 1 1883 53 $ 988 248 53 $ 0 000 0 $ 92 251 22 $ 5156 184 46 $ 7478 197 47 $

MH 311358 071 85 $ 175 344 35 $ 36291 119 54 $ 0 000 0 $ 346 319 29 $ 39579 095 61 $ 387749 078 77 $ OTHER 319067 148 45 $ 414 199 44 $ 102173 122 48 $ 8 232 38 $ 9666 125 41 $ 64918 133 41 $ 496246 141 45 $ TOTAL 732719 109 57 $ 794 211 46 $ 285479 099 49 $ 45 150 35 $ 19109 141 43 $ 232194 102 44 $ 1270340 106 53 $

98 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 35 3 Direct Care costs based on FY17 MEPRS expenses adjusted for inflation FOUO

AMC Darnall ndash FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

Work performed by AMC Darnall (Parent)3 AMC DARNALL-HOOD - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU Encs Avg RVU CostRVU

PC 629112 178 97 $ 40967 229 66 $ 20276 181 72 $ 20 194 132 $ 13434 145 135 $ 17044 221 103 $ 720853 181 94 $ OBGYN 55823 273 104 $ 261 272 107 $ 3274 265 96 $ 1 481 80 $ 135 205 152 $ 3506 268 96 $ 63000 273 103 $

MH 190331 203 84 $ 4422 181 87 $ 3748 211 77 $ 0 000 0 $ 40 254 88 $ 3063 179 76 $ 201604 202 84 $ OTHER 372817 259 108 $ 15135 157 62 $ 15326 231 132 $ 32 270 154 $ 9535 294 144 $ 16445 211 157 $ 429290 253 110 $ TOTAL 1248083 210 99 $ 60785 207 67 $ 42624 208 99 $ 53 245 145 $ 23144 207 140 $ 40058 218 122 $ 1414747 210 99 $

45 MCSC 13 ACH BRIAN ALLGOOD-SEOUL

Work performed by a provider within AMC Darnallrsquos catchment area2 AMC DARNALL-HOOD - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU Svcs Avg RVU PaidRVU

PC 72972 094 67 $ 700 036 107 $ 166431 070 54 $ 14 186 37 $ 15343 173 49 $ 111677 091 41 $ 367137 085 52 $ OBGYN 2467 160 52 $ 2 149 53 $ 1608 152 55 $ 0 000 0 $ 121 206 29 $ 11100 157 46 $ 15298 157 48 $

MH 235104 106 72 $ 396 320 41 $ 30930 131 60 $ 1 293 0 $ 428 309 31 $ 28637 133 54 $ 295496 112 68 $ OTHER 329973 141 45 $ 463 176 49 $ 114544 122 46 $ 74 062 37 $ 11337 135 45 $ 65886 128 41 $ 522277 135 45 $ TOTAL 640516 123 56 $ 1561 150 51 $ 313513 095 51 $ 89 084 36 $ 27229 159 47 $ 217300 111 43 $ 1200208 114 52 $

99 MCSC

1 Source DC = M2 CAPER PC = MDR TED Non-Institutional (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Includes all beneficiaries Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening 36 3 Direct Care costs based on FY17 MEPRS expenses FOUO

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash DIRECT CARE

Tmt Parent AMC Darnall

Product Line Tmt Parent DMIS ID Name

2017 2018 Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2RVU

YES

Yes Total NO

PC OBGYN

MH OTHER

PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC

AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD AMC DARNALL-HOOD

AHC IRELAND-KNOX AMC BAMC-FSH ACH BRIAN ALLGOOD-SEOUL AMC WOMACK-BRAGG AMC WILLIAM BEAUMONT-BLISS ACH MARTIN-BENNING AMC EISENHOWER-GORDON AF-C-7th MEDGRP-DYESS ACH LEONARD WOOD AHC KENNER-LEE AHC R W BLISS-HUACHUCA ACH BLANCHFIELD-CAMPBELL AHC MONCRIEF-JACKSON AMC TRIPLER-SHAFTER LANDSTUHL REGIONAL MEDCEN AHC REYNOLDS-SILL ACH WINN-STEWART ACH IRWIN-RILEY ACH EVANS-CARSON ACH WEED-IRWIN BAVARIA MEDDAC-VILSECK ACH BAYNE-JONES-POLK

629112 55823

190331 372817

1248083 1266 1393 1223

518 610 541 406 184 331 241 212 129 327 193 223 260 177 118 110

36 75 55

111678820 15267164 38574726 96634054

262154764 187152 248686 288314

64319 139782

87101 76375 25010 61454 35454 36893 23072 77068 35233 21433 52855 25413 10923

9479 6682 9569 8903

$ 107799818 15818440 $ 32335569 $

$ 104151924 $ 260105752

296054 $ 245658 $ 166027 $

57591 $ 105262 $

79298 $ 71752 $ 54129 $ 36916 $ 36316 $ 43481 $ 19842 $ 42665 $ 32228 $ 48578 $ 61270 $ 21915 $

6944 $ 9608 $

16971 $ 9501 $ 8814 $

178 273 203 259 210 148 179 236 124 229 161 188 136 186 147 174 179 236 183 096 203 144 093 086 186 128 162

97 $ 622795 104 $ 58711

84 $ 150970 108 $ 364321 99 $ 1196797

158 $ 1430 99 $ 1114 58 $ 1084 90 $ 621 75 $ 600 91 $ 598 94 $ 413

216 $ 392 60 $ 331

102 $ 288 118 $ 260

86 $ 216 55 $ 212 91 $ 211

227 $ 210 116 $ 203

86 $ 198 64 $ 186

101 $ 159 254 $ 123

99 $ 120 99 $ 107

102953578 17015169 36390508 98569655

254928910 195666 273068 213839 100120 127568 121267

76477 47945 54595 49435 34427 33286 42307 48320 16385 36468 33122 36221 28726 23326 16766 20284

97663796 $ 16908001 $ 32568354 $

$ 112000552 $ 259140703

332833 $ 284132 $ 288666 $

93653 $ 97571 $

106037 $ 71390 $ 63552 $ 40477 $ 47551 $ 35875 $ 30278 $ 32113 $ 48443 $ 28712 $ 42715 $ 31526 $ 31173 $ 29395 $ 36427 $ 18082 $ 21356 $

165 290 241 271 213 137 245 197 161 213 203 185 122 165 172 132 154 200 229 078 180 167 195 181 190 140 190

95 $ 99 $ 89 $

114 $ 102 $ 170 $ 104 $ 135 $

94 $ 76 $ 87 $ 93 $

133 $ 74 $ 96 $

104 $ 91 $ 76 $

100 $ 175 $ 117 $

95 $ 86 $

102 $ 156 $ 108 $ 105 $

OBGYN AMC BAMC-FSH 756 289657 592978 $ 383 205 $ 600 212811 439402 $ 355 206 $ MH AMC BAMC-FSH 4515 1526698 1098581 $ 338 72 $ 5381 2046962 1680321 $ 380 82 $ MH ACH BRIAN ALLGOOD-SEOUL 121 18799 19018 $ 155 101 $ 287 53128 55077 $ 185 104 $ MH AMC TRIPLER-SHAFTER 127 45635 34975 $ 359 77 $ 147 58586 53732 $ 399 92 $ MH AMC EISENHOWER-GORDON 108 28267 30348 $ 262 107 $ 130 36006 38293 $ 277 106 $ MH LANDSTUHL REGIONAL MEDCEN 88 37534 30510 $ 427 81 $ 115 42313 57139 $ 368 135 $

OTHER AMC BAMC-FSH 5081 1521186 2984838 $ 299 196 $ 5154 1851418 3284487 $ 359 177 $ OTHER ACH LEONARD WOOD 391 39977 41301 $ 102 103 $ 686 47404 36673 $ 069 77 $ OTHER AMC WILLIAM BEAUMONT-BLISS 370 69740 88613 $ 188 127 $ 420 84929 157073 $ 202 185 $ OTHER ACH MARTIN-BENNING 244 43412 68908 $ 178 159 $ 414 81626 87865 $ 197 108 $ OTHER AMC WOMACK-BRAGG 233 52649 73355 $ 226 139 $ 412 78935 95407 $ 192 121 $ OTHER ACH WEED-IRWIN 342 56863 234377 $ 166 412 $ 371 72938 347925 $ 197 477 $ OTHER AMC EISENHOWER-GORDON 426 95664 120627 $ 225 126 $ 359 89196 102695 $ 248 115 $ OTHER ACH BRIAN ALLGOOD-SEOUL 115 23569 29627 $ 205 126 $ 325 66719 92357 $ 205 138 $ OTHER AF-ASU-59th MDW-WHASC-LACKLAND 333 139616 238888 $ 419 171 $ 288 138029 291358 $ 479 211 $ OTHER AHC IRELAND-KNOX 343 54987 40077 $ 160 73 $ 245 45023 22327 $ 184 50 $ OTHER WALTER REED NATL MIL MED CNTR 751 160865 197920 $ 214 123 $ 219 60728 111907 $ 277 184 $ OTHER ACH EVANS-CARSON 138 32296 37858 $ 234 117 $ 213 33988 41912 $ 160 123 $ OTHER LANDSTUHL REGIONAL MEDCEN 218 73536 131724 $ 337 179 $ 201 58534 104772 $ 291 179 $ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 105 33813 50792 $ 322 150 $ 168 42654 57329 $ 254 134 $ OTHER ACH WINN-STEWART 174 28523 35714 $ 164 125 $ 164 30397 35327 $ 185 116 $ OTHER ACH BLANCHFIELD-CAMPBELL 113 25818 23912 $ 228 93 $ 131 22217 24895 $ 170 112 $ OTHER AHC REYNOLDS-SILL 147 27765 14459 $ 189 52 $ 122 19839 12418 $ 163 63 $ OTHER AMC TRIPLER-SHAFTER 157 36030 53298 $ 229 148 $ 117 22420 52280 $ 192 233 $ OTHER AHC KENNER-LEE 47 10531 5823 $ 224 55 $ 110 21796 15811 $ 198 73 $ OTHER AHC R W BLISS-HUACHUCA 107 25249 16999 $ 236 67 $ 104 16663 8450 $ 160 51 $

No Total 28623 6977681 8763689 $ 244 126 $ 29677 7715201 10053281 $ 260 130 $ TotalOverall 1276706 269132445 $ 268869442 211 100 $ 1226474 262644111 $ 269193984 214 102 $

1 Source Direct Care M2 CAPER Prime Enrolled Data truncated for small volumes Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Direct Care costs based on FY17 MEPRS expenses with FY18 adjusted for inflation FOUO 37

AMC Darnall ndash Prime Enrollment Ambulatory Care1 ndash PURCHASED CARE

Product 2017 2018 Line Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 RVU PC 113011 10674465 7964668 $ 094 75 $ 147432 14618873 9128252 $ 099 62 $

OBGYN 5839 899307 556196 $ 154 62 $ 3988 678790 380881 $ 170 56 $ MH 244270 25595698 $ 22409110 105 88 $ 331224 22924748 $ 23859180 069 104 $

OTHER 394156 55144947 $ 30854959 140 56 $ 392005 56172389 $ 31633122 143 56 $ TOTAL 757276 92314417 $ 61784933 122 67 $ 874649 94394800 $ 65001434 108 69 $

1 Source Purchased Care MDR TED Non-institutional Prime Enrolled to the Parent Site (using ldquoambulatoryrdquo defined by eMSM workgroup drug costs included OHI omitted) Use caution when making comparisons between DC and PC Encounters and Services are not comparable They are provided to give a sense of volume

2 Purchased Care includes 13 increase for overhead burdening FOUO 38

AMC Darnall ndash Direct Care ERImmed Care (MEPRS BIABHI)1

EampM Description FY 2017

Encounters FY 2018

Encounters 99202 OFFOP VSTNEWEXPNLO-MOD20M 6 99203 OFFOP VSTNEWDETAILMOD30MN 3 99211 OFFOUTPAT VISITESTMIN5 MIN 270 99212 OFFOP VSTESTPROB HXMIN10M 6 99213 OFFOP VSTESTEXPLO-MOD15MN 3 99214 OFFOP VSTESTDETMOD-HI25MN 1 99218 INIT OBS CAREDAYEampMLOW30MN 1 99221 INIT HOSP CAREDAYDETLOW30M 6 1 99223 INIT HOSP CAREDAYCOMHI70MN 1 2 99231 SUBS HOSPDAYPROBSTABLE15MN 1 99234 OBSERVHOSPSAME DAYLOW40MIN 2 99236 OBSERVHOSPSAME DAYHIGH 55MN 1 99238 HOSP DC DAY MNGTlt31 MIN 1 1 99281 EMERGEN DEPT VISIT PROBMINOR 5738 4441 99282 EMERGEN DEPT VISITLOW-MOD SEV 16740 16289 99283 EMERGEN DEPT VISITMODERAT SEV 8148 5303 99284 EMER DEP VIS EampMHINO LF THRT 11643 14229 99285 EMERGEN DEPT VISITHIIMM THRT 902 2930 99288 PHYSOTH DIREMSADV LIFE SUPP 205 7 99291 CRITICAL CARE FIRST HOUR 184 331 99382 INT COMP MED EVLNEW PT1-4YR 2 99383 INT COMP MED EVLNEW PT5-11Y 1 99384 INT COM MED EVLNEW PT12-17Y 2 99385 INT COM MED EVLNEW PT18-39Y 1 99395 PER COM MED REEVALEST18-39YR 1 99441 TELE EampM SVCPHYSOTH5-10 MIN 272 458 99442 TELE EampM SVCPHYOTH11-20 MIN 3 1 99443 TELE EampM SVCPHYOTH21-30 MIN 3 99446 INTERPROF TELEINTERNET5-10M 1 99449 INTERPROF TELEINTERNET31MIN+ 1 99464 ATTEND AT DEL amp INIT STABL NB 2 99499 UNLISTED EampM SERVICE 1874 427 Blank 11 19

TOTAL 46032 44443

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) Highlighted lines indicate standard ER or IC EampM codes FOUO

39

AMC Darnall ndash Direct Care ERIC Disposition Code2

Disposition Code1 Description

FY 2017 Encounters

FY 2018 Encounters

1 Released without limitations 40711 39570 2 Released with work duty limitations 23 4 3 Sick at homequarters 67 15 4 Immediate referral 1465 1204 6 Left against medical advice 129 113 7 Admitted 3270 2962 8 Expired 14 10 C Transferred to another clinical service 1 D Continued stay 12 5 F Discharged home 9 5 S Released to Self Care 1

Blank 330 555 Total 46032 44443

1 Numeric values and R are for outpatient encounters alphanumeric A-G are for inpatient encounters 2 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO

40

AMC Darnall ndash Direct Care ERIC Top 15 Diagnosis Codes1

(Reason for being seen)

Diagnosis Code 1 Description

FY 2017 Encounters

FY 2018 Encounters

R0789 OTHER CHEST PAIN 1192 1318 R112 NAUSEA W VOMITINGUNSPECIFIED 905 939 J00 AC NASOPHARYNGIT [COMMON COLD] 329 822

B349 VIRAL INFECTION UNSPECIFIED 549 772 J09X2 INFLUID NOVA VIROTH RESPIRA 101 625 J029 ACUTE PHARYNGITIS UNSPECIFIED 648 594 E860 DEHYDRATION 245 472 R55 SYNCOPE AND COLLAPSE 528 453 J159 UNSPEC BACTERIAL PNEUMONIA 93 437

N3001 ACUTE CYSTITIS WITH HEMATURIA 142 390 R509 FEVER UNSPECIFIED 445 382

R1084 GENERALIZED ABDOMINAL PAIN 347 377 O200 THREATENED ABORTION 395 374

N3000 ACUTE CYSTITIS WO HEMATURIA 159 368 R45851 SUICIDAL IDEATIONS 849 346

1 Source M2 CAPER Based on Treatment Parent DMIS ID BIA=Emergency Room (ER) BHI=Immediate Care (IC) FOUO 41

Pharmacy

Return to TOC

FOUO 42

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Desig Prov Other Grand Total

Enr Group Scripts

952168 50573 15169 45892

307 32

162961 1227102

Days Supply

36936539 2787971 1106455 2845307

9538 1456

10037836 53725102

PARENT 0110 AMC DARNALL-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 34069503 36 $ $ 092 941865 2876133 $ 57 $ $ 103 52234

598641 $ 39 $ $ 054 16034 2069035 $ 45 $ $ 073 52732

11290 $ 37 $ $ 118 121 594 $ 19 $ $ 041 54

7812927 $ 48 $ $ 078 171155 $ 47438123 39 $ $ 088 1234195

Days Supply

36722800 2905790 1206053 3282520

3202 1855

10728320 54850540

2018

Full Cost

$ 37612681 3138161 $

768015 $ 2611269 $

4001 $ 1128 $

9340592 $ $ 53475847

Cost Script

40 $ 60 $ 48 $ 50 $ 33 $ 21 $ 55 $ 43 $

Cost Day

$ 102 $ 108 $ 064 $ 080 $ 125 $ 061 $ 087 $ 097

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 43

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug)

0110 AMC DARNALL-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $ 70 $ 061 $ Plus 45197 2811152 2045339 $ 45 $ 073 $ 52278 3260804 2596889 $ 50 $ 080 $ Overseas Prime 200 5983 9292 $ 46 $ 155 $ 78 1758 3115 $ 40 $ 177 $ Desig Prov 22 1144 465 $ 21 $ 041 $ 48 1798 1045 $ 22 $ 058 $ Other 156740 9807679 7663000 $ 49 $ 078 $ 166944 10576517 9232858 $ 55 $ 087 $ Grand Total 856156 40579836 38779577 $ 45 $ 096 $ 902824 43017236 45108233 $ 50 $ 105 $

Enr Group

1592 MONROE CONSOLIDATED-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Prime-MTF 37869 1168540 749839 $ 20 $ 064 $ 34956 1031936 754583 $ 22 $ 073 $ Prime-MCSC 105 4299 2987 $ 28 $ 069 $ 191 6196 3801 $ 20 $ 061 $ Reliant 876 30096 18781 $ 21 $ 062 $ 360 9279 7216 $ 20 $ 078 $ Plus 1 30 19 $ 19 $ 062 $ 4 120 48 $ 12 $ 040 $ Overseas Prime 24 1097 424 $ 18 $ 039 $ 0 0 0 $ 0 $ 000 $ Desig Prov 7 186 94 $ 13 $ 051 $ 1 8 12 $ 12 $ 145 $ Other 198 7847 4145 $ 21 $ 053 $ 90 2924 1392 $ 15 $ 048 $ Grand Total 39080 1212095 776288 $ 20 $ 064 $ 35602 1050463 767051 $ 22 $ 073 $

Enr Group

FOUO 44

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Overseas Prime Other Grand Total

Enr Group

1601 TMC-14-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

1296 32455 $ 17412 13 $ $ 054 1060 26277 $ 16050 15 $ $ 061 608 13510 8458 $ 14 $ $ 063 872 20611 $ 12914 15 $ $ 063

4013 93727 $ 54465 14 $ $ 058 3486 78766 $ 53139 15 $ $ 067 21 460 257 $ 12 $ $ 056 8 138 123 $ 15 $ $ 089

642 13610 8692 $ 14 $ $ 064 413 8286 6414 $ 16 $ $ 077 6580 153762 $ 89283 14 $ $ 058 5839 134078 $ 88640 15 $ $ 066

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6014 CHARLES MOORE HLTH CLN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

92701 2877956 $ 1964249 21 $ $ 068 76624 2426238 $ 1779991 23 $ $ 073 980 32525 22502 $ 23 $ $ 069 750 32256 20177 $ 27 $ $ 063

1475 50329 32747 $ 22 $ $ 065 2795 115877 95296 $ 34 $ $ 082 254 11582 8436 $ 33 $ $ 073 129 5438 2942 $ 23 $ $ 054

42 1507 951 $ 23 $ $ 063 9 209 134 $ 15 $ $ 064 1545 54410 32824 $ 21 $ $ 060 1066 32493 21975 $ 21 $ $ 068

96997 3028309 $ 2061709 21 $ $ 068 81373 2612511 $ 1920515 24 $ $ 074

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 45

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

65811 2525291 $ 1646370 25 $ $ 065 59463 2341527 $ 1547461 26 $ $ 066 183 6530 3500 $ 19 $ $ 054 265 9172 5517 $ 21 $ $ 060 238 6442 3710 $ 16 $ $ 058 239 7315 4774 $ 20 $ $ 065 203 12205 6083 $ 30 $ $ 050 140 8380 4045 $ 29 $ $ 048

5 123 64 $ 13 $ $ 052 12 607 255 $ 21 $ $ 042 1076 41719 29382 $ 27 $ $ 070 834 31915 22707 $ 27 $ $ 071

67516 2592310 $ 1689108 25 $ $ 065 60953 2398916 $ 1584759 26 $ $ 066

Prime-MTF Grand Total

Enr Group Scripts

0 0

Days Supply

0 0

6109 CBMH WEST KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

0 $ 0 $ $ 000 2 0 $ 0 $ $ 000 2

Days Supply

31 31

2018

Full Cost

26 $ 26 $

Cost Script

13 $ 13 $

Cost Day

$ 083 $ 083

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 46

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Reliant Plus Other Grand Total

Enr Group Scripts

35931 153

9 75

866 37034

Days Supply

1484745 6949

510 3997

33726 1529927

6111 CBMH HARKER HEIGHTS-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1006196 28 $ $ 068 34792 6000 $ 39 $ $ 086 152

171 $ 19 $ $ 033 0 5532 $ 74 $ $ 138 47

21311 $ 25 $ $ 063 465 $ 1039209 28 $ $ 068 35456

Days Supply

1487634 6665

0 2691

21926 1518916

2018

Full Cost

$ 1081982 4083 $

0 $ 3676 $

14150 $ $ 1103890

Cost Script

31 $ 27 $

0 $ 78 $ 30 $ 31 $

Cost Day

$ 073 $ 061 $ 000 $ 137 $ 065 $ 073

Prime-MTF Prime-MCSC Reliant Plus Desig Prov Other Grand Total

Enr Group Scripts

40930 77

2 86

1 865

41961

Days Supply

1599119 4040

60 3541

90 35117

1641967

6112 CBMH KILLEEN-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 1066585 26 $ $ 067 35590 2690 $ 35 $ $ 067 187

22 $ 11 $ $ 037 2 1849 $ 21 $ $ 052 31

13 $ 13 $ $ 014 5 26776 $ 31 $ $ 076 603

$ 1097934 26 $ $ 067 36418

Days Supply

1399397 6656

95 744

49 22681

1429622

2018

Full Cost

$ 1056255 6604 $

26 $ 682 $

71 $ 19338 $

$ 1082976

Cost Script

30 $ 35 $ 13 $ 22 $ 14 $ 32 $ 30 $

Cost Day

$ 075 $ 099 $ 027 $ 092 $ 146 $ 085 $ 076

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 47

AMC Darnall ndash Direct Care Pharmacy1 by Enrollment Group

Prime-MTF Prime-MCSC Plus Desig Prov Other Grand Total

Enr Group Scripts

31865 101

25 2

781 32774

Days Supply

1355148 4707 1085

36 35576

1396552

6113 CBMH COPPERAS COVE-HOOD

2017

Full Cost Cost Script

Cost Day

Scripts

$ 874135 27 $ $ 065 31381 5252 $ 52 $ $ 112 77

592 $ 24 $ $ 055 37 22 $ 11 $ $ 061 0

22162 $ 28 $ $ 062 571 $ 902163 28 $ $ 065 32066

Days Supply

1246727 3383 1851

0 25595

1277556

2018

Full Cost

$ 852609 2571 $

996 $ 0 $

18411 $ $ 874587

Cost Script

27 $ 33 $ 27 $

0 $ 32 $ 27 $

Cost Day

$ 068 $ 076 $ 054 $ 000 $ 072 $ 068

Prime-MTF Prime-MCSC Reliant Plus Overseas Prime Other Grand Total

Enr Group

7236 BENNETT FAM CARE CLINIC-HOOD

2017 2018

Scripts Days

Supply Full Cost

Cost Script

Cost Day

Scripts Days

Supply Full Cost

Cost Script

Cost Day

47786 1548166 980537 $ 21 $ $ 063 42438 1369316 $ 919166 22 $ $ 067 125 4630 1685 $ 13 $ $ 036 279 8917 5423 $ 19 $ $ 061 779 27313 14505 $ 19 $ $ 053 696 24013 14870 $ 21 $ $ 062

51 1715 1186 $ 23 $ $ 069 66 2492 1992 $ 30 $ $ 080 15 368 302 $ 20 $ $ 082 14 490 374 $ 27 $ $ 076

248 8152 4634 $ 19 $ $ 057 169 5983 3348 $ 20 $ $ 056 49004 1590344 $ 1002850 20 $ $ 063 43662 1411211 $ 945171 22 $ $ 067

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 48

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN CETIRIZINE HCL FLUTICASONE PROPIONATE MAPAP ACETAMINOPHEN ATORVASTATIN CALCIUM LISINOPRIL SYNTHROID PROAIR HFA GABAPENTIN ASPIRIN EC HYDROCODONE-ACETAMINOPHEN MONTELUKAST SODIUM OMEPRAZOLE SIMVASTATIN NAPROXEN PANTOPRAZOLE SODIUM FREESTYLE LITE TEST STRIPS AMLODIPINE BESYLATE ONDANSETRON ODT

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

38191 489951 498718 $ 13 $ 102 $ 23140 1636952 320777 $ 14 $ 020 $ 17108 1047962 271127 $ 16 $ 026 $ 15047 179317 180682 $ 12 $ 101 $ 14659 134167 171608 $ 12 $ 128 $ 13072 1175396 227206 $ 17 $ 019 $ 12555 1122452 163181 $ 13 $ 015 $ 11902 1035289 224546 $ 19 $ 022 $ 11402 373344 297569 $ 26 $ 080 $ 11039 542144 236292 $ 21 $ 044 $ 10611 927758 124907 $ 12 $ 013 $

9746 114666 147001 $ 15 $ 128 $ 9470 804895 213632 $ 23 $ 027 $ 9442 800820 173645 $ 18 $ 022 $ 8546 760241 129020 $ 15 $ 017 $ 8506 235843 121215 $ 14 $ 051 $ 7963 644845 172121 $ 22 $ 027 $ 7840 468902 269556 $ 34 $ 057 $ 7540 664970 120320 $ 16 $ 018 $ 7450 62524 148168 $ 20 $ 237 $

TOP 20 BASED ON VOLUME

Product Name

REMICADE ENTYVIO HERCEPTIN NPLATE AVASTIN HALAVEN NEULASTA SYMDEKO CORDRAN EPCLUSA OPDIVO DOCETAXEL LONSURF AKYNZEO AFINITOR IMBRUVICA KISQALI PLEGRIDY IBRANCE GEMCITABINE HCL

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

156 156 560892 $ 3595 $ 359546 $ 119 119 402016 $ 3378 $ 337829 $

22 22 60224 $ 2737 $ 273748 $ 15 15 34092 $ 2273 $ 227282 $ 14 14 26298 $ 1878 $ 187845 $

2 2 3376 $ 1688 $ 168823 $ 10 30 36730 $ 3673 $ 122433 $

1 28 16912 $ 16912 $ 60400 $ 20 562 304843 $ 15242 $ 54243 $

5 140 58928 $ 11786 $ 42091 $ 25 25 10034 $ 401 $ 40135 $ 25 25 7948 $ 318 $ 31792 $

2 59 17511 $ 8755 $ 29680 $ 1 1 292 $ 292 $ 29237 $ 1 28 7693 $ 7693 $ 27475 $ 2 56 15202 $ 7601 $ 27146 $ 4 112 28748 $ 7187 $ 25668 $

12 368 88353 $ 7363 $ 24009 $ 9 252 60384 $ 6709 $ 23962 $ 2 2 478 $ 239 $ 23875 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 49

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3580 65938 44142 $ 12 $ 067 $ ACETAMINOPHEN 1369 14975 15981 $ 12 $ 107 $ MAPAP 1352 36342 15775 $ 12 $ 043 $ NAPROXEN 1213 34851 16886 $ 14 $ 048 $ SORE THROAT LOZENGE 1024 25602 12909 $ 13 $ 050 $ LORATADINE 675 25539 8409 $ 12 $ 033 $ HYDROCODONE-ACETAMINOPHEN 629 2169 7942 $ 13 $ 366 $ TIGER BALM 618 18585 11579 $ 19 $ 062 $ OXYCODONE-ACETAMINOPHEN 602 2426 7649 $ 13 $ 315 $ SERTRALINE HCL 500 22188 6871 $ 14 $ 031 $ CYCLOBENZAPRINE HCL 480 5474 5675 $ 12 $ 104 $ TIZANIDINE HCL 469 6223 6110 $ 13 $ 098 $ VOLTAREN 462 6652 12623 $ 27 $ 190 $ NASAL DECONGESTANT 454 12822 5425 $ 12 $ 042 $ SUDOGEST PE 447 13392 5440 $ 12 $ 041 $ FLUTICASONE PROPIONATE 443 26302 6857 $ 15 $ 026 $ MELOXICAM 402 25864 5452 $ 14 $ 021 $ METHOCARBAMOL 400 5968 5483 $ 14 $ 092 $ AZITHROMYCIN 388 8019 10728 $ 28 $ 134 $ HYDROXYZINE HCL 388 7957 5179 $ 13 $ 065 $

TOP 20 BASED ON VOLUME

1592 MONROE CONSOLIDATED-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

PHENOXYBENZAMINE HCL 1 30 4022 $ 4022 $ 13405 $ NICOTINE GUM 40 483 28348 $ 709 $ 5869 $ NITRO-BID 1 3 83 $ 83 $ 2772 $ LAMOTRIGINE ER 1 90 1814 $ 1814 $ 2015 $ NICORETTE 15 202 3966 $ 264 $ 1964 $ TAMIFLU 46 240 4361 $ 95 $ 1817 $ LIDOCAINE-PRILOCAINE 4 97 1540 $ 385 $ 1588 $ TYPHIM VI 2 60 838 $ 419 $ 1396 $ ELIDEL 4 97 1344 $ 336 $ 1386 $ MOVIPREP 1 3 37 $ 37 $ 1247 $ MONOVISC 9 289 3406 $ 378 $ 1179 $ ADAPALENE 18 525 5584 $ 310 $ 1064 $ ZOMIG 2 75 720 $ 360 $ 960 $ CIPRODEX 40 574 4991 $ 125 $ 870 $ GEL-ONE 1 30 249 $ 249 $ 828 $ CILOXAN 3 38 302 $ 101 $ 795 $ GARDASIL 9 34 1020 7727 $ 227 $ 758 $ AZELEX 3 90 657 $ 219 $ 730 $ PHENAZOPYRIDINE HCL 100 304 2209 $ 22 $ 727 $ LOTEMAX 3 60 408 $ 136 $ 680 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 50

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

IBUPROFEN SORE THROAT LOZENGE LORATADINE SUDOGEST PE MAPAP NAPROXEN AZITHROMYCIN MUCINEX D HYDROCORTISONE CLOTRIMAZOLE METHYLPREDNISOLONE TRIPLE ANTIBIOTIC CETIRIZINE HCL ACETAMINOPHEN FEXOFENADINE HCL SULFAMETHOXAZOLE-TRIMETHOPR BANOPHEN FLUTICASONE PROPIONATE ANALGESIC BALM PREDNISONE

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

578 12280 6968 $ 12 $ 057 $ 258 6361 3255 $ 13 $ 051 $ 225 7537 2747 $ 12 $ 036 $ 216 6259 2630 $ 12 $ 042 $ 196 4999 2273 $ 12 $ 045 $ 191 5045 2634 $ 14 $ 052 $ 186 1194 3667 $ 20 $ 307 $ 174 2635 2978 $ 17 $ 113 $ 162 4988 2149 $ 13 $ 043 $ 151 4912 2002 $ 13 $ 041 $ 148 966 2231 $ 15 $ 231 $ 140 4200 1732 $ 12 $ 041 $ 132 6539 1695 $ 13 $ 026 $ 122 1635 1416 $ 12 $ 087 $ 111 4017 2042 $ 18 $ 051 $ 111 1109 1519 $ 14 $ 137 $ 107 3097 1239 $ 12 $ 040 $ 105 5404 1553 $ 15 $ 029 $ 102 3060 1251 $ 12 $ 041 $ 101 713 1316 $ 13 $ 185 $

TOP 20 BASED ON VOLUME

Product Name

TAMIFLU PHENAZOPYRIDINE HCL GARDASIL 9 HYDROCORTISONE ACETATE SODIUM CHLORIDE PHENOL EZ EPIPEN 2-PAK EARWAX TREATMENT DEXTROSE IN LACTATED RINGER MUPIROCIN BUPIVACAINE HCL MAGNESIUM CITRATE BISMATROL SENSORCAINE-MPF TRAMADOL HCL ROBAFEN-DM ONDANSETRON ODT SOLU-MEDROL ACETAMINOPHEN-CODEINE LACTATED RINGERS

1601 TMC-14-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

30 153 2858 $ 95 $ 1868 $ 25 76 641 $ 26 $ 843 $

3 90 611 $ 204 $ 679 $ 6 78 490 $ 82 $ 628 $ 4 12 68 $ 17 $ 567 $ 5 15 85 $ 17 $ 564 $ 4 120 614 $ 154 $ 512 $ 1 8 37 $ 37 $ 466 $ 1 3 13 $ 13 $ 439 $

26 693 3034 $ 117 $ 438 $ 1 3 13 $ 13 $ 428 $ 3 9 38 $ 13 $ 419 $ 3 9 38 $ 13 $ 418 $ 8 24 94 $ 12 $ 394 $ 1 3 12 $ 12 $ 386 $

64 203 779 $ 12 $ 384 $ 22 93 349 $ 16 $ 375 $ 28 111 411 $ 15 $ 370 $

1 4 14 $ 14 $ 347 $ 9 54 180 $ 20 $ 334 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 51

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 5434 108303 67348 $ 12 $ 062 $ NAPROXEN 2506 71882 35056 $ 14 $ 049 $ TIGER BALM 2255 79834 46907 $ 21 $ 059 $ MAPAP 2243 56233 26181 $ 12 $ 047 $ ACETAMINOPHEN 2051 19829 23884 $ 12 $ 120 $ SORE THROAT LOZENGE 1990 51289 25097 $ 13 $ 049 $ LORATADINE 1409 55007 17699 $ 13 $ 032 $ FLUTICASONE PROPIONATE 1326 79922 19838 $ 15 $ 025 $ NASAL DECONGESTANT 1243 35042 14826 $ 12 $ 042 $ CETIRIZINE HCL 1226 92931 16825 $ 14 $ 018 $ HYDROXYZINE HCL 1103 24470 14759 $ 13 $ 060 $ METHOCARBAMOL 1038 12402 14234 $ 14 $ 115 $ SERTRALINE HCL 1030 46050 14016 $ 14 $ 030 $ CYCLOBENZAPRINE HCL 1014 16399 11993 $ 12 $ 073 $ AZITHROMYCIN 960 16382 24042 $ 25 $ 147 $ BANOPHEN 957 25415 11348 $ 12 $ 045 $ ONDANSETRON ODT 953 6582 17962 $ 19 $ 273 $ MUCINEX D 855 13838 15232 $ 18 $ 110 $ HYDROCORTISONE 789 22983 10442 $ 13 $ 045 $ TOPIRAMATE 764 38129 12648 $ 17 $ 033 $

TOP 20 BASED ON VOLUME

6014 CHARLES MOORE HLTH CLN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 4 17071 $ 17071 $ 426774 $ MIACALCIN 1 2 1353 $ 1353 $ 67652 $ NICOTINE GUM 17 266 10678 $ 628 $ 4014 $ ALINIA 2 20 741 $ 371 $ 3707 $ UCERIS 1 90 3301 $ 3301 $ 3668 $ MONOVISC 2 32 1044 $ 522 $ 3261 $ TETRACYCLINE HCL 2 44 1306 $ 653 $ 2969 $ CILOXAN 5 20 570 $ 114 $ 2851 $ SUPRAX 8 79 1748 $ 219 $ 2213 $ LAMICTAL XR 1 90 1957 $ 1957 $ 2174 $ TAMIFLU 135 755 12919 $ 96 $ 1711 $ GRISEOFULVIN ULTRAMICROSIZE 1 30 513 $ 513 $ 1709 $ ALBENZA 5 64 1092 $ 218 $ 1706 $ RISPERDAL M-TAB 26 49 772 $ 30 $ 1576 $ CEFPROZIL 3 34 518 $ 173 $ 1523 $ NICOTINE LOZENGE 10 175 2450 $ 245 $ 1400 $ GEL-ONE 40 1118 14916 $ 373 $ 1334 $ GRIS-PEG 2 42 539 $ 269 $ 1283 $ LIDOCAINE-PRILOCAINE 19 432 5429 $ 286 $ 1257 $ AUGMENTIN XR 3 41 511 $ 170 $ 1247 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 52

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 2996 50948 39049 $ 13 $ 077 $ CETIRIZINE HCL 2924 199495 40259 $ 14 $ 020 $ FLUTICASONE PROPIONATE 2110 124144 31229 $ 15 $ 025 $ MAPAP 1761 30254 21055 $ 12 $ 070 $ PROAIR HFA 1124 25867 25495 $ 23 $ 099 $ LORATADINE 1088 65335 14527 $ 13 $ 022 $ MONTELUKAST SODIUM 884 75121 20122 $ 23 $ 027 $ TIGER BALM 749 22505 13887 $ 19 $ 062 $ SORE THROAT LOZENGE 744 20945 9404 $ 13 $ 045 $ AMOXICILLIN 698 7219 10818 $ 15 $ 150 $ MUCINEX D 669 13009 11863 $ 18 $ 091 $ ACETAMINOPHEN 651 5777 7622 $ 12 $ 132 $ FLUCONAZOLE 650 9083 9125 $ 14 $ 100 $ CYCLOBENZAPRINE HCL 631 10645 7689 $ 12 $ 072 $ NAPROXEN 624 16103 8499 $ 14 $ 053 $ VITAMIN D2 614 33553 7771 $ 13 $ 023 $ PREDNISONE 613 3813 7630 $ 12 $ 200 $ ATORVASTATIN CALCIUM 605 50915 9734 $ 16 $ 019 $ FLUOXETINE HCL 581 32484 9000 $ 15 $ 028 $ HYDROCORTISONE 573 16479 7447 $ 13 $ 045 $

TOP 20 BASED ON VOLUME

6076 RUSSELL COLLIER HLTH CLIN-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NEVANAC 1 4 167 $ 167 $ 4168 $ JUBLIA 2 60 2114 $ 1057 $ 3524 $ SUPRAX 10 92 3062 $ 306 $ 3329 $ NICORETTE 18 319 5468 $ 304 $ 1714 $ TAMIFLU 284 1750 29841 $ 105 $ 1705 $ GRIS-PEG 1 42 705 $ 705 $ 1678 $ EUFLEXXA 1 7 114 $ 114 $ 1627 $ CEFPROZIL 104 1042 14919 $ 143 $ 1432 $ NEXIUM 1 30 426 $ 426 $ 1420 $ CIPRODEX 142 1290 17363 $ 122 $ 1346 $ LIDOCAINE-PRILOCAINE 1 30 401 $ 401 $ 1338 $ ORAPRED ODT 77 389 4869 $ 63 $ 1252 $ DIASTAT ACUDIAL 1 30 373 $ 373 $ 1244 $ CLINDAMYCIN PALMITATE HCL 14 119 1298 $ 93 $ 1091 $ LYRICA 1 30 319 $ 319 $ 1064 $ ELIDEL 17 510 5196 $ 306 $ 1019 $ VICTOZA 2-PAK 1 45 447 $ 447 $ 994 $ URSODIOL 1 90 879 $ 879 $ 977 $ VICTOZA 3-PAK 1 45 415 $ 415 $ 923 $ AZELEX 3 75 663 $ 221 $ 884 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 53

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CHILDRENS PAIN AND FEVER IBUPROFEN

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 30 12 $ 12 $ 040 $ 1 1 14 $ 14 $ 1369 $

TOP 20 BASED ON VOLUME

Product Name

IBUPROFEN CHILDRENS PAIN AND FEVER

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 1 14 $ 14 $ 1369 $ 1 30 12 $ 12 $ 040 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 54

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

CETIRIZINE HCL 1796 132219 24854 $ 14 $ 019 $ IBUPROFEN 1550 23967 20813 $ 13 $ 087 $ FLUTICASONE PROPIONATE 1110 65945 16471 $ 15 $ 025 $ MUCINEX D 832 14306 14750 $ 18 $ 103 $ MAPAP 676 8869 8109 $ 12 $ 091 $ PROAIR HFA 630 17884 15895 $ 25 $ 089 $ VITAMIN D2 578 32209 7317 $ 13 $ 023 $ MONTELUKAST SODIUM 511 44325 11457 $ 22 $ 026 $ FLUCONAZOLE 494 11285 6782 $ 14 $ 060 $ AZITHROMYCIN 471 3296 8849 $ 19 $ 268 $ SERTRALINE HCL 438 29114 6275 $ 14 $ 022 $ NAPROXEN 372 11361 5263 $ 14 $ 046 $ SYNTHROID 359 28176 6526 $ 18 $ 023 $ CYCLOBENZAPRINE HCL 358 6177 4327 $ 12 $ 070 $ LORATADINE 343 22415 4632 $ 14 $ 021 $ PATANOL 338 9385 15411 $ 46 $ 164 $ AMOXICILLIN 318 3212 5384 $ 17 $ 168 $ HYDROCODONE-ACETAMINOPHEN 317 3821 4795 $ 15 $ 125 $ ATORVASTATIN CALCIUM 314 26200 5314 $ 17 $ 020 $ RANITIDINE HCL 308 15157 4754 $ 15 $ 031 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

SUPRAX 2 17 745 $ 372 $ 4381 $ ALBENZA 5 77 1950 $ 390 $ 2533 $ HUMULIN R U-500 5 183 3965 $ 793 $ 2166 $ CIPRO 1 5 84 $ 84 $ 1687 $ CLINDAMYCIN PALMITATE HCL 4 40 655 $ 164 $ 1636 $ TAMIFLU 225 1699 25968 $ 115 $ 1528 $ TRESIBA FLEXTOUCH U-100 35 1641 21973 $ 628 $ 1339 $ ORAPRED ODT 49 255 3318 $ 68 $ 1301 $ GRIS-PEG 1 28 358 $ 358 $ 1279 $ METAXALONE 1 10 128 $ 128 $ 1278 $ VICTOZA 3-PAK 9 537 6837 $ 760 $ 1273 $ LIDOCAINE-PRILOCAINE 8 200 2543 $ 318 $ 1271 $ LATUDA 1 30 343 $ 343 $ 1144 $ VICTOZA 2-PAK 2 120 1330 $ 665 $ 1109 $ MULTAQ 4 360 3856 $ 964 $ 1071 $ ZINC OXIDE 31 880 9166 $ 296 $ 1042 $ ELIDEL 15 434 4296 $ 286 $ 990 $ FORTAZ 1 5 48 $ 48 $ 961 $ RAMIPRIL 1 30 253 $ 253 $ 844 $ LYRICA 9 320 2657 $ 295 $ 830 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 55

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

Product Name

CETIRIZINE HCL IBUPROFEN MAPAP FLUTICASONE PROPIONATE PROAIR HFA NAPROXEN MONTELUKAST SODIUM SORE THROAT LOZENGE SERTRALINE HCL AMOXICILLIN ACETAMINOPHEN LORATADINE DEEP SEA FLUCONAZOLE VANICREAM FLUOXETINE HCL HYDROXYZINE HCL OMEPRAZOLE MUCINEX D VOLTAREN

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1821 127244 25204 $ 14 $ 020 $ 1758 22434 23723 $ 13 $ 106 $ 1110 11525 13442 $ 12 $ 117 $ 1108 68046 16767 $ 15 $ 025 $

707 16337 17372 $ 25 $ 106 $ 509 15366 7148 $ 14 $ 047 $ 448 38534 10511 $ 23 $ 027 $ 443 10655 5608 $ 13 $ 053 $ 442 25314 5946 $ 13 $ 023 $ 436 4448 7151 $ 16 $ 161 $ 428 4041 5038 $ 12 $ 125 $ 402 27133 5396 $ 13 $ 020 $ 401 11840 4775 $ 12 $ 040 $ 356 3928 4873 $ 14 $ 124 $ 356 10800 6083 $ 17 $ 056 $ 353 19408 5342 $ 15 $ 028 $ 348 5191 4659 $ 13 $ 090 $ 341 27468 6038 $ 18 $ 022 $ 336 4473 5796 $ 17 $ 130 $ 335 7993 9204 $ 27 $ 115 $

TOP 20 BASED ON VOLUME

Product Name

GRISEOFULVIN ULTRAMICROSIZE LAMICTAL XR GRIS-PEG TRESIBA FLEXTOUCH U-200 TAMIFLU NICORETTE SUPRAX CEFPROZIL CLARAVIS TRESIBA FLEXTOUCH U-100 VICTOZA 2-PAK AUGMENTIN XR CIPRODEX CLINDAMYCIN PALMITATE HCL LIDOCAINE-PRILOCAINE VICTOZA 3-PAK ORAPRED ODT AMMONIUM LACTATE ALBENZA LYRICA

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Full Cost Cost script Cost Day

1 7 242 $ 242 $ 3451 $ 1 60 1633 $ 1633 $ 2721 $ 2 70 1520 $ 760 $ 2171 $ 3 86 1830 $ 610 $ 2128 $

153 831 16623 $ 109 $ 2000 $ 4 95 1701 $ 425 $ 1790 $ 7 71 1216 $ 174 $ 1713 $ 4 40 662 $ 166 $ 1656 $ 1 30 472 $ 472 $ 1572 $

14 430 6617 $ 473 $ 1539 $ 1 90 1319 $ 1319 $ 1466 $ 9 58 843 $ 94 $ 1454 $

94 877 11057 $ 118 $ 1261 $ 10 100 1243 $ 124 $ 1243 $

3 67 814 $ 271 $ 1215 $ 46 2035 24248 $ 527 $ 1192 $ 67 356 4057 $ 61 $ 1139 $

6 180 1914 $ 319 $ 1063 $ 12 221 2035 $ 170 $ 921 $ 22 660 5841 $ 266 $ 885 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 56

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 1591 21451 20896 $ 13 $ 097 $ CETIRIZINE HCL 1405 104724 19495 $ 14 $ 019 $ FLUTICASONE PROPIONATE 918 58201 14748 $ 16 $ 025 $ MAPAP 742 9650 8901 $ 12 $ 092 $ SORE THROAT LOZENGE 618 15659 7850 $ 13 $ 050 $ PROAIR HFA 533 13806 12837 $ 24 $ 093 $ BENZONATATE 492 2930 6645 $ 14 $ 227 $ LORATADINE 484 31318 6550 $ 14 $ 021 $ OMEPRAZOLE 438 35475 7607 $ 17 $ 021 $ MONTELUKAST SODIUM 428 37051 9404 $ 22 $ 025 $ AMOXICILLIN 424 4288 6844 $ 16 $ 160 $ AZITHROMYCIN 410 2562 7936 $ 19 $ 310 $ LISINOPRIL 358 26705 4478 $ 13 $ 017 $ CYCLOBENZAPRINE HCL 353 6591 4219 $ 12 $ 064 $ SULFAMETHOXAZOLE-TRIMETHOPR 345 3336 4950 $ 14 $ 148 $ SYNTHROID 344 25515 6131 $ 18 $ 024 $ ATORVASTATIN CALCIUM 324 25622 5437 $ 17 $ 021 $ MUCINEX 317 3358 4703 $ 15 $ 140 $ SERTRALINE HCL 313 17865 4334 $ 14 $ 024 $ ACETAMINOPHEN 306 2792 3589 $ 12 $ 129 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

ASMANEX 1 1 111 $ 111 $ 11073 $ HUMIRA PEN 11 186 6579 $ 598 $ 3537 $ SUPRAX 7 64 2139 $ 306 $ 3343 $ TRESIBA FLEXTOUCH U-200 2 61 1445 $ 723 $ 2369 $ CILOXAN 1 5 117 $ 117 $ 2342 $ VIVITROL 3 84 1945 $ 648 $ 2315 $ TAMIFLU 222 1326 24940 $ 112 $ 1881 $ CIPRODEX 35 259 4355 $ 124 $ 1681 $ VICTOZA 3-PAK 1 30 447 $ 447 $ 1491 $ GRIS-PEG 2 60 886 $ 443 $ 1477 $ CLINDAMYCIN PALMITATE HCL 2 14 201 $ 101 $ 1439 $ LAMICTAL XR 1 60 787 $ 787 $ 1311 $ LIDOCAINE-PRILOCAINE 16 488 5900 $ 369 $ 1209 $ ORAPRED ODT 40 175 2104 $ 53 $ 1202 $ LUPRON DEPOT 2 180 2088 $ 1044 $ 1160 $ LYRICA 3 90 939 $ 313 $ 1043 $ SULFACETAMIDE SODIUM 2 15 154 $ 77 $ 1029 $ GLUCAGON EMERGENCY KIT 2 60 579 $ 290 $ 965 $ PREVACID 1 30 278 $ 278 $ 927 $ ALBENZA 6 138 1247 $ 208 $ 903 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 57

AMC Darnall ndash FY18 Direct Care Pharmacy Top 20 Products Dispensed1 by of Scripts and CostDay

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

IBUPROFEN 3283 66879 41277 $ 13 $ 062 $ NAPROXEN 1817 53426 25544 $ 14 $ 048 $ ACETAMINOPHEN 1648 14813 19153 $ 12 $ 129 $ MAPAP 1499 35770 17475 $ 12 $ 049 $ SORE THROAT LOZENGE 1235 29656 15630 $ 13 $ 053 $ LORATADINE 965 35540 12023 $ 12 $ 034 $ CYCLOBENZAPRINE HCL 679 9739 8028 $ 12 $ 082 $ HYDROXYZINE HCL 654 15226 9035 $ 14 $ 059 $ TIGER BALM 651 19695 12083 $ 19 $ 061 $ FLUTICASONE PROPIONATE 614 37344 9438 $ 15 $ 025 $ MELOXICAM 555 38537 7563 $ 14 $ 020 $ SERTRALINE HCL 554 28981 7679 $ 14 $ 026 $ BANOPHEN 536 15453 6328 $ 12 $ 041 $ REFRESH PLUS 518 8390 11068 $ 21 $ 132 $ AZITHROMYCIN 513 5770 12694 $ 25 $ 220 $ ANALGESIC BALM 511 15218 6277 $ 12 $ 041 $ PERIOGARD 502 9130 5904 $ 12 $ 065 $ CETIRIZINE HCL 476 37230 6565 $ 14 $ 018 $ ZOLPIDEM TARTRATE 470 11065 5870 $ 12 $ 053 $ TRAZODONE HCL 466 21450 6305 $ 14 $ 029 $

TOP 20 BASED ON VOLUME

7236 BENNETT FAM CARE CLINIC-HOOD

Product Name Number of

Scripts Days Supply Full Cost Cost script Cost Day

NICOTINE GUM 33 554 25020 $ 758 $ 4516 $ LAMOTRIGINE ER 2 60 1756 $ 878 $ 2927 $ GEL-ONE 8 148 3411 $ 426 $ 2305 $ CANASA 1 30 652 $ 652 $ 2172 $ HUMIRA 3 168 3544 $ 1181 $ 2109 $ TAMIFLU 48 251 4488 $ 94 $ 1788 $ CILOXAN 2 17 287 $ 143 $ 1688 $ NEOMYCIN-BACITRACIN-POLYMYX 1 1 14 $ 14 $ 1393 $ LIDOCAINE-PRILOCAINE 9 255 3547 $ 394 $ 1391 $ LACTULOSE 1 1 13 $ 13 $ 1303 $ ANTIFUNGAL CREAM 1 1 12 $ 12 $ 1244 $ CIPRODEX 40 489 5051 $ 126 $ 1033 $ ELIDEL 9 270 2684 $ 298 $ 994 $ DONNATAL 1 30 278 $ 278 $ 928 $ AZELEX 6 210 1927 $ 321 $ 918 $ NICORETTE 31 466 4256 $ 137 $ 913 $ GARDASIL 9 4 120 968 $ 242 $ 807 $ PROMETHEGAN 1 3 22 $ 22 $ 724 $ DICLOXACILLIN SODIUM 2 20 141 $ 71 $ 707 $ PHENAZOPYRIDINE HCL 69 214 1470 $ 21 $ 687 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) FOUO 58

AMC Darnall ndash Purchased Care Pharmacy1

based on ldquoParentrdquo PRISM Area ID by Enrollment Group

PARENT PRISM 0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 101684 2477800 $ 12915830 $ 127 $ 521 104723 2312344 $ 14346390 $ 137 $ 620 Prime-MCSC 62679 1938080 4258599 $ 68 $ $ 220 58503 1832159 4348116 $ 74 $ $ 237 Reliant 238 4663 8018 $ 34 $ $ 172 226 3736 33870 $ $ 150 $ 907 Plus 4110 107927 760019 $ $ 185 $ 704 4958 131066 722019 $ $ 146 $ 551 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 172042 5435002 9978095 $ 58 $ $ 184 171017 5424813 9722245 $ 57 $ $ 179

MCSC Total 340757 9963497 $ 27920591 82 $ $ 280 339432 9704151 $ 29172698 86 $ $ 301 Mail Order Prime-MTF 33764 2679447 6273256 $ $ 186 $ 234 24210 1920725 4995265 $ $ 206 $ 260

Prime-MCSC 35700 2850204 4294446 $ $ 120 $ 151 27701 2223519 3368367 $ $ 122 $ 151 Reliant 43 4291 2387 $ 56 $ $ 056 21 1579 1487 $ 71 $ $ 094 Plus 3974 334323 493526 $ $ 124 $ 148 3336 274812 469229 $ $ 141 $ 171 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 117848 9748449 $ 12141489 $ 103 $ 125 105201 8689775 $ 11564349 $ 110 $ 133

Mail Order Total 191329 15616714 $ 23205104 $ 121 $ 149 160474 13110735 $ 20398935 $ 127 $ 156 Grand Total 532086 25580211 $ 51125695 96 $ $ 200 499906 22814886 $ 49571633 99 $ $ 217

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Parent PRISM is a derived field and includes all children of the Parent DMIS ID FOUO 59

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

0110 AMC DARNALL-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 28343 624502 $ 3908167 $ 138 $ 626 19805 354293 $ 2503545 $ 126 $ 707 Prime-MCSC 5145 152747 318749 $ 62 $ $ 209 1058 28201 57826 $ 55 $ $ 205 Reliant 210 4110 7001 $ 33 $ $ 170 206 3407 33487 $ $ 163 $ 983 Plus 320 8445 29945 $ 94 $ $ 355 51 1229 2386 $ 47 $ $ 194 Overseas Prime 4 25 29 $ 7 $ $ 118 5 33 57 $ 11 $ $ 171 Other 17701 475059 866004 $ 49 $ $ 182 8686 207749 367587 $ 42 $ $ 177

MCSC Total 51723 1264888 $ 5129895 99 $ $ 406 29811 594912 $ 2964889 99 $ $ 498 Mail Order Prime-MTF 5999 472373 $ 1460026 $ 243 $ 309 2173 172927 564625 $ $ 260 $ 327

Prime-MCSC 3084 243064 387459 $ $ 126 $ 159 283 23674 33695 $ $ 119 $ 142 Reliant 35 3403 1796 $ 51 $ $ 053 20 1489 1374 $ 69 $ $ 092 Plus 378 31112 67938 $ $ 180 $ 218 49 4350 3274 $ 67 $ $ 075 Overseas Prime 0 0 0 $ 0 $ $ 000 5 325 239 $ 48 $ $ 074 Other 5283 434859 557037 $ $ 105 $ 128 696 54082 77289 $ $ 111 $ 143

Mail Order Total 14779 1184811 $ 2474256 $ 167 $ 209 3226 256847 680494 $ $ 211 $ 265 Grand Total 66502 2449699 $ 7604151 $ 114 $ 310 33037 851759 $ 3645383 $ 110 $ 428

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 60

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6109 CBMH WEST KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 7583 180805 $ 2099112 $ 277 $ 1161 16636 365556 $ 5428434 $ 326 $ 1485 Prime-MCSC 3854 121148 255422 $ 66 $ 211 $ 7042 216805 533187 $ 76 $ 246 $ Reliant 4 105 66 $ 16 $ 063 $ 4 32 18 $ 5 $ 056 $ Plus 215 5190 25400 $ $ 118 489 $ 579 14520 51350 $ 89 $ 354 $ Other 8415 262792 419350 $ 50 $ 160 $ 17487 529439 878060 $ 50 $ 166 $

MCSC Total 20071 570040 $ 2799349 $ 139 491 $ 41748 1126352 $ 6891049 $ 165 612 $ Mail Order Prime-MTF 2373 186507 480730 $ $ 203 258 $ 3808 302438 842076 $ $ 221 278 $

Prime-MCSC 2693 216939 299871 $ $ 111 138 $ 4167 329621 491977 $ $ 118 149 $ Plus 361 29710 44629 $ $ 124 150 $ 588 46972 64491 $ $ 110 137 $ Other 4655 386729 531983 $ $ 114 138 $ 8069 657781 $ 1016959 $ 126 155 $

Mail Order Total 10082 819885 $ 1357213 $ 135 166 $ 16632 1336812 $ 2415503 $ 145 181 $ Grand Total 30153 1389925 $ 4156563 $ 138 299 $ 58380 2463164 $ 9306552 $ 159 378 $

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 61

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6111 CBMH HARKER HEIGHTS-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22678 581119 2076511 $ 92 $ $ 357 24318 566339 1984110 $ 82 $ $ 350 Prime-MCSC 36167 1136701 2111618 $ 58 $ $ 186 35170 1109141 2178454 $ 62 $ $ 196 Reliant 17 416 928 $ 55 $ $ 223 7 128 73 $ 10 $ $ 057 Plus 1457 40847 333788 $ $ 229 $ 817 1811 53988 321153 $ $ 177 $ 595 Other 71266 2355627 4345836 $ 61 $ $ 184 72328 2396380 4286808 $ 59 $ $ 179

MCSC Total 131585 4114710 8868680 $ 67 $ $ 216 133634 4125976 8770598 $ 66 $ $ 213 Mail Order Prime-MTF 9149 730172 1482668 $ $ 162 $ 203 6959 554144 1281918 $ $ 184 $ 231

Prime-MCSC 19650 1559287 2447455 $ $ 125 $ 157 15560 1249516 1935414 $ $ 124 $ 155 Reliant 8 888 591 $ 74 $ $ 067 1 90 114 $ $ 114 $ 126 Plus 1011 85591 159599 $ $ 158 $ 186 934 77277 189331 $ $ 203 $ 245 Other 56468 4654715 5521931 $ 98 $ $ 119 51283 4233795 5439461 $ $ 106 $ 128

Mail Order Total 86286 7030653 9612243 $ $ 111 $ 137 74737 6114822 8846237 $ $ 118 $ 145 Grand Total 217871 11145363 $ 18480924 85 $ $ 166 208371 10240798 $ 17616834 85 $ $ 172

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 62

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6112 CBMH KILLEEN-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 22090 541176 $ 2395787 $ 108 $ 443 22162 504418 $ 1974939 89 $ $ 392 Prime-MCSC 5917 180826 805870 $ $ 136 $ 446 4845 156272 $ 1007879 $ 208 $ 645 Reliant 7 32 23 $ 3 $ $ 073 9 169 293 $ 33 $ $ 173 Plus 728 17325 55745 $ 77 $ $ 322 822 19338 24833 $ 30 $ $ 128 Other 32431 1014660 $ 2086731 64 $ $ 206 31116 989589 $ 1869762 60 $ $ 189

MCSC Total 61173 1754019 $ 5344156 87 $ $ 305 58954 1669786 $ 4877705 83 $ $ 292 Mail Order Prime-MTF 8739 697645 $ 1497885 $ 171 $ 215 5846 462290 $ 1208772 $ 207 $ 261

Prime-MCSC 3307 259556 424932 $ $ 128 $ 164 2438 194548 314042 $ $ 129 $ 161 Plus 908 75469 83680 $ 92 $ $ 111 702 57928 61847 $ 88 $ $ 107 Other 20409 1688877 $ 2110577 $ 103 $ 125 17796 1468785 $ 1972359 $ 111 $ 134

Mail Order Total 33363 2721547 $ 4117074 $ 123 $ 151 26782 2183551 $ 3557020 $ 133 $ 163 Grand Total 94536 4475566 $ 9461230 $ 100 $ 211 85736 3853337 $ 8434725 98 $ $ 219

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 63

AMC Darnall ndash Purchased Care Pharmacy1

based on PRISM Area ID by Enrollment Group

6113 CBMH COPPERAS COVE-HOOD

Source System Enrollment

Group

2017 2018

Scripts Days Supply Paid by TRICARE

Paid Script

Paid Day Scripts Days Supply

Paid by TRICARE

Paid Script

Paid Day

MCSC (Retail) Prime-MTF 20990 550198 2436253 $ $ 116 $ 443 21802 521738 2455362 $ $ 113 $ 471 Prime-MCSC 11596 346658 766941 $ 66 $ $ 221 10388 321740 570770 $ 55 $ $ 177 Plus 1390 36120 315141 $ $ 227 $ 872 1695 41991 322297 $ $ 190 $ 768 Other 42229 1326864 2260175 $ 54 $ $ 170 41400 1301656 2320028 $ 56 $ $ 178

MCSC Total 76205 2259840 5778510 $ 76 $ $ 256 75285 2187125 5668457 $ 75 $ $ 259 Mail Order Prime-MTF 7504 592750 1351946 $ $ 180 $ 228 5424 428926 1097874 $ $ 202 $ 256

Prime-MCSC 6966 571358 734728 $ $ 105 $ 129 5253 426160 593239 $ $ 113 $ 139 Plus 1316 112441 137681 $ $ 105 $ 122 1063 88285 150286 $ $ 141 $ 170 Other 31033 2583269 3419961 $ $ 110 $ 132 27357 2275332 3058282 $ $ 112 $ 134

Mail Order Total 46819 3859818 5644317 $ $ 121 $ 146 39097 3218703 4899682 $ $ 125 $ 152 Grand Total 123024 6119658 $ 11422827 93 $ $ 187 114382 5405828 $ 10568139 92 $ $ 195

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 64

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

0110 AMC DARNALL-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

AMOXICILLIN 1323 12515 615 $ 0 $ 005 $ HYDROCODONE-ACETAMINOPHEN 1045 12541 7503 $ 7 $ 060 $ FLUVIRIN 2017-2018 733 849 $ 11778 16 $ 1387 $ AZITHROMYCIN 700 3263 2220 $ 3 $ 068 $ IBUPROFEN 630 8043 819 $ 1 $ 010 $ FLUZONE QUAD 2017-2018 601 718 9723 $ 16 $ 1354 $ ACETAMINOPHEN-CODEINE 592 4320 1642 $ 3 $ 038 $ TRAMADOL HCL 565 8556 6752 $ 12 $ 079 $ PREDNISONE 553 4434 617 $ 1 $ 014 $ OSELTAMIVIR PHOSPHATE 529 3116 $ 42297 80 $ 1357 $ ONDANSETRON ODT 523 2949 4484 $ 9 $ 152 $ GABAPENTIN 515 19723 $ 15526 30 $ 079 $ FLUCELVAX QUAD 2017-2018 503 650 $ 10165 20 $ 1564 $ AMOXICILLIN-CLAVULANATE POT 484 4608 4852 $ 10 $ 105 $ CEPHALEXIN 419 3609 1365 $ 3 $ 038 $ CYCLOBENZAPRINE HCL 400 8166 2485 $ 6 $ 030 $ SERTRALINE HCL 386 17848 1832 $ 5 $ 010 $ DEXTROAMPHETAMINE-AMPHETAMI 350 12849 $ 10011 29 $ 078 $ FLUTICASONE PROPIONATE 331 17609 4252 $ 13 $ 024 $ PROAIR HFA 301 8932 $ 11159 37 $ 125 $

TOP 20 BASED ON VOLUME

Product Name

HUMATE-P ADYNOVATE SYMDEKO ADVATE STRENSIQ SABRIL REVLIMID VIGABATRIN PROLASTIN C XYREM JAKAFI NINLARO MEKINIST EMVERM AMICAR TAFINLAR SUCRAID FOLLISTIM AQ CAYSTON EPIPEN JR 2-PAK

0110 AMC DARNALL-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2 2 12559 $ 6279 $ 627940 $ 5 23 39362 $ 7872 $ 171140 $ 3 84 63330 $ 21110 $ 75393 $ 2 56 38867 $ 19433 $ 69405 $ 1 28 15308 $ 15308 $ 54673 $ 5 150 76319 $ 15264 $ 50880 $

11 308 $ 149460 13587 $ 48526 $ 2 60 25925 $ 12962 $ 43208 $ 9 252 $ 104025 11558 $ 41280 $

35 1110 $ 412273 11779 $ 37142 $ 3 90 33416 $ 11139 $ 37128 $ 4 105 38174 $ 9543 $ 36356 $ 3 90 30956 $ 10319 $ 34395 $ 2 2 671 $ 336 $ 33561 $ 4 32 10330 $ 2582 $ 32280 $ 3 90 28512 $ 9504 $ 31680 $

11 253 80035 $ 7276 $ 31634 $ 25 172 52363 $ 2095 $ 30444 $

2 56 16912 $ 8456 $ 30199 $ 2 4 1101 $ 551 $ 27529 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 65

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6109 CBMH WEST KILLEEN-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 1737 34182 $ 14365 8 $ 042 $ AMOXICILLIN 1259 11570 297 $ 0 $ 003 $ GABAPENTIN 1083 50774 $ 36722 34 $ 072 $ PREDNISONE 887 12646 636 $ 1 $ 005 $ FLUTICASONE PROPIONATE 874 46388 $ 22635 26 $ 049 $ CETIRIZINE HCL 845 55754 358 $ 0 $ 001 $ LISINOPRIL 827 66288 545 - $ 1 - $ 001 - $ IBUPROFEN 814 13842 226 $ 0 $ 002 $ LEVOTHYROXINE SODIUM 789 63106 5309 $ 7 $ 008 $ ACETAMINOPHEN-CODEINE 780 8625 1444 $ 2 $ 017 $ TRAMADOL HCL 730 14196 6319 $ 9 $ 045 $ ATORVASTATIN CALCIUM 659 53714 $ 52246 79 $ 097 $ AZITHROMYCIN 654 3484 2236 $ 3 $ 064 $ TIZANIDINE HCL 651 24349 $ 19383 30 $ 080 $ PANTOPRAZOLE SODIUM 644 46343 $ 80091 124 $ 173 $ AMLODIPINE BESYLATE 593 45993 6966 $ 12 $ 015 $ SIMVASTATIN 573 50085 $ 35937 63 $ 072 $ CYCLOBENZAPRINE HCL 533 14242 836 $ 2 $ 006 $ OMEPRAZOLE 526 40563 9848 $ 19 $ 024 $ MONTELUKAST SODIUM 512 33360 2799 $ 5 $ 008 $

TOP 20 BASED ON VOLUME

Product Name

BENEFIX NOVOSEVEN RT FEIBA NF ADVATE BERINERT ELOCTATE SPRYCEL ORKAMBI REVLIMID ALECENSA SITAVIG BEXAROTENE IMBRUVICA ERIVEDGE NERLYNX DIFICID AMICAR DIASTAT ACUDIAL GILOTRIF EPIPEN JR 2-PAK

6109 CBMH WEST KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

1 4 34826 $ 34826 $ 870658 $ 8 230 $ 1491628 186454 $ 648534 $

12 346 $ 1422085 118507 $ 411007 $ 1 6 18067 $ 18067 $ 301120 $

13 192 536361 $ 41259 $ 279355 $ 10 280 304277 $ 30428 $ 108670 $

1 21 16792 $ 16792 $ 79962 $ 12 336 249079 $ 20757 $ 74131 $ 16 420 217954 $ 13622 $ 51894 $

1 30 14382 $ 14382 $ 47941 $ 1 2 897 $ 897 $ 44859 $ 1 30 12790 $ 12790 $ 42634 $

11 322 123188 $ 11199 $ 38257 $ 1 28 10412 $ 10412 $ 37186 $ 1 30 10377 $ 10377 $ 34588 $ 1 10 3431 $ 3431 $ 34313 $ 3 30 9499 $ 3166 $ 31662 $ 1 1 306 $ 306 $ 30623 $ 4 120 32344 $ 8086 $ 26953 $ 1 4 1076 $ 1076 $ 26908 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 66

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 5342 114098 52424 $ 10 $ 046 $ ATORVASTATIN CALCIUM 4638 373244 $ 389699 84 $ 104 $ LEVOTHYROXINE SODIUM 4541 352830 25521 $ 6 $ 007 $ LISINOPRIL 4414 347422 583 $ 0 $ 000 $ GABAPENTIN 3656 196884 $ 166500 46 $ 085 $ AMOXICILLIN 3238 28417 899 $ 0 $ 003 $ FLUTICASONE PROPIONATE 3222 194622 35198 $ 11 $ 018 $ SIMVASTATIN 2938 252728 $ 212190 72 $ 084 $ TRAMADOL HCL 2821 66572 38022 $ 13 $ 057 $ PREDNISONE 2752 39472 2500 $ 1 $ 006 $ AMLODIPINE BESYLATE 2590 198904 43275 $ 17 $ 022 $ OMEPRAZOLE 2568 195349 40061 $ 16 $ 021 $ PANTOPRAZOLE SODIUM 2263 165522 $ 299918 133 $ 181 $ CETIRIZINE HCL 2239 150667 654 - $ 0 $ 000 $ ACETAMINOPHEN-CODEINE 2215 25265 6508 $ 3 $ 026 $ MONTELUKAST SODIUM 2023 132928 16179 $ 8 $ 012 $ AZITHROMYCIN 1976 14465 17609 $ 9 $ 122 $ SERTRALINE HCL 1939 111522 7070 $ 4 $ 006 $ LOSARTAN POTASSIUM 1926 154778 $ 103487 54 $ 067 $ METFORMIN HCL 1875 153766 13060 $ 7 $ 008 $

TOP 20 BASED ON VOLUME

6111 CBMH HARKER HEIGHTS-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HP ACTHAR 2 34 72425 $ 36212 $ 213015 $ HARVONI 9 63 67147 $ 7461 $ 106582 $ APOKYN 4 88 66951 $ 16738 $ 76081 $ VOSEVI 6 168 $ 122888 20481 $ 73148 $ ORKAMBI 12 336 $ 217838 18153 $ 64833 $ POMALYST 2 56 32191 $ 16095 $ 57483 $ CABOMETYX 2 60 32346 $ 16173 $ 53910 $ XALKORI 3 90 46604 $ 15535 $ 51782 $ TAGRISSO 3 90 42432 $ 14144 $ 47147 $ LYNPARZA 3 90 40534 $ 13511 $ 45038 $ NORTHERA 2 180 80429 $ 40214 $ 44683 $ PROLASTIN C 7 196 86943 $ 12420 $ 44359 $ REVLIMID 38 903 $ 384020 10106 $ 42527 $ NERLYNX 4 120 45348 $ 11337 $ 37790 $ TRACLEER 3 90 32330 $ 10777 $ 35923 $ BRAFTOVI 2 60 21102 $ 10551 $ 35170 $ MEKTOVI 2 60 21102 $ 10551 $ 35170 $ IBRANCE 33 903 $ 311943 9453 $ 34545 $ DIFICID 2 20 6895 $ 3448 $ 34477 $ MENOPUR 2 11 3742 $ 1871 $ 34020 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 67

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

Product Name

HYDROCODONE-ACETAMINOPHEN GABAPENTIN AMOXICILLIN LISINOPRIL ATORVASTATIN CALCIUM TRAMADOL HCL LEVOTHYROXINE SODIUM ACETAMINOPHEN-CODEINE FLUTICASONE PROPIONATE PREDNISONE AMLODIPINE BESYLATE IBUPROFEN CETIRIZINE HCL OMEPRAZOLE SIMVASTATIN AZITHROMYCIN PANTOPRAZOLE SODIUM METFORMIN HCL MONTELUKAST SODIUM TIZANIDINE HCL

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

2578 51828 19965 $ 8 $ 039 $ 1630 82223 63484 $ 39 $ 077 $ 1511 13180 240 $ 0 $ 002 $ 1481 115841 97 - $ 0 $ 000 $ 1458 112566 $ 105616 72 $ 094 $ 1434 32125 21574 $ 15 $ 067 $ 1280 95231 7013 $ 5 $ 007 $ 1215 16719 4417 $ 4 $ 026 $ 1174 66185 13945 $ 12 $ 021 $ 1173 16174 936 $ 1 $ 006 $ 1011 76052 14543 $ 14 $ 019 $

993 19687 593 $ 1 $ 003 $ 971 61155 164 - $ 0 $ 000 $ 961 72188 12650 $ 13 $ 018 $ 907 74374 59158 $ 65 $ 080 $ 842 4956 1931 $ 2 $ 039 $ 835 59885 $ 111239 133 $ 186 $ 833 62056 4611 $ 6 $ 007 $ 797 53846 6417 $ 8 $ 012 $ 776 30457 30236 $ 39 $ 099 $

TOP 20 BASED ON VOLUME

Product Name

FIRAZYR HP ACTHAR KOGENATE FS ADYNOVATE NEXAVAR APOKYN AFINITOR TAGRISSO EVZIO DIASTAT ACUDIAL SPRYCEL REVLIMID NEUPOGEN ADEMPAS HUMIRA PEN PSORIASIS-UVEITI OPSUMIT IBRANCE GILOTRIF GONAL-F RFF REDI-JECT CUVITRU

6112 CBMH KILLEEN-HOOD

Number of Scripts

Days Supply Paid by TRICARE

Paid Script Paid Day

3 3 75145 $ 25048 $ $ 2504845 3 40 $ 347506 115835 $ 868765 $

11 330 $ 276373 25125 $ 83750 $ 12 334 $ 272181 22682 $ 81491 $

2 60 35321 $ 17660 $ 58868 $ 4 120 68059 $ 17015 $ 56716 $ 1 30 16608 $ 16608 $ 55358 $ 2 60 28977 $ 14488 $ 48295 $ 2 17 7820 $ 3910 $ 45998 $ 2 2 912 $ 456 $ 45592 $ 1 30 12205 $ 12205 $ 40683 $

23 518 $ 205093 8917 $ 39593 $ 1 3 966 $ 966 $ 32212 $

11 330 $ 105223 9566 $ 31886 $ 1 28 8892 $ 8892 $ 31759 $

12 360 $ 105938 8828 $ 29427 $ 14 616 $ 173406 12386 $ 28150 $ 12 360 96901 $ 8075 $ 26917 $

1 24 6149 $ 6149 $ 25619 $ 1 28 6915 $ 6915 $ 24696 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 68

AMC Darnall ndash FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by of Scripts and CostDay

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

HYDROCODONE-ACETAMINOPHEN 3319 73849 39799 $ 12 $ 054 $ LISINOPRIL 2443 178505 307 - $ 0 $ 000 $ GABAPENTIN 2216 110800 82424 $ 37 $ 074 $ LEVOTHYROXINE SODIUM 2065 155060 12893 $ 6 $ 008 $ ATORVASTATIN CALCIUM 1969 154767 $ 160047 81 $ 103 $ PREDNISONE 1751 24805 1609 $ 1 $ 006 $ AMOXICILLIN 1632 14850 390 $ 0 $ 003 $ AMLODIPINE BESYLATE 1529 111228 22423 $ 15 $ 020 $ ACETAMINOPHEN-CODEINE 1477 21308 6745 $ 5 $ 032 $ TRAMADOL HCL 1469 33325 15663 $ 11 $ 047 $ SIMVASTATIN 1427 118962 94211 $ 66 $ 079 $ FLUTICASONE PROPIONATE 1386 78726 16300 $ 12 $ 021 $ PANTOPRAZOLE SODIUM 1361 96300 $ 179496 132 $ 186 $ OMEPRAZOLE 1260 96738 24299 $ 19 $ 025 $ TIZANIDINE HCL 1183 41964 41225 $ 35 $ 098 $ FUROSEMIDE 1141 72801 12165 $ 11 $ 017 $ LOSARTAN POTASSIUM 1070 78420 52349 $ 49 $ 067 $ HYDROCHLOROTHIAZIDE 1063 79156 1728 - $ 2 - $ 002 - $ CETIRIZINE HCL 1062 72601 161 $ 0 $ 000 $ AZITHROMYCIN 1058 6514 4680 $ 4 $ 072 $

TOP 20 BASED ON VOLUME

6113 CBMH COPPERAS COVE-HOOD

Product Name Number of

Scripts Days Supply

Paid by TRICARE

Paid Script Paid Day

EVZIO 1 1 3922 $ 3922 $ 392246 $ BERINERT 4 32 44899 $ 11225 $ 140309 $ CINRYZE 12 336 $ 460144 38345 $ 136948 $ IDELVION 1 28 30159 $ 30159 $ 107710 $ RYDAPT 2 42 38317 $ 19159 $ 91231 $ CABOMETYX 7 210 $ 115937 16562 $ 55208 $ REVLIMID 38 1057 $ 519451 13670 $ 49144 $ SITAVIG 2 4 1802 $ 901 $ 45059 $ ZARXIO 1 5 2092 $ 2092 $ 41847 $ IBRANCE 4 112 43116 $ 10779 $ 38497 $ AFINITOR 18 596 $ 220781 12266 $ 37044 $ MEKINIST 7 210 72441 $ 10349 $ 34496 $ XTANDI 1 30 10192 $ 10192 $ 33975 $ GONAL-F RFF REDI-JECT 4 37 12257 $ 3064 $ 33127 $ TALTZ AUTOINJECTOR (3 PACK) 1 28 9252 $ 9252 $ 33044 $ KUVAN 24 720 $ 232265 9678 $ 32259 $ SPRIX 3 15 4737 $ 1579 $ 31579 $ SIVEXTRO 1 6 1877 $ 1877 $ 31283 $ DIFICID 1 1 310 $ 310 $ 31036 $ LETAIRIS 13 390 $ 119183 9168 $ 30560 $

TOP 20 BASED ON COST PER DAY

1 Source M2 PDTS Source System M (MCSC) and T (Mail Order) Based on PRISM Area ID FOUO 69

Radiology

Return to TOC

FOUO 70

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

0110 AMC DARNALL-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3990 36 286 886 1056 6254 Dental 28 2 2 2 34

Ancillary 109 2 58 169 Special Programs 2095 14 266 8 242 209 2834

Dermatology 74 4 78 Emergency Room 44327 584 2604 22 3636 5651 56824 General Surgery 1793 22 254 118 40 2227 IM Subspecialty 6015 110 270 422 99 6916 Mental Health 757 10 25 28 12 832

OBGYN 14559 92 902 62 876 16491 Optometry 74 2 1 4 81

Orthopedics 26687 402 1768 2 562 511 29932 Otolaryngology 1108 24 38 56 30 1256

Primary Care 80128 2528 1553 2 3080 1753 89044 Surg Subspecialty 1885 40 200 110 54 2289

Other 4347 44 113 8 322 4834 Total 187976 3910 8286 34 9216 10673 220095

0110 AMC DARNALL-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3928 24 428 758 650 5788 Dental 40 4 44

Ancillary 178 18 10 18 110 334 Special Programs 2030 62 177 4 168 175 2616

Dermatology 166 10 4 8 188 Emergency Room 46465 514 2992 22 4578 5188 59759 General Surgery 1443 8 162 56 56 1725 IM Subspecialty 5857 78 156 424 151 6666 Mental Health 286 8 12 12 28 346

OBGYN 14904 62 760 46 480 16252 Optometry 74 4 2 80

Orthopedics 25687 390 1725 704 441 28947 Otolaryngology 1270 18 62 76 14 1440

Primary Care 77781 3690 2580 6 2872 1671 88600 Surg Subspecialty 2086 44 230 142 71 2573

Other 5125 68 145 2 6 251 5597 Total 187320 4988 9449 34 9868 9296 220955

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

71

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Mental Health

Other Total

0362 RED RIVER ARMY DEPOT

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 1 2

0 0 4 0

TFL Not

Enrolled 1

97 0 98

Total 2 1

99 102

Ordering Product Line

Special Programs Other Total

0362 RED RIVER ARMY DEPOT

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus

1 0 0 1 0

TFL Not

Enrolled 1

69 0 70

Total 1

70 71

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

72

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room

Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 12 2 19 2 22 1

1844 57 34 12 12 1

1910 61 34 0 0 14

Total 1

14 21 23

1947 13

2019

Ordering Product Line

Special Programs Emergency Room General Surgery Mental Health Orthopedics Primary Care

Other Total

1592 MONROE CONSOLIDATED-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 2 1 7

13 1929 48 106 4

3 1 1956 49 106 0 0 4

Total 1 2 1 7

13 2087

4 2115

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

73

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs General Surgery IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

25 1 1

14 1 10 94 2 2

8224 169 137 4 66 153 2 2

8521 173 140 0 4 69

Total 26

1 15 10 98

8600 157

8907

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health Orthopedics Primary Care

Other Total

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

21 4 3 1 1 1 8

47 1 1 1 6859 353 276 3 94

23 2 6960 358 282 0 3 96

Total 28

1 2 8

50 7585

25 7699

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

74

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs IM Subspecialty Mental Health

Optometry Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

6 2

2 1

29 3303 17 40 48

12 3352 17 43 0 0 48

Total 6 2 2 1

29 3408

12 3460

Ordering Product Line

Inpatient Special Programs Emergency Room

Mental Health OBGYN

Orthopedics Primary Care

Other Total

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 RADIOLOGY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 1 3 2

16 3347 34 50 1 59

3 3373 36 50 0 1 59

Total 2 1 1 3 2

16 3491

3 3519

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

75

AMC Darnall ndash Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2

Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015

Other 9 1 10 Total 3190 91 37 0 0 14 3332

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 RADIOLOGY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM Subspecialty 2 2 Mental Health 4 4 Orthopedics 238 6 3 2 249 Primary Care 2942 55 30 13 3040

Surg Subspecialty 1 1 Other 68 2 1 71 Total 3312 63 38 0 0 15 3428

1 Source M2 Radiology Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

76

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $ 038 1693 $ 19083 BXBREASTLOC DEV1STULTRASND 168 157469 69255 $ 937 41223 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 10848 418087 183916 $ 039 1695 $ 78804 TUMOR IMAGING WHOLE BODY 4 3306 1454 $ 827 36350 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 7822 346607 152429 $ 044 1949 $ 71552 MAG RES IMAGCHESTWO CONT MAT 20 16225 7136 $ 811 35679 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 6818 257439 113205 $ 038 1660 $ 19082 BXBREASTLOC DEVEA ADSTEREO 2 1602 705 $ 801 35228 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 6633 269991 118768 $ 041 1791 $ 19084 BXBREASTLOC DEVEA ADULTRAS 8 6160 2709 $ 770 33865 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 6467 265746 116864 $ 041 1807 $ 77059 MRIBREASTWWO CONTRST BILAT 2 1515 666 $ 758 33315 $ 74177 CTABDOM amp PELVW CONTRAST MAT 6333 2755676 1211959 $ 435 19137 $ 19285 PLACBREAST LOC DEV1ST LESUS 16 11636 5118 $ 727 31985 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 6275 259700 114240 $ 041 1821 $ 73220 MRI UPPR EXTREMITY WOampW DYE 34 23824 10478 $ 701 30817 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 5574 254801 112088 $ 046 2011 $ 78452 MYOCARD PERF IMAGSPECTMULTI 408 280435 123336 $ 687 30229 $ 70450 CT HEADBRAIN WO CONTST MATRL 5458 878738 386481 $ 161 7081 $ 70546 MAG RES ANGHEADWOW CONT MAT 2 1359 598 $ 680 29885 $ 76856 USPELVREAL TME W IMG DOCCMP 4819 744596 327478 $ 155 6796 $ 73223 MRI JOINT UPR EXTR WOampW DYE 130 85639 37664 $ 659 28973 $ 76830 US EXAM TRANSVAGINAL 4567 783317 344500 $ 172 7543 $ 73723 MAG RES IMANY JTLW EXTWO CM 140 92154 40530 $ 658 28950 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 4411 233519 102686 $ 053 2328 $ 78227 HEPATO SYS IMGINC GBPHRM INT 254 165778 72909 $ 653 28704 $ 76705 USABDMREAL TME W IMG DOCLTD 3820 490385 215655 $ 128 5645 $ 73720 MRI LWR EXTREMITY WOampW DYE 64 40029 17605 $ 625 27507 $ 73721 MRIJNTLOW EXTWO CNTRST MAT 3704 1226296 539315 $ 331 14560 $ 72197 MAG RES IMGPELVWOW CONT MAT 290 179660 79014 $ 620 27246 $ 72040 RADLOG EXMSPINCERV23 VIEWS 3642 156424 68790 $ 043 1889 $ 74183 MAG RES IMABDOMENWOW CON MT 236 145630 64048 $ 617 27139 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 3170 173390 76244 $ 055 2405 $ 78072 PARATHY PLAN IMGTOMOGRampCTLOC 54 32382 14242 $ 600 26373 $ 76805 ULTRASND gt=14WK 0 DAY SNGL 3152 627248 275863 $ 199 8752 $ 71550 MRI IMGCHSTWO CNTRST MATRIAL 22 12818 5637 $ 583 25625 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 2868 102559 45113 $ 036 1573 $ 70543 MRIORBFCENCKWO CONTFL SEQ 396 225180 99034 $ 569 25009 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 77

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 3 210 92 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 5 320 141 $ 064 2815 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 5 315 139 $ 063 2771 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 1 066 29 $ 066 2903 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 2 116 51 $ 058 2551 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 1 068 30 $ 068 2991 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 1 054 24 $ 054 2375 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73000 X-RAY EXAM OF COLLAR BONE 1 053 23 $ 053 2331 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73090 RADIOLOGIC EXMFOREARM2 VIEWS 1 048 21 $ 048 2111 $ 73020 RADIOLOG EXAMSHOULDER1 VIEW 2 082 36 $ 041 1803 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73560 RADIOLOGIC EXAMKNEE12 VIEWS 1 063 28 $ 063 2771 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 78

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 350 21982 $ 9669 063 2762 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 189 10354 $ 4554 055 2409 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 $ 4267 063 2771 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 142 8201 $ 3607 058 2540 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 104 4888 $ 2150 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 100 6343 $ 2790 063 2790 $ 72040 RADLOG EXMSPINCERV23 VIEWS 83 5045 $ 2219 061 2673 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 66 3696 $ 1626 056 2463 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 63 3969 $ 1746 063 2771 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 46 2438 $ 1072 053 2331 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 42 2268 998 $ 054 2375 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 32 1916 843 $ 060 2634 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 72220 RAD EXMSAC amp COCCMIN 2 VIEW 17 917 403 $ 054 2372 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1592 MONROE CONSOLIDATED-HOOD

TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure

Code Description FY 2018

of Svcs Total RVU Full Cost Avg RVU Cost Svc 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 70330 X-RAY EXAM OF JAW JOINTS 3 291 128 $ 097 4266 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 104 8736 $ 3842 084 3694 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 1 079 35 $ 079 3474 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 16 1264 556 $ 079 3474 $ 73565 X-RAY EXAM OF KNEES 2 150 66 $ 075 3299 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 100 7322 $ 3221 073 3221 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 6 432 190 $ 072 3167 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 1 071 31 $ 071 3123 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 1 070 31 $ 070 3079 $ 73050 X-RAY EXAM OF SHOULDERS 5 349 154 $ 070 3070 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 74 5144 $ 2263 070 3058 $ 70220 RAD EXMSINPARANASCOMPMIN 3 2 138 61 $ 069 3035 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 068 30 $ 068 2991 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 22 1476 649 $ 067 2951 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 198 87 $ 066 2903 $ 74020 X-RAY EXAM OF ABDOMEN 4 264 116 $ 066 2903 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 285 18810 $ 8274 066 2903 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 14 910 400 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 79

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 3 297 131 $ 099 4354 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 793 37271 16391 $ 047 2067 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 628 36282 15958 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 8 632 278 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 520 28459 12517 $ 055 2407 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 50 3950 1737 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 447 28161 12386 $ 063 2771 $ 70150 RAD EXMFACE BONESCOMP MIN 3 3 234 103 $ 078 3430 $ 71010 CHEST X-RAY 384 14208 6248 $ 037 1627 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 331 27804 12227 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 72040 RADLOG EXMSPINCERV23 VIEWS 317 19248 8466 $ 061 2671 $ 70110 RAD EXMMANDIBCOMPMIN 4 VIEW 5 350 154 $ 070 3079 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 301 19036 8373 $ 063 2782 $ 73050 X-RAY EXAM OF SHOULDERS 22 1536 676 $ 070 3071 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 294 21553 9480 $ 073 3225 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 272 14688 6460 $ 054 2375 $ 70220 RAD EXMSINPARANASCOMPMIN 3 13 897 395 $ 069 3035 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 219 12264 5394 $ 056 2463 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 30 2020 889 $ 067 2962 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 183 11529 5071 $ 063 2771 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 3 200 88 $ 067 2932 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 171 4959 2180 $ 029 1275 $ 74020 X-RAY EXAM OF ABDOMEN 16 1056 464 $ 066 2903 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 146 10160 4469 $ 070 3061 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 23718 $ 066 2903 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 129 6837 3007 $ 053 2331 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 5 329 145 $ 066 2894 $ 73565 X-RAY EXAM OF KNEES 106 7950 3497 $ 075 3299 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 94 5615 2470 $ 060 2627 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 15 975 429 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 67 4355 1916 $ 065 2859 $ 72170 RAD EXAM PELVIS 1 OR 2 VIEWS 16 1024 450 $ 064 2815 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 80

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8433 $ 047 2067 $ 70330 X-RAY EXAM OF JAW JOINTS 2 194 85 $ 097 4266 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 259 14963 6581 $ 058 2541 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 5 395 174 $ 079 3474 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 235 12872 5661 $ 055 2409 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 14 1106 486 $ 079 3474 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 156 13104 5763 $ 084 3694 $ 70150 RAD EXMFACE BONESCOMP MIN 3 2 156 69 $ 078 3430 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 154 9702 4267 $ 063 2771 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 72040 RADLOG EXMSPINCERV23 VIEWS 149 9062 3986 $ 061 2675 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 143 9041 3977 $ 063 2781 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 2 142 62 $ 071 3123 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 129 9443 4154 $ 073 3220 $ 73050 X-RAY EXAM OF SHOULDERS 15 1047 461 $ 070 3070 $ 74000 X-RAY EXAM OF ABDOMEN 105 4200 1847 $ 040 1759 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 103 5562 2446 $ 054 2375 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 2 138 61 $ 069 3035 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 89 6176 2717 $ 069 3052 $ 70220 RAD EXMSINPARANASCOMPMIN 3 7 483 212 $ 069 3035 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 83 4399 1935 $ 053 2331 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 11 735 323 $ 067 2939 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 79 4977 2189 $ 063 2771 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 346 22836 10044 $ 066 2903 $ 71010 CHEST X-RAY 61 2257 992 $ 037 1627 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 52 3103 1365 $ 060 2625 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 4 262 115 $ 066 2881 $ 74020 X-RAY EXAM OF ABDOMEN 50 3300 1452 $ 066 2903 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 19 1237 544 $ 065 2864 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 42 1218 536 $ 029 1275 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 19 1235 543 $ 065 2859 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 41 2296 1010 $ 056 2463 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 8 520 229 $ 065 2859 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 81

AMC Darnall ndash FY18 Direct Care Top 20 Radiology Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 70330 X-RAY EXAM OF JAW JOINTS 1 099 44 $ 099 4354 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 305 16709 7349 $ 055 2409 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 206 11910 5238 $ 058 2543 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 73610 RAD EXAMANKCOMPMIN 3 VIEWS 191 12033 5293 $ 063 2771 $ 74022 RADIO EXAM ABDMSNGL VIEW CHST 21 1659 730 $ 079 3474 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 174 8178 3597 $ 047 2067 $ 70150 RAD EXMFACE BONESCOMP MIN 3 1 078 34 $ 078 3430 $ 72040 RADLOG EXMSPINCERV23 VIEWS 169 10275 4519 $ 061 2674 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 168 14112 6206 $ 084 3694 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 166 10522 4628 $ 063 2788 $ 71030 RAD EXMCHESTCOMPMIN 4 VIEWS 5 360 158 $ 072 3167 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 136 9950 4377 $ 073 3218 $ 71048 RADIOLOG EXAMCHEST4+ VIEWS 8 568 250 $ 071 3123 $ 73590 RAD EXMTIBIA amp FIBULA2 VIEWS 134 7504 3300 $ 056 2463 $ 73050 X-RAY EXAM OF SHOULDERS 16 1113 490 $ 070 3060 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 73140 RAD EXAMFINGER(S)MIN 2 VIEWS 80 5552 2442 $ 069 3053 $ 72070 RAD EXMSPINETHORACIC2 VIEWS 77 4851 2134 $ 063 2771 $ 71130 RAD EXMSTERNOCLAVICULARMIN 3 1 069 30 $ 069 3035 $ 71046 RADIOLOGIC EXAMCHEST2 VIEWS 72 3888 1710 $ 054 2375 $ 70160 RAD EXMNAS BNECOMMIN3 VIEW 1 067 29 $ 067 2947 $ 73070 RADIOLOGIC EXAMELBOW 2 VIEWS 64 3392 1492 $ 053 2331 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73660 RAD EXMTOE(S)MIN OF 2 VIEWS 54 3227 1419 $ 060 2628 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 12338 $ 066 2903 $ 73564 RAD EXAM KNEE COMP 4+ VIEWS 27 2133 938 $ 079 3474 $ 74020 X-RAY EXAM OF ABDOMEN 5 330 145 $ 066 2903 $ 73565 X-RAY EXAM OF KNEES 27 2025 891 $ 075 3299 $ 70250 RADIOLOGIC EXMSKULLlt 4 VIEWS 3 197 87 $ 066 2888 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 72202 RAD EXMSACROILIAC JTS3+ VIEW 23 1495 658 $ 065 2859 $ 71101 RAD EXMRIBUNILPOSTEROMIN 3 21 1403 617 $ 067 2939 $ 73552 RADIOLOG EXMFEMURMIN 2 VIEWS 10 648 285 $ 065 2850 $

1 Source M2 Radiology Detail includes both Technical and Professional services FOUO 82

AMC Darnall ndash Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 3446 8 1427 3 8994 1819 15697 Anesth 729 261 571 126 1687

ENT 13 6 5 8 32 ER 10586 83 5304 10 12840 5591 34414

Facility 13357 32 8043 1 14756 5143 41332 Home 2 7 9 IMSub 734 2 302 1084 136 2258

MH 2 99 101 OBGYN 1186 1 291 62 3006 4546 Optom 123 64 483 45 715 Ortho 1806 6 932 1653 594 4991

PC 1547 3 2345 2 9649 1213 14759 Path 1 1 Rad 17896 55 11882 3 18521 6870 55227 Surg 93 43 257 29 422

SurgSub 80 77 357 61 575 Other 357 1 118 271 89 836 None 79 2 49 660 25 815 Total 52036 193 31151 19 70263 24755 178417

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 RADIOLOGY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 4199 17 1329 8516 1671 15732 Anesth 478 2 199 1 471 99 1250 Derm 1 3 30 34 ENT 8 11 21 14 54 ER 9606 59 4895 5 12700 4516 31781

Facility 11605 31 7819 8 16450 4405 40318 Home 4 3 1 8 IMSub 631 329 1493 121 2574

MH 2 2 OBGYN 775 213 45 1258 2291 Optom 92 49 456 38 635 Ortho 1247 1 837 1 2031 587 4704

PC 2338 9 2134 19 8280 1458 14238 Rad 15637 32 11649 7 21370 6356 55051 Surg 78 76 113 30 297

SurgSub 106 52 353 43 554 Other 348 111 1 219 69 748 None 76 69 1 507 28 681 Total 47231 151 29778 43 73055 20694 170952

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 83

AMC Darnall ndash FY18 Purchased Care Top 20 Radiology Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

71046 RADIOLOGIC EXAMCHEST2 VIEWS 11569 382470 $ 246955 033 2135 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 10361 239190 $ 145854 023 1408 $ 70450 CT HEADBRAIN WO CONTST MATRL 5795 699267 $ 325809 121 5622 $ 74177 CTABDOM amp PELVW CONTRAST MAT 4783 1350682 $ 635313 282 $ 13283 71020 RAD EXMCHEST2FRONTAL amp LAT 4339 138423 85657 $ 032 1974 $ 72148 MAGNETIC IMAGE LUMBAR SPINE 4279 859854 $ 600891 201 $ 14043 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 3824 166814 58419 $ 044 1528 $ 71010 CHEST X-RAY 3818 90877 52354 $ 024 1371 $ 77067 SCRN MAMMOGBILATCAD WHN PERF 3392 681663 $ 246573 201 7269 $ 73562 RADIOLOGIC EXAM KNEE 3 VIEWS 3224 136309 42741 $ 042 1326 $ 76830 US EXAM TRANSVAGINAL 3029 283083 $ 237733 093 7849 $ 73030 RAD EXMSHLDRCOMPMIN 2 VIEW 3003 116467 36428 $ 039 1213 $ 77014 COMP TOM GDPLCRAD THERPY FLD 2994 496518 75968 $ 166 2537 $ 71260 CT THORAX W CONTRAST MATERIAL 2845 627568 $ 329469 221 $ 11581 74176 CTABDOM amp PELVWO CONTRAS MAT 2826 610171 $ 333446 216 $ 11799 72100 RAD EXMSPINELUMBO 23 VIEWS 2568 109654 65098 $ 043 2535 $ 70553 MAGNETIC IMAGE BRAIN (MRI) 2519 827930 $ 589200 329 $ 23390 76705 USABDMREAL TME W IMG DOCLTD 2466 181161 $ 134445 073 5452 $ 73130 RAD EXAM HAND MIN OF 3 VIEWS 2437 89255 31735 $ 037 1302 $ 73502 RAD EXAMHIPUNILAT2-3 VIEWS 2436 114997 31177 $ 047 1280 $

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 RADIOLOGY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

77525 PROTON TREAT DELIVERY COMPLEX 7 19971 31070 $ 2853 $ 443864 77523 PROTON TX DELINTERMEDIATE 24 62856 97415 $ 2619 $ 405896 77372 SRSCRN LS1SESSLIN ACCEL BSD 16 33753 53506 $ 2110 $ 334413 70555 MRIBRAINFUNCTREQ DOC ADMIN 1 1994 1747 $ 1994 $ 174665 78454 MYOCARD PERF IMAGPLANARMULTI 1 1081 1491 $ 1081 $ 149117 77371 SRSCRN LS1SESSMLT CBLT 60BS 1 3470 1488 $ 3470 $ 148841 75893 VENOUS SAMPLING BY CATHETER 4 670 4624 $ 168 $ 115603 77373 STEREOTACTIC RAD TRMT DELIVERY 113 340692 $ 107234 3015 94898 $ 75630 X-RAY AORTA LEG ARTERIES 19 4851 14812 $ 255 77957 $ 78802 RADIOPHARMACEU WHOLE BODY 5 343 2613 $ 069 52266 $ 78816 PET W CONCUR ACQ CTWHOLE BODY 65 69124 33625 $ 1063 51730 $ 75563 CARD MRIFOLCONTW STRESS IMG 2 405 926 $ 203 46276 $ 76497 UNLIST COMP TOMOGRAPHY PROC 22 3680 9749 $ 167 44315 $ 78815 PET W CON CTSKL BASE- MID-THI 788 779988 $ 342535 990 43469 $ 77301 RADIOLTHERAPY DOS PLAN IMRT 236 595283 99722 $ 2522 42255 $ 76498 UNLIST MAGNET RESONACE PROC 41 8096 16694 $ 197 40717 $ 73222 MRI JOINT UPR EXTREM W DYE 312 55480 $ 111451 178 35721 $ 73722 MAG RES IMGANY JTLW EXTW CM 138 23095 49054 $ 167 35547 $ 78492 HEART IMAGE (PET) MULTIPLE 185 62632 63871 $ 339 34525 $ 77295 3-D RADIOTHER PLNDOS-VOL HIST 215 146266 70031 $ 680 32572 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 7) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

84

Laboratory

Return to TOC

FOUO 85

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

46093 241 2672 250 7 5

18193 6550 2396 3 10223 540 728 30

4291 37 111 98997 1334 5443 50 10719 47 1196 46691 533 1757 30994 596 590 91215 550 5174

495 7 31 3241 50 182 2156 32 50

501766 10476 6966 26 8587 98 941 5313 76 482 17

879224 21174 28724 126

TFL Not

Enrolled Total 7564 29888 86458

1 263 1123 2593 30858

748 1225 13494 137 52 4628

6891 12665 125380 255 172 12389

2122 674 51777 165 261 32606 152 6757 103848

30 23 586 149 74 3696

44 51 2333 13392 29604 562230

668 224 10518 133 5242 11263

33573 89506 1052327

Ordering Product Line

Inpatient Dental

Ancillary Special Programs

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

0110 AMC DARNALL-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

55534 358 7672 116 292 14 2

16917 5734 3026 13 12076 1605 5468 20

5539 108 122 101964 1261 6530 36

9088 47 864 36702 591 1124 14773 540 275 92651 341 4725

365 7 24 2593 26 223 2195 15 100

469880 16834 18581 2 10745 80 1063

4811 75 661 16 836125 27636 50460 203

TFL Not

Enrolled Total 8107 13409 85196

5 313 1389 2743 29822

702 1074 20945 188 123 6080

8903 11006 129700 198 216 10413

1686 686 40789 50 119 15757

246 3648 101611 29 35 460

118 32 2992 51 19 2380

14381 17407 537085 830 346 13064 184 6133 11880

37062 57001 1008487

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

86

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 1

0 0 4 0

TFL Not

Enrolled 101 100

0 201

Total 104 101 205

Ordering Product Line Primary Care

Other TOTAL

0362 RED RIVER ARMY DEPOT

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

0 0 0 0

TFL Not

Enrolled 4

142 0 146

Total 4

142 146

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

87

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Ancillary Emergency Room IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 24 2 1

1 8 4

40 1 5 1 5

4530 58 103 18 5 3

4625 58 106 0 0 21

Total 1

27 1 8 4

41 6 5

4709 5 3

4810

Ordering Product Line

Inpatient Dental

Dermatology Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Orthopedics Primary Care

Surg Subspecialty Other TOTAL

1592 MONROE CONSOLIDATED-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 11

1 19 1 10 1 13 72 3

6 5

4198 24 153 9 1 1

4338 24 158 0 0 9

Total 1

11 1

20 11 13 75

6 5

4384 1 1

4529

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

88

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Primary Care

Surg Subspecialty Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

28 347

7 3

32 2 2

60 39 2 23

6 19

11436 177 132 9 138 10 1

100 4 11765 182 132 0 9 489

Total 28

347 7 3

34 2

60 41 23

6 19

11892 11

104 12577

Ordering Product Line

Dental Ancillary

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Orthopedics Otolaryngology

Primary Care Surg Subspecialty

Other TOTAL

6014 CHARLES MOORE HLTH CLN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

14 4 268

1 1 1 9

21 32 1 36 1

8 1 1 1 1

10095 281 245 83 15 47

10282 286 247 0 0 352

Total 14

272 2 1 9

21 33 37

9 1 1 1

10704 15 47

11167

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

89

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient Dental

Special Programs Dermatology

Emergency Room IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 3 1 1 9

16 5

12 8 2

13103 151 182 7 729 5 1 3

13167 151 184 0 7 730

Total 1 3 1 1 9

16 5

12 10

14172 6 3

14239

Ordering Product Line

Special Programs Dermatology

Emergency Room General Surgery IM Subspecialty Mental Health

OBGYN Optometry

Primary Care Surg Subspecialty

Other TOTAL

6076 RUSSELL COLLIER HLTH CLIN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

3 1 5 1 1

15 1 6 5 2

13030 292 331 5 736 3 1 2

13073 293 331 0 5 738

Total 3 1 6 1

16 6 5 2

14394 4 2

14440

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

90

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

6111 CBMH HARKER HEIGHTS-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Emergency Room 9 1 10 General Surgery 4 4 IM Subspecialty 16 2 18 Mental Health 20 20

OBGYN 1 1 Primary Care 7794 18 10 144 7966

Surg Subspecialty 2 2 Other 2 2 TOTAL 7849 0 20 0 10 145 8024

6111 CBMH HARKER HEIGHTS-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Emergency Room 4 4 IM Subspecialty 16 16 Mental Health 12 12

OBGYN 5 5 Primary Care 7067 22 8 68 7165

Surg Subspecialty 1 1 TOTAL 7105 0 22 0 8 68 7203

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

91

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

3 3 4

16 4

7573 2 1 4

7607 0 2 1

TFL Not

Enrolled

4 154

4 154

Total 3 3 4

16 4

7734 4

7768

Ordering Product Line

Special Programs Emergency Room IM Subspecialty Mental Health

OBGYN Primary Care

Surg Subspecialty TOTAL

6112 CBMH KILLEEN-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus

1 9 6 4 7

7261 1 36 1 2

7289 1 38 0

TFL Not

Enrolled

2 91

2 91

Total 1 9 6 4 7

7391 3

7421

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

92

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

Ordering Product Line

Inpatient General Surgery IM Subspecialty Mental Health

OBGYN Primary Care

TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2017 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

2 1 9 1

10 5712 4 86 5735 0 4 0 0 86

Total 2 1 9 1

10 5802 5825

Ordering Product Line

Inpatient Emergency Room IM Subspecialty Mental Health Primary Care

Surg Subspecialty Other TOTAL

6113 CBMH COPPERAS COVE-HOOD

FY 2018 LABORATORY SERVICES Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled

1 5 8 2

6655 19 7 52 7 1

6679 0 19 0 7 52

Total 1 5 8 2

6733 7 1

6757

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

93

AMC Darnall ndash Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2017 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1 1 Dental 25 25

Ancillary 2 2 Special Programs 35 35

Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91

OBGYN 20 20 Optometry 3 3

Orthopedics 26 26 Otolaryngology 1 1

Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11

Other 32 32 TOTAL 7616 167 54 0 14 61 7912

7236 BENNETT FAM CARE CLINIC-HOOD

FY 2018 LABORATORY SERVICES Ordering

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Dental 11 2 13 Special Programs 12 12

Dermatology 4 4 Emergency Room 12 12 General Surgery 11 11 IM Subspecialty 18 18 Mental Health 29 29

OBGYN 9 9 Optometry 6 6

Orthopedics 2 2 Primary Care 6786 175 71 1 37 7070

Surg Subspecialty 10 10 Other 19 19 TOTAL 6929 177 71 0 1 37 7215

1 Source M2 Laboratory Detail includes both Technical and Professional services Prime-Site defined as Enrollment Site Parent equal to Tmt Parent Ordering Product Line based on Ordering MEPRS Code FOUO

94

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 3428193 $ 139 5815 $ 87507 INF AGNTDNARNAGI12-25 TARG 295 418707 174644 $ 1419 59201 $ 85025 COMPLETE CBC WAUTO DIFF WBC 54643 1629209 679704 $ 030 1244 $ 88309 LEV VI-SRG PATHGROSampMICRO EXM 30 23381 9752 $ 779 32507 $ 84443 ASSAY THYROID STIM HORMONE 36463 781001 325842 $ 021 894 $ 81403 MOLECULAR PATHOLOGY PROCLEV 4 1 514 214 $ 514 21439 $ 87491 CHYLMD TRACH DNA AMP PROBE 34205 2907305 1212643 $ 085 3545 $ 88307 LEV V-SURG PATHGROSampMICRO EXM 2200 1083171 451787 $ 492 20536 $ 87591 NGONORRHOEAE DNA AMP PROB 34205 2907305 1212643 $ 085 3545 $ 81402 MOLECULAR PATHOLOGY PROCLEV 3 1 418 174 $ 418 17435 $ 80061 LIPID PANEL 33504 2135170 890677 $ 064 2658 $ 81219 CALRGENE ANALCOM VAREXON 9 1 417 174 $ 417 17393 $ 81001 URINALYSIS AUTO WSCOPE 32547 353256 147431 $ 011 453 $ 88344 IMMUNOHISCYTOCHEA MUL AB STN 96 28932 12068 $ 301 12570 $ 87086 CULTBACTQUANTIT COLONY COUNT 27302 623523 260120 $ 023 953 $ 88360 MORPHO ANALTUM IMMUNOHISTMAN 36 9213 3843 $ 256 10674 $ 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 25999 347859 145145 $ 013 558 $ 88365 IN SITU HYBSPECINIT SNG STN 5 1273 531 $ 255 10619 $ 81025 URINE PREGNANCY TEST 19281 462630 192955 $ 024 1001 $ 82731 ASSAY OF FETAL FIBRONECTIN 42 9582 3997 $ 228 9516 $ 87070 CULTBACTSOURC EXC URINBLD 17828 395003 164743 $ 022 924 $ 88331 PATH CONSULT DUR SRGTISS BLCK 18 4092 1707 $ 227 9482 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17659 237440 99067 $ 013 561 $ 88342 IMMUNOHISTCYTINIT SNG AB STN 1448 294332 122765 $ 203 8478 $ 99001 HANDLSPECIMTRANSFPAT TO LAB 16977 000 0 $ 000 000 $ 88358 MORPHOMETRIC ANALYSISTUMOR 2 400 167 $ 200 8342 $ 86592 SYPHILIS TEST NON-TREP QUAL 15143 217815 90823 $ 014 600 $ 82805 BLOOD GASES W02 SATURATION 857 164706 68696 $ 192 8016 $ 82306 VITAMIN D 25 HYDROXY 14575 519048 216524 $ 036 1486 $ 88162 CYTOPATH SMEAR OTHER SOURCE 80 15352 6403 $ 192 8004 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 88312 SPEC STNINTampRPTGRP IMICROOR 678 119226 49730 $ 176 7335 $ 88142 CYTOPATH CV THIN LAYER 13586 481589 200877 $ 035 1479 $ 88341 IMMUNOHISCYTOCHEA ADD AB STN 214 36802 15350 $ 172 7173 $ 87340 INF AGT ANT DETIMMUNO HBSAG 13477 384335 160303 $ 029 1189 $ 88305 LEV IV-SRG PATHGROSampMICRO EXM 13792 2073843 864989 $ 150 6272 $ 85007 BL SMEAR WDIFF WBC COUNT 13248 158507 66154 $ 012 499 $ 87902 GENOTYPE DNA HEPATITIS C 44 6568 2740 $ 149 6227 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 95

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

TOP 20 LABORATORY PROCEDURES BY VOLUME

0362 RED RIVER ARMY DEPOT

TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209 82300 ASSAY OF CADMIUM 73 365 $ 153 005 $ 209 82232 ASSAY OF BETA-2 PROTEIN 26 130 $ 54 005 $ 209 82570 ASSAY OF URINE CREATININE 47 235 $ 98 005 $ 209

0362 RED RIVER ARMY DEPOT

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 96

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 85025 COMPLETE CBC WAUTO DIFF WBC 559 17888 7463 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 274 12604 5258 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 81025 URINE PREGNANCY TEST 673 16152 6737 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 130 5980 2495 $ 046 1919 $ 87210 SMRPRI SRCWET MTINFECT AGNT 246 3936 1641 $ 016 667 $ 84703 CHORIONIC GONADOTROPIN ASSAY 123 3258 1359 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 279 4232 1766 $ 015 633 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85007 BL SMEAR WDIFF WBC COUNT 68 830 346 $ 012 509 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 86403 PARTICLE AGGLUTINATION TEST 46 1650 688 $ 036 1496 $ 82270 BLDOCCULTQUALFECESCOL NEO 88 1056 441 $ 012 501 $ 85651 RBC SED RATE NONAUTOMATED 40 484 202 $ 012 505 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85014 BLD CNT HEMATOCRIT 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $ 85018 BLD CNT HEMOGLOBIN 5 040 17 $ 008 334 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 97

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 030 1252 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 81025 URINE PREGNANCY TEST 1516 36365 15167 $ 024 1000 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 730 11680 4869 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 432 19872 8290 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 799 12161 5074 $ 015 635 $ 84703 CHORIONIC GONADOTROPIN ASSAY 344 9394 3918 $ 027 1139 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85651 RBC SED RATE NONAUTOMATED 159 2002 836 $ 013 526 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 85007 BL SMEAR WDIFF WBC COUNT 92 1131 472 $ 012 513 $ 82270 BLDOCCULTQUALFECESCOL NEO 469 5628 2348 $ 012 501 $ 86403 PARTICLE AGGLUTINATION TEST 53 1883 785 $ 036 1482 $ 81015 MICROSCOPIC EXAM OF URINE 1373 14368 5993 $ 010 437 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85014 BLD CNT HEMATOCRIT 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 85018 BLD CNT HEMOGLOBIN 27 229 96 $ 008 354 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 4 184 77 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 98

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 87880 STREP A ASSAY WOPTIC 1065 48990 20437 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 032 1335 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 87804 INFLUENZA ASSAY WOPTIC 750 34500 14393 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1771 42504 17728 $ 024 1001 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 87210 SMRPRI SRCWET MTINFECT AGNT 1135 18160 7570 $ 016 667 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85651 RBC SED RATE NONAUTOMATED 278 3488 1456 $ 013 524 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 85007 BL SMEAR WDIFF WBC COUNT 171 2092 873 $ 012 511 $ 84703 CHORIONIC GONADOTROPIN ASSAY 148 3959 1651 $ 027 1116 $ 82270 BLDOCCULTQUALFECESCOL NEO 809 9708 4050 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 51 771 322 $ 015 631 $ 81015 MICROSCOPIC EXAM OF URINE 1511 15876 6623 $ 011 438 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 32 1397 583 $ 044 1821 $ 85014 BLD CNT HEMATOCRIT 319 2646 1104 $ 008 346 $ 86403 PARTICLE AGGLUTINATION TEST 30 1118 466 $ 037 1555 $ 85018 BLD CNT HEMOGLOBIN 319 2646 1104 $ 008 346 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 99

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 584 26864 11207 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 81025 URINE PREGNANCY TEST 743 17832 7437 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 464 7424 3095 $ 016 667 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 505 7721 3221 $ 015 638 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85007 BL SMEAR WDIFF WBC COUNT 89 1087 454 $ 012 510 $ 85651 RBC SED RATE NONAUTOMATED 86 1086 453 $ 013 527 $ 82270 BLDOCCULTQUALFECESCOL NEO 398 4776 1993 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 40 1715 715 $ 043 1788 $ 81015 MICROSCOPIC EXAM OF URINE 966 10166 4240 $ 011 439 $ 86308 HETEROPHILE ANTIBODIES 35 652 272 $ 019 777 $ 85014 BLD CNT HEMATOCRIT 91 759 317 $ 008 348 $ 84703 CHORIONIC GONADOTROPIN ASSAY 23 610 254 $ 027 1106 $ 85018 BLD CNT HEMOGLOBIN 91 759 317 $ 008 348 $ 82948 REAGENT STRIPBLOOD GLUCOSE 19 254 106 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 100

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 746 34316 14316 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87210 SMRPRI SRCWET MTINFECT AGNT 634 10144 4229 $ 016 667 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 208 3179 1326 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85651 RBC SED RATE NONAUTOMATED 75 932 389 $ 012 519 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 114 1399 584 $ 012 512 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82270 BLDOCCULTQUALFECESCOL NEO 342 4104 1712 $ 012 501 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 38 1658 692 $ 044 1820 $ 81015 MICROSCOPIC EXAM OF URINE 818 8636 3603 $ 011 440 $ 84703 CHORIONIC GONADOTROPIN ASSAY 35 919 383 $ 026 1095 $ 85014 BLD CNT HEMATOCRIT 50 414 173 $ 008 345 $ 86308 HETEROPHILE ANTIBODIES 25 454 189 $ 018 758 $ 85018 BLD CNT HEMOGLOBIN 50 414 173 $ 008 345 $ 82948 REAGENT STRIPBLOOD GLUCOSE 13 174 73 $ 013 558 $ 81003 URINALYSIS AUTO WO SCOPE 1083 8952 3735 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 101

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 81025 URINE PREGNANCY TEST 665 15960 6657 $ 024 1001 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 87210 SMRPRI SRCWET MTINFECT AGNT 474 7584 3162 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 485 7418 3095 $ 015 638 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 87807 INFECTIOUS AGNT ANTIGEN DETECT 67 2822 1177 $ 042 1757 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85651 RBC SED RATE NONAUTOMATED 66 834 348 $ 013 527 $ 85007 BL SMEAR WDIFF WBC COUNT 98 1196 499 $ 012 509 $ 84703 CHORIONIC GONADOTROPIN ASSAY 45 1191 497 $ 026 1104 $ 82270 BLDOCCULTQUALFECESCOL NEO 184 2208 921 $ 012 501 $ 86308 HETEROPHILE ANTIBODIES 39 716 299 $ 018 766 $ 81015 MICROSCOPIC EXAM OF URINE 438 4538 1893 $ 010 432 $ 82948 REAGENT STRIPBLOOD GLUCOSE 17 236 98 $ 014 579 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85014 BLD CNT HEMATOCRIT 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 85018 BLD CNT HEMOGLOBIN 13 110 46 $ 008 353 $ 81003 URINALYSIS AUTO WO SCOPE 1005 8280 3455 $ 008 344 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 102

AMC Darnall ndash FY18 Direct Care Top 20 Laboratory Procedures1 by Number of Services and CostSvc

7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018

Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $ 032 1335 $ 87880 STREP A ASSAY WOPTIC 329 15134 6314 $ 046 1919 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 81025 URINE PREGNANCY TEST 983 23592 9840 $ 024 1001 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 87220 TISS EXMKOH SLD SMP FRM SKHR 242 3694 1541 $ 015 637 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 87210 SMRPRI SRCWET MTINFECT AGNT 201 3216 1341 $ 016 667 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 82270 BLDOCCULTQUALFECESCOL NEO 268 3216 1342 $ 012 501 $ 84703 CHORIONIC GONADOTROPIN ASSAY 157 4151 1731 $ 026 1102 $ 81015 MICROSCOPIC EXAM OF URINE 1093 11522 4806 $ 011 440 $ 85651 RBC SED RATE NONAUTOMATED 143 1792 748 $ 013 523 $ 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 85007 BL SMEAR WDIFF WBC COUNT 102 1250 522 $ 012 511 $ 85014 BLD CNT HEMATOCRIT 287 2373 990 $ 008 345 $ 86403 PARTICLE AGGLUTINATION TEST 60 2152 898 $ 036 1496 $ 85018 BLD CNT HEMOGLOBIN 287 2373 990 $ 008 345 $

1 Source M2 Laboratory Detail includes both Technical and Professional services FOUO 103

AMC Darnall ndash Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2017 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 2333 1 1194 1996 1826 7350 Anesth 7894 5 1820 546 836 11101 Derm 1623 298 864 133 2918 ENT 2 2 1 5 ER 2681 24 1596 3251 1470 9022

Facility 25698 113 27731 11 10113 19860 83526 Home 3 3 IMSub 3214 1319 1077 532 6142

MH 1 7 1 9 OBGYN 745 224 23 1506 2498 Optom 17 34 82 3 136 Ortho 55 81 27 15 178

PC 4035 14 8952 5763 6213 24977 Path 6537 30 4681 8779 2959 22986 Rad 60 33 2 7 102 Surg 11 51 28 23 113

SurgSub 40 1 89 566 56 752 Other 40 14 1 6 61 None 18109 42 21975 2192 17546 59864 Total 73093 230 70104 11 35312 52993 231743

0110 AMC DARNALL-HOOD CATCHMENT AREA

FY 2018 LABORATORY SERVICES

Product Line Prime -

Site Reliant Prime -Other Plus TFL

Not Enrolled Total

Inpatient 1869 4 804 1848 1056 5581 Anesth 4853 1218 802 483 7356 Derm 1548 2 333 918 200 3001 ENT 1 39 57 97 ER 2252 21 1378 2774 1039 7464

Facility 27000 48 28093 2 10214 18814 84171 Home 6 2 5 13 IMSub 2294 894 1500 552 5240

MH 2 4 2 8 OBGYN 314 188 17 501 1020 Optom 5689 13 4190 41 3240 13173 Ortho 28 33 3 9 73

PC 9844 14 8547 17 4739 7167 30328 Path 7140 2 4127 21 10304 3039 24633 Rad 17 19 1 18 55 Surg 11 23 10 15 59

SurgSub 72 76 1 524 47 720 Other 59 11 3 12 85 None 14461 14 16369 2432 12005 45281 Total 77460 118 66348 41 36130 48261 228358

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID Prime-Site defined based on Enrollment Site Parent

2 Inpatient defined as Service Type = I otherwise based on standard Product Line (derived from Provider Specialty) FOUO 104

AMC Darnall ndash FY18 Purchased Care Top 20 Laboratory Procedures1 by Number of Services and PaidSvc

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU

Paid2 Svc

88305 LEV IV-SRG PATHGROSampMICRO EXM 17734 2390982 $ 564459 135 $ 3183 80053 COMPREHENSIVE METABOLIC PANEL 11915 439448 $ 197746 037 $ 1660 85025 COMPLETE CBC WAUTO DIFF WBC 11804 326664 $ 131931 028 $ 1118 80061 LIPID PANEL 10644 565854 $ 183498 053 $ 1724 87804 INFLUENZA ASSAY WOPTIC 7434 341964 $ 116171 046 $ 1563 87880 STREP A ASSAY WOPTIC 6564 301438 $ 109953 046 $ 1675 80307 DRG TESTANY NUMINS CHMDT SV 5970 1229548 $ 441274 206 $ 7392 84443 ASSAY THYROID STIM HORMONE 5554 329554 $ 124465 059 $ 2241 83036 HEMOGLOBIN GLYCOSYLATED (A1C) 4987 169075 61023 $ 034 $ 1224 81003 URINALYSIS AUTO WO SCOPE 4597 38327 11421 $ 008 248 $ 82306 VITAMIN D 25 HYDROXY 3162 330045 $ 125454 104 $ 3968 87591 NGONORRHOEAE DNA AMP PROB 3080 381934 $ 149121 124 $ 4842 87491 CHYLMD TRACH DNA AMP PROBE 3058 379266 $ 146858 124 $ 4802 82947 GLUCOSE QUANTITATIVE BLOOD 2893 38983 7611 $ 013 263 $ 84439 ASSAY OF FREE THYROXINE 2864 90629 36703 $ 032 $ 1282 88185 FLOW CYTOMETRYCELL SURFACE 2772 250240 52922 $ 090 $ 1909 81001 URINALYSIS AUTO WSCOPE 2511 28257 13056 $ 011 520 $ 86003 ALLERG SPEC IGEQUANTSEMIEA 2355 43240 14672 $ 018 623 $ 80048 BASIC METABOL PANEL (CATOTAL) 2306 68512 28336 $ 030 $ 1229 88341 IMMUNOHISCYTOCHEA ADD AB STN 2133 208292 42194 $ 098 $ 1978

Procedure Code

0110 AMC DARNALL-HOOD CATCHMENT AREA

TOP 20 LABORATORY PROCEDURES BY PAIDSVC FY 2018

Description Number of

Services Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 Svc

81416 EXOMESEQ ANALEA COMPARAT EXO 19 159984 $ 98084 8420 $ 516232 81415 EXOME SEQUENCE ANALYSIS 12 99990 $ 54357 8333 $ 452978 81229 CYTO CON MICROAR ANALCOPYampSNP 22 64440 $ 94895 2929 $ 431342 81519 ONC(BRST)MRNART-PCR21 GENES 15 147965 $ 61205 9864 $ 408034 81223 CFTR GENE ANAL FULL GENE SEQ 1 000 3390 $ 000 $ 339000 81595 CARD(HRT TRANSPL)MRNA20 GENE 9 81000 $ 21908 9000 $ 243425 81228 CYTO CON MICROAR ANALCOPY NUM 9 7500 $ 17636 833 $ 195960 84999 CLINICAL CHEMISTRY TEST 4 000 6767 $ 000 $ 169169 81408 MOLECULAR PATHOLOGY PROC LV 9 43 177792 $ 67447 4135 $ 156854 81211 BRCA12 GEN ANALFULCOMBRCA1 59 380809 $ 82322 6454 $ 139529 81479 UNLISTED MOLECULAR PATH PROC 60 000 $ 80563 000 $ 134272 81490 AUTOIMMANAL12 BIOMARKIMMUNO 1 2335 1111 $ 2335 $ 111076 81220 CFTR GENE ANALCOMMON VARIANTS 26 24736 $ 27665 951 $ 106405 81406 MOLECULAR PATHOLOGY PROCLEV 7 72 33012 $ 73665 459 $ 102312 81405 MOLECULAR PATHOLOGY PROCLEV 6 73 34317 $ 59798 470 81916 $ 81243 FMR1 GENE ANALDET ABN ALLELES 20 2054 $ 15997 103 79984 $ 81302 MECP2 GENE ANAL FULL SEQ ANAL 4 2932 3144 $ 733 78595 $ 81528 ONC(COLOREC)QUANT10 DNA MARK 34 48202 $ 20392 1418 59977 $ 81257 HBA1HBA2GEN ANALCOM DELVAR 3 852 1738 $ 284 57923 $ 81404 MOLECULAR PATHOLOGY PROCLEV 5 50 22890 $ 27110 458 54219 $

Procedure Code

1 Source M2 TED Non-Institutional Detail (Procedure Code = 8) includes both Technical and Professional services Based on Catchment Area ID 2 Purchased Care includes 13 increase for overhead burdening FOUO

105

Staffing

Return to TOC

FOUO 106

AMC Darnall ndash Staffing1

Assigned FTEs

All MEPRS Codes No Limitation on Skill Type Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 19771 7696 27467 18972 7059 26031 0362 RED RIVER ARMY DEPOT 137 137 121 121 1592 MONROE CONSOLIDATED-HOOD 218 52 270 209 60 269 1599 TMC-12-HOOD 62 17 80 68 28 95 1601 TMC-14-HOOD 41 41 30 30 1848 USADC DACH-HOOD 203 335 537 229 305 533 1850 USADC PERKINS-HOOD 218 226 445 224 225 449 1851 USADC-3-HOOD 215 121 336 204 144 349 1852 USADC FAIRBANK-HOOD 237 197 434 235 210 445 1853 USADC BILLY JOHNSON-HOOD 524 387 911 451 342 793 6014 CHARLES MOORE HLTH CLN-HOOD 550 248 799 554 239 793 6076 RUSSELL COLLIER HLTH CLIN-HOOD 540 94 634 568 94 662 6111 CBMH HARKER HEIGHTS-HOOD 294 294 304 304 6112 CBMH KILLEEN-HOOD 320 01 321 296 01 297 6113 CBMH COPPERAS COVE-HOOD 312 06 317 269 269 6164 EBH 56 EBHT BLDG 2255-HOOD 233 46 279 200 54 255 6165 EBH 8 EBHT-HOOD 112 27 139 131 32 163 6171 EBH TEAM A 1-1CD-HOOD 119 05 124 94 06 100 6172 EBH TEAM B 2-1CD-HOOD 118 118 112 12 124 6173 EBH TEAM C 3-1CD-HOOD 111 111 113 113 6174 EBH TEAM D 3CR-HOOD 104 104 82 08 90 6227 NICOE-INTREPID SPIRIT-HOOD 312 10 321 245 01 246 7236 BENNETT FAM CARE CLINIC-HOOD 369 29 398 349 48 397 7347 BLDG 36000-HOOD 281 24 304 447 15 462

0110 Total 25401 00 9520 00 34921 24508 00 8882 00 33390

Available FTEs Tmt Parent DMIS ID

Tmt DMIS ID Tmt DMIS ID Name

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0110 0110 AMC DARNALL-HOOD 16569 2926 8167 00 27662 16065 3104 8262 01 27433 0362 RED RIVER ARMY DEPOT 106 00 18 124 93 00 02 96 1592 MONROE CONSOLIDATED-HOOD 239 00 89 329 214 00 65 279 1599 TMC-12-HOOD 52 48 100 45 00 18 64 1601 TMC-14-HOOD 32 55 21 108 23 06 145 174 1848 USADC DACH-HOOD 216 11 676 903 260 08 777 1045 1850 USADC PERKINS-HOOD 148 96 103 347 150 99 94 343 1851 USADC-3-HOOD 163 103 103 368 161 108 102 372 1852 USADC FAIRBANK-HOOD 182 111 122 416 180 110 114 404 1853 USADC BILLY JOHNSON-HOOD 399 133 216 747 313 100 185 598 6014 CHARLES MOORE HLTH CLN-HOOD 666 34 131 830 605 48 159 812 6076 RUSSELL COLLIER HLTH CLIN-HOOD 517 11 64 592 519 16 46 581 6111 CBMH HARKER HEIGHTS-HOOD 275 01 01 277 282 07 01 290 6112 CBMH KILLEEN-HOOD 294 01 12 308 268 03 13 283 6113 CBMH COPPERAS COVE-HOOD 283 15 13 312 267 13 17 297 6164 EBH 56 EBHT BLDG 2255-HOOD 181 05 48 234 165 59 224 6165 EBH 8 EBHT-HOOD 123 16 29 167 135 39 174 6171 EBH TEAM A 1-1CD-HOOD 81 12 26 00 118 53 38 01 92 6172 EBH TEAM B 2-1CD-HOOD 83 30 113 69 23 91 6173 EBH TEAM C 3-1CD-HOOD 74 00 18 92 64 16 79 6174 EBH TEAM D 3CR-HOOD 74 01 29 103 62 20 81 6227 NICOE-INTREPID SPIRIT-HOOD 257 07 09 273 233 31 02 266 7236 BENNETT FAM CARE CLINIC-HOOD 401 08 115 524 360 09 78 447 7347 BLDG 36000-HOOD 259 09 30 298 449 02 26 476

0110 Total 21674 3554 10117 00 35345 21033 3666 10300 02 35002

1 Source M2 MEPRS Personnel Detail Based on Parent DMIS ID information listed by Child DMIS ID FOUO 107

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS A 0110 AMC DARNALL-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D 1F 1N

DENTIST FELLOW-MEDICAL INTERN-MEDICAL

01 06 10

01 06 10

00 04 12

00 04 12

1P 1R 2C

PHYSICIAN RESIDENT-MEDICAL COMMUNITY HEALTH NURSE (CRED

78 15 112 16

204 16 00

79 12 110 16

202 16 00

2M 2N 2P

NURSE MIDWIFE NURSE PRACTITIONER PHYSICIAN ASSISTANT

37 33 00

16 53 33 00

35 44 00

20 04 00

55 47 00

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

06 02 00 09 00

07 00 02

00 09 00

3E 3R 3W

NURSE CASE MANAGER REGISTERED NURSE STUDENT-NON GMEGDE

640 376 00

1016 00

09 377 254

14

09 631

14 4A 4L 4W

NURSING ASSISTANT LPNLVN STUDENT-NON GMEGDE

120 116 100

120 216

00

125 83 93

125 176

00 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5 89

36 142 178 00 89

00

48

32 138 170 00 48

Grand Total 1119 50 782 00 1951 808 45 666 00 1519

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 108

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

0110 AMC DARNALL-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1F FELLOW-MEDICAL 03 03 1N INTERN-MEDICAL 87 87 1P PHYSICIAN 185 99 426 711 1R RESIDENT-MEDICAL 223 223 2C COMMUNITY HEALTH NURSE (CRED 22 22 2M NURSE MIDWIFE 27 10 37 2N NURSE PRACTITIONER 110 59 45 214 2P PHYSICIAN ASSISTANT 108 48 49 205 2S CLINICAL NURSE SPECIALIST 07 07 2W STUDENT-NON GMEGDE 107 107 2Z ALL OTHERS IN SKILL TYPE 2 626 29 129 785 3C COMMUNITY HLTH NURSE(NON-CRE 10 01 11 3E NURSE CASE MANAGER 115 115 3H OCC HEALTH NURSE (NON-CRED) 10 10 3R REGISTERED NURSE 741 145 886 3W STUDENT-NON GMEGDE 00 4A NURSING ASSISTANT 267 152 419 4L LPNLVN 861 138 41 1040 4W STUDENT-NON GMEGDE 09 09 4Z ALL OTHERS IN SKILL TYPE 4 719 61 712 00 1492 5A ADMINISTRATORS 63 25 88 5C CLERICAL 78 53 132 5L LOGISTICS 08 06 15 5M MEDICAL RECORD AUDITORCODER 02 02 5W STUDENT-NON GMEGDE 00 00 5Z ALL OTHERS IN SKILL TYPE 5 826 103 14 942

4765 689 2108 00 7563 Grand Total

2018 CIV CON MIL OTH TOTAL

04 04 88 88

150 84 375 608 207 207

08 08 35 17 52 93 75 22 190

107 28 18 153 00

88 88 441 19 100 560

00 01 01 113 113

00 740 99 840

00 00 242 44 286 842 99 11 953

00 12 12 524 20 508 01 1053

60 02 62 50 06 57 08 02 09 03 01 03

01 01 677 67 10 754

4085 436 1580 01 6102

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05

33 00 01 00 35 20 00 00 00 20 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 07 07 00 06 06 1R RESIDENT-MEDICAL 00 00 00 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 06 12 19 08 06 14 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 21 00 21 23 02 24 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 18 00 08 26 10 07 17 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

173 00 76 00 249 151 00 49 00 200 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 109

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 02 19 13 03 15 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 44 00 95 45 00 14 00 60

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

6014 CHARLES MOORE HLTH CLN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 12 17 30 2N NURSE PRACTITIONER 07 05 03 15 2P PHYSICIAN ASSISTANT 33 27 61 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 31 02 09 42 3C COMMUNITY HLTH NURSE(NON-CRE 01 01 3E NURSE CASE MANAGER 43 43 3R REGISTERED NURSE 49 49 4A NURSING ASSISTANT 00 4L LPNLVN 136 01 137 4W STUDENT-NON GMEGDE 01 01 4Z ALL OTHERS IN SKILL TYPE 4 44 01 14 59 5A ADMINISTRATORS 06 06 5C CLERICAL 00 00 5Z ALL OTHERS IN SKILL TYPE 5 86 86

438 20 76 00 534 Grand Total

2018 CIV CON MIL OTH TOTAL 07 13 06 26 09 12 02 23 25 04 40 69

00 29 02 05 36 00 00 40 40 48 04 01 53 04 06 10

118 00 119 03 03

36 36 72 08 08

00 82 02 84

406 43 93 00 542

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 110

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B 6076 RUSSELL COLLIER HLTH CLIN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1N 1P 2N

INTERN-MEDICAL PHYSICIAN NURSE PRACTITIONER

18 42

07 10 15

00 35 57

14 33

15 01

00 04 12

00 33 46

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08

20

05 06 03

13 06 22

08

17

08 02 01

15 02 18

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

22 54

190 01

22 54

190

21 58

199

21 58

199 4W 4Z 5A

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS

15 00

11 00 26 00

14 00 08

00 22 00

5L 5W 5Z

LOGISTICS STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 5

00

42 00

00 00 42 42

00 00 42

Grand Total 410 07 50 00 467 405 16 35 00 456

6112 CBMH KILLEEN-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 11 00 12 1R RESIDENT-MEDICAL 00 2N NURSE PRACTITIONER 29 11 40 2P PHYSICIAN ASSISTANT 00 00 2W STUDENT-NON GMEGDE 01 01 2Z ALL OTHERS IN SKILL TYPE 2 13 13 3E NURSE CASE MANAGER 08 08 3R REGISTERED NURSE 27 27 4L LPNLVN 123 01 124 5Z ALL OTHERS IN SKILL TYPE 5 00 00

212 01 12 00 225 Grand Total

2018 CIV CON MIL OTH TOTAL 06 06

01 01 21 03 12 36

00 00

14 14 08 08 30 30

116 116 00

195 03 13 00 211

Skill Type

1P 2N 2P 2W 2Z 3E 3R 4L 4Z 5Z

6111 CBMH HARKER HEIGHTS-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 18 18 NURSE PRACTITIONER 31 31 PHYSICIAN ASSISTANT 00 00 STUDENT-NON GMEGDE 01 01 ALL OTHERS IN SKILL TYPE 2 12 12 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 119 01 120 ALL OTHERS IN SKILL TYPE 4 00 00 ALL OTHERS IN SKILL TYPE 5 00 00

211 01 01 00 213 Grand Total

CIV 14 27

13 07 26

116

01 205

CON

07

07

2018 MIL OTH 00 00

00

01 00

TOTAL 14 35 00 00 13 07 26

116 00 01

213

Skill Type

1P 2N 2Z 3E 3R 4L 4Z 5Z

6113 CBMH COPPERAS COVE-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 07 12 04 23 NURSE PRACTITIONER 13 04 07 24 ALL OTHERS IN SKILL TYPE 2 09 09 NURSE CASE MANAGER 07 07 REGISTERED NURSE 24 24 LPNLVN 139 139 ALL OTHERS IN SKILL TYPE 4 00 ALL OTHERS IN SKILL TYPE 5 00 00

200 15 11 00 226 Grand Total

CIV 02 16 15 08 30

105 04

180

CON 01 12

13

2018 MIL OTH 06 08 00

02

15 00

TOTAL 09 36 15 08 32

105 04 00

208

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 111

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

16 00 04

16 00 04

08 04 04 03

12 04 03

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

66 08 06

04 70 08 06

63

04

10 73 00 04

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

23 19

21 44 19

47 15

17 64 15

Grand Total 123 16 29 00 167 135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 08 05 13 2W STUDENT-NON GMEGDE 00 05 06 2Z ALL OTHERS IN SKILL TYPE 2 30 03 33 3E NURSE CASE MANAGER 05 05 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 16 16 31 5Z ALL OTHERS IN SKILL TYPE 5 17 17

83 00 30 00 113 Grand Total

2018 CIV CON MIL OTH TOTAL 08 00 08

07 07 30 04 33 00 00 07 07 11 12 23 13 13 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 112

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

06 01 07 03

06 07 03

08 01 00

08 01 00

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

33 08 01

02 35 08 01

31 05 36 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

10 16

16 26 16

12 10

14 27 10

Grand Total 74 01 29 00 103 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 99 00 00 100 NURSE CASE MANAGER 30 30 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 38 ALL OTHERS IN SKILL TYPE 5 19 00 19

238 07 01 00 246 Grand Total

CIV

16 85 23 27 43 16

210

CON 09

08

04 21

2018 MIL OTH 01

00

01 00

TOTAL 10 16 94 23 27 43 20

233

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 113

AMC Darnall ndash Staffing (Available FTEs)1

MEPRS B

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

12 00 55

12 00 71 09

02 07

08

22

08 02 38

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

39 23

00 01 11

01 50 23

39 19

00 07

00 46 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

39 116 00

00

01

39 117

01

34 85

34 85 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

31 57

19 49 57

28 57

20 48 57

Grand Total 313 08 98 00 420 270 09 58 00 338

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

07

18

08 04

11

19 00 29

33

26

01

01

06 00 16

40 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

37 01

111

37 01

111

30 07

125

30 07

125 4Z 5A 5Z

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS ALL OTHERS IN SKILL TYPE 5

12 01 26

04 16 01 26

106 02 36

04 110 02 36

Grand Total 241 09 24 00 273 400 02 25 00 427

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 114

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS 0110 AMC DARNALL-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITIONER 180 104 95 379 180 161 103 444 2P PHYSICIAN ASSISTANT 149 68 96 313 151 77 85 313 2S CLINICAL NURSE SPECIALIST 07 07 00 2W STUDENT-NON GMEGDE 07 285 292 01 294 294 2Z ALL OTHERS IN SKILL TYPE 2 1394 57 511 1963 1216 47 501 1764 3C COMMUNITY HLTH NURSE(NON-CRE 22 09 31 03 11 15 3E NURSE CASE MANAGER 158 158 208 208 3H OCC HEALTH NURSE (NON-CRED) 26 26 06 06 3R REGISTERED NURSE 2268 1052 3320 2342 1040 3382 3W STUDENT-NON GMEGDE 75 75 51 51 4A NURSING ASSISTANT 426 160 586 406 164 569 4L LPNLVN 1102 147 272 1521 1150 180 340 1669 4W STUDENT-NON GMEGDE 176 176 00 147 147 4Z ALL OTHERS IN SKILL TYPE 4 3411 219 2698 00 6329 3204 223 2740 01 6168 5A ADMINISTRATORS 1022 270 1292 974 272 1246 5C CLERICAL 1220 133 1353 1188 01 121 1310 5L LOGISTICS 309 211 520 319 236 555 5M MEDICAL RECORD AUDITORCODER 498 183 681 537 180 00 718 5W STUDENT-NON GMEGDE 02 02 12 12 5Z ALL OTHERS IN SKILL TYPE 5 3796 1742 166 5704 3639 1842 174 5656

16569 2926 8167 00 27662 16065 3104 8262 01 27433 Grand Total

0362 RED RIVER ARMY DEPOT

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 04 04 04 04 2Z ALL OTHERS IN SKILL TYPE 2 00 09 09 00 02 03 3H OCC HEALTH NURSE (NON-CRED) 25 25 05 05 3R REGISTERED NURSE 00 19 19 4Z ALL OTHERS IN SKILL TYPE 4 32 09 41 32 32 5Z ALL OTHERS IN SKILL TYPE 5 37 37 25 25

106 00 18 00 124 93 00 02 00 96 Grand Total

1592 MONROE CONSOLIDATED-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 01 08 09 04 06 10 1R RESIDENT-MEDICAL 00 01 01 2N NURSE PRACTITIONER 00 00 00 00 2P PHYSICIAN ASSISTANT 49 49 00 27 27 2W STUDENT-NON GMEGDE 00 00 01 01 2Z ALL OTHERS IN SKILL TYPE 2 16 00 12 28 17 00 06 24 3E NURSE CASE MANAGER 16 16 15 15 3R REGISTERED NURSE 26 05 31 23 08 31 4A NURSING ASSISTANT 04 04 00 4L LPNLVN 75 75 64 64 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 59 00 15 74 51 16 67 5A ADMINISTRATORS 09 09 08 00 09 5C CLERICAL 02 02 00 5Z ALL OTHERS IN SKILL TYPE 5 32 32 31 31

239 00 89 00 329 214 00 65 00 279 Grand Total

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 115

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1599 TMC-12-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 01 01 2N NURSE PRACTITIONER 00 00 00 2P PHYSICIAN ASSISTANT 16 16 00 05 06 3R REGISTERED NURSE 16 07 23 13 06 19 4L LPNLVN 29 29 26 26 4W STUDENT-NON GMEGDE 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 10 10 06 06 5Z ALL OTHERS IN SKILL TYPE 5 07 07 07 07

Grand Total 52 00 48 00 100 45 00 18 00 64

1848 USADC DACH-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 229 242 1P PHYSICIAN 00 1S INTERN-DENTAL 00 1U RESIDENT-DENTAL 110 110 2N NURSE PRACTITIONER 00 2W STUDENT-NON GMEGDE 00 00 3R REGISTERED NURSE 00 00 4L LPNLVN 00 4Z ALL OTHERS IN SKILL TYPE 4 101 11 336 447 5A ADMINISTRATORS 09 09 5C CLERICAL 49 49 5L LOGISTICS 15 01 16 5Z ALL OTHERS IN SKILL TYPE 5 30 30

216 11 676 00 903 Grand Total

2018 CIV CON MIL OTH TOTAL 16 287 303 00 00 01

00 00 88 88 00 00 00 00 00 00 01 01

134 08 400 542 09 09 57 00 57 14 00 14 31 00 31

260 08 777 00 1045

Skill Type Skill Type and Suffix Desc

1D DENTIST 1P PHYSICIAN 2N NURSE PRACTITIONER 2P PHYSICIAN ASSISTANT 2W STUDENT-NON GMEGDE 2Z ALL OTHERS IN SKILL TYPE 2 3R REGISTERED NURSE 4A NURSING ASSISTANT 4L LPNLVN 4Z ALL OTHERS IN SKILL TYPE 4 5A ADMINISTRATORS 5C CLERICAL 5L LOGISTICS 5Z ALL OTHERS IN SKILL TYPE 5

Grand Total

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL

00 00

18 18 11 05 16

00 04 04

08 00 09 19 19

16 16 03 16 19

00 00 00 00

08 08 32 55 21 00 108

2018 CIV CON MIL OTH TOTAL

00 00 06 06 10 10

05 09 15 00 00 05 05

08 11 19 01 01

08 06 14 56 56 09 09 17 17 05 05

07 10 18 23 06 145 00 174

1850 USADC PERKINS-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1D DENTIST 14 35 49 1U RESIDENT-DENTAL 01 01 4Z ALL OTHERS IN SKILL TYPE 4 122 96 67 285 5A ADMINISTRATORS 05 05 5C CLERICAL 08 08 5L LOGISTICS 00

148 96 103 00 347 Grand Total

2018 CIV CON MIL OTH TOTAL 18 44 62

00 115 99 50 263

08 08 09 09 00 00

150 99 94 00 343

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 116

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

1851 USADC-3-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09

163 103 103 00 368 161 108 102 00 372 Grand Total

1852 USADC FAIRBANK-HOOD

Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1D DENTIST 29 49 78 22 50 71 1S INTERN-DENTAL 00 00 00 1U RESIDENT-DENTAL 00 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 127 111 73 311 137 110 62 309 5A ADMINISTRATORS 08 08 08 08 5C CLERICAL 09 09 08 08 5L LOGISTICS 08 08 05 05

182 111 122 00 416 180 110 114 00 404 Grand Total

6014 CHARLES MOORE HLTH CLN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

02 07 33

12 05

20 03 27

34 15 61

09 09 25

13 12 04

08 02 40

30 23 69

2W 2Z 3C

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 COMMUNITY HLTH NURSE(NON-CRE

66 01

08 03 11

03 84 01

59 00

06 00 19

00 84 00

3E 3R 4A

NURSE CASE MANAGER REGISTERED NURSE NURSING ASSISTANT

43 49 07

43 56 00

40 48 04

04 06

07 40 59 10

4L 4W 4Z

LPNLVN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 4

136

219

01

08 01 52

137 01

279

118

188 00

00 03 75

119 03

263 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

15 00 94

06 21 00 94

16

89 02

05 21 00 92

Grand Total 666 34 131 00 830 605 48 159 00 812

Skill Type

1D 1U 4Z 5C 5L 5Z

1853 USADC BILLY JOHNSON-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

DENTIST 14 75 89 RESIDENT-DENTAL 53 53 ALL OTHERS IN SKILL TYPE 4 354 133 79 566 CLERICAL 16 16 LOGISTICS 08 08 16 ALL OTHERS IN SKILL TYPE 5 06 06

399 133 216 00 747 Grand Total

CIV 05

284 15 07 02

313

CON

100

100

2018 MIL OTH 50 63 71

01

185 00

TOTAL 55 63

455 15 07 02

598

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 117

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type 1N 1P 2N 2P 2W 2Z 3E 3R 4L 4W 4Z 5A 5L 5W 5Z

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV

INTERN-MEDICAL 00 PHYSICIAN 19 07 12 38 17 NURSE PRACTITIONER 42 15 57 33 PHYSICIAN ASSISTANT 08 05 13 08 STUDENT-NON GMEGDE 06 06 ALL OTHERS IN SKILL TYPE 2 38 03 03 44 35 NURSE CASE MANAGER 22 22 21 REGISTERED NURSE 62 62 65 LPNLVN 190 01 190 199 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 65 24 89 74 ADMINISTRATORS 13 13 13 LOGISTICS 08 08 09 STUDENT-NON GMEGDE 00 00 ALL OTHERS IN SKILL TYPE 5 50 50 46

517 11 64 00 592 519 Grand Total

CON

15 01

00

16

2018 MIL OTH 00 06 12 08 02 01

00

00 16

46 00

TOTAL 00 37 46 15 02 36 21 66

199 00 90 13 09 00 46

581

6112 CBMH KILLEEN-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

13

30

00

11

14 00 40

07

21 03 01 12

07 01 36

2P 2W 2Z

PHYSICIAN ASSISTANT STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

00

22 01

00 01 22 24

00 00 24

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

08 27

123 01

08 27

124

08 30

116

08 30

116 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

32 14 08

32 14 08

26 11 08

26 11 08

5Z ALL OTHERS IN SKILL TYPE 5 17 17 17 17 Grand Total 294 01 12 00 308 268 03 13 00 283

6111 CBMH HARKER HEIGHTS-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT

20 31 00

20 31 00

16 28 07

00 00

16 35 00

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

23 07

01 01 23 07

23 07

00 23 07

3R 4L 4Z

REGISTERED NURSE LPNLVN ALL OTHERS IN SKILL TYPE 4

24 119

24 01

24 120

24

26 117

35

00 26 117

35 5A 5C 5Z

ADMINISTRATORS CLERICAL ALL OTHERS IN SKILL TYPE 5

08 08 11

08 08 11

08 06 16 00

08 06 16

Grand Total 275 01 01 00 277 282 07 01 00 290

6113 CBMH COPPERAS COVE-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2Z

PHYSICIAN NURSE PRACTITIONER ALL OTHERS IN SKILL TYPE 2

07 13 18

12 04

05 07

24 24 18

03 16 26

01 12

08 08 00

11 36 26

3E 3R 4L

NURSE CASE MANAGER REGISTERED NURSE LPNLVN

07 29

140 00

07 30

140

08 30

105 02

08 32

105 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

30 10 08

00 30 10 08

44 09 08

44 09 08

5Z ALL OTHERS IN SKILL TYPE 5 20 20 18 18 Grand Total 283 15 13 00 312 267 13 17 00 297

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 118

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

Skill Type

1P 2N 2W 2Z 3E 4L 4W 4Z 5A 5C 5Z

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 17 05 22 NURSE PRACTITIONER 01 01 STUDENT-NON GMEGDE 19 19 ALL OTHERS IN SKILL TYPE 2 85 04 89 NURSE CASE MANAGER 08 08 LPNLVN 16 16 STUDENT-NON GMEGDE 00 ALL OTHERS IN SKILL TYPE 4 33 24 56 ADMINISTRATORS 00 CLERICAL 07 07 ALL OTHERS IN SKILL TYPE 5 16 16

181 05 48 00 234 Grand Total

CIV 17

00 85 00

30

08 24

165

CON

00

2018 MIL OTH 02 00 09 04

00 42 01

59 00

TOTAL 19 00 09 89 00 00 00 73 01 08 24

224

6171 EBH TEAM A 1-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2W

PHYSICIAN NURSE PRACTITIONER STUDENT-NON GMEGDE

01 12 06 02 00

18 02 00

04 06 01

04 06 01

2Z 3E 4L

ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER LPNLVN

29 09 08

01 30 09 08

30 00

01 31 00 00

4Z 5Z

ALL OTHERS IN SKILL TYPE 4 ALL OTHERS IN SKILL TYPE 5

22 12

17 00 39 12

15 08

25 01 41 08

Grand Total 81 12 26 00 118 53 00 38 01 92

6165 EBH 8 EBHT-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 16 16 2N NURSE PRACTITIONER 00 00 2W STUDENT-NON GMEGDE 04 04 2Z ALL OTHERS IN SKILL TYPE 2 66 04 70 3E NURSE CASE MANAGER 08 08 4L LPNLVN 06 06 4Z ALL OTHERS IN SKILL TYPE 4 23 21 44 5Z ALL OTHERS IN SKILL TYPE 5 19 19

123 16 29 00 167 Grand Total

2018 CIV CON MIL OTH TOTAL 08 04 12

04 04 03 03

63 10 73 00

04 04 47 17 64 15 15

135 00 39 00 174

6172 EBH TEAM B 2-1CD-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2W 2Z

PHYSICIAN STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2

08 00 30

05 05 03

13 06 33

08

30

00 07 04

08 07 33

3E 4L 4Z

NURSE CASE MANAGER LPNLVN ALL OTHERS IN SKILL TYPE 4

05 08 16 16

05 08 31

00 07 11 12

00 07 23

5Z ALL OTHERS IN SKILL TYPE 5 17 17 13 13 Grand Total 83 00 30 00 113 69 00 23 00 91

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 119

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

6173 EBH TEAM C 3-1CD-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 00 00 2N NURSE PRACTITIONER 01 01 2W STUDENT-NON GMEGDE 02 00 02 2Z ALL OTHERS IN SKILL TYPE 2 25 03 29 3E NURSE CASE MANAGER 07 07 4L LPNLVN 08 08 4Z ALL OTHERS IN SKILL TYPE 4 17 13 30 5Z ALL OTHERS IN SKILL TYPE 5 14 14

74 00 18 00 92 Grand Total

2018 CIV CON MIL OTH TOTAL

00 09 09

02 02 36 36 00 00

00 14 07 21 11 11 64 00 16 00 79

6174 EBH TEAM D 3CR-HOOD

Skill 2017 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

1P PHYSICIAN 06 01 06 2N NURSE PRACTITIONER 07 07 2W STUDENT-NON GMEGDE 03 03 2Z ALL OTHERS IN SKILL TYPE 2 33 02 35 3E NURSE CASE MANAGER 08 08 4L LPNLVN 01 01 4Z ALL OTHERS IN SKILL TYPE 4 10 16 26 5Z ALL OTHERS IN SKILL TYPE 5 16 16

74 01 29 00 103 Grand Total

2018 CIV CON MIL OTH TOTAL 08 08

01 01 00 00

31 05 36 00 00

12 14 27 10 10 62 00 20 00 81

Skill Type

1P 2N 2Z 3E 4L 4Z 5A 5C 5Z

6227 NICOE-INTREPID SPIRIT-HOOD

2017 Skill Type and Suffix Desc CIV CON MIL OTH TOTAL

PHYSICIAN 06 01 07 NURSE PRACTITIONER 21 21 ALL OTHERS IN SKILL TYPE 2 101 00 01 102 NURSE CASE MANAGER 33 33 LPNLVN 31 31 ALL OTHERS IN SKILL TYPE 4 38 07 45 ADMINISTRATORS 08 08 CLERICAL 00 ALL OTHERS IN SKILL TYPE 5 25 00 25

257 07 09 00 273 Grand Total

CIV

17 88 25 27 43 09

24 233

CON 09

08

00

08 06 31

2018 MIL OTH 01

00

01

02 00

TOTAL 11 17 96 25 27 44 09 08 30

266

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 120

AMC Darnall ndash Staffing (Available FTEs)1

All MEPRS

7236 BENNETT FAM CARE CLINIC-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 2N 2P

PHYSICIAN NURSE PRACTITIONER PHYSICIAN ASSISTANT 08 08

15 00 56

15 00 73 09

02 07

10

28

10 02 44

2W 2Z 3E

STUDENT-NON GMEGDE ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

50 23

00 01 11

01 61 23

48 19

00 00 07

00 56 19

3R 4L 4W

REGISTERED NURSE LPNLVN STUDENT-NON GMEGDE

47 117 00

00

01

47 118

01

41 85

41 85 00

4Z 5A 5L

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS LOGISTICS

82 08 08

31 113 08 08

84 08 09

32 116 08 09

5Z ALL OTHERS IN SKILL TYPE 5 57 57 57 57 Grand Total 401 08 115 00 524 360 09 78 00 447

7347 BLDG 36000-HOOD

Skill Type Skill Type and Suffix Desc

2017 2018 CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P 1R 2N

PHYSICIAN RESIDENT-MEDICAL NURSE PRACTITIONER

09

18

08 04

11

22 00 29

35

26

01

01

06 00 16

41 00 43

2P 2Z 3E

PHYSICIAN ASSISTANT ALL OTHERS IN SKILL TYPE 2 NURSE CASE MANAGER

08 04 16

00 05 13 04 16

08 12 14

08 12 14

3R 4A 4L

REGISTERED NURSE NURSING ASSISTANT LPNLVN

38 01

111

38 01

111

31 07

125

31 07

125 4Z 5A 5C

ALL OTHERS IN SKILL TYPE 4 ADMINISTRATORS CLERICAL

12 15

11 23 15 00

129 19 04

04 133 19 04

5Z ALL OTHERS IN SKILL TYPE 5 26 26 39 39 Grand Total 259 09 30 00 298 449 02 26 00 476

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 121

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260109 260111 260115

GENERAL MEDICINE FAMILY PRACTICE OBSTETRICSGYNECOLOGY

03 20

13 32

00 16 52

03 24

02 17 35

02 20 60

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 00

00 13 00

00 13 01 00

00 14 00

00 14 01

260121 260125 260130

PEDIATRICS GENERAL PSYCHIATRY GENERAL SURGERY

08 00

05 09

08 16 12

22 25 12

08 01 09

13 09 10

23 18 10

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY

04 01 01

04 01 01

00

00

05 01 01

05 01 01

260140 260144 260146

PULMONARY DISEASE HEMATOLOGY AND ONCOLOGY RHEUMATOLOGY

00 00

01 01 00 00

00 00 00

00 00

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

45

00 00 10

45 11 00

42 00 00

05 42 05 00

260150 CRITICAL CARETRAUMA SURGERY 00 01 01 TOTAL 78 15 112 00 204 79 12 110 00 202

MEPRS A Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 122

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0110 AMC DARNALL-HOOD

DoD Occ Code 2017 2018

CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 260102 260103 260104

ALLERGYIMMUNOLOGY EMERGENCY MEDICINE ANESTHESIOLOGY

02 09

35 07 12 04

07 48 13

08 03 09

31 09 21 01

17 55 09

260107 260109 260111

DERMATOLOGY GENERAL MEDICINE FAMILY PRACTICE

05 35 04

04

00

11 04 21

20 39 25

08 04

03 01

15 00 19

18 09 22

260113 260115 260116

NEUROLOGY OBSTETRICSGYNECOLOGY OCCUPATIONAL MEDICINE

03 21 03

18 42 01

21 63 04

16 05

13 27 00

13 43 05

260117 260118 260119

OPHTHALMOLOGY PEDIATRICS SUBSPECIALTIES OTORHINOLARYNGOLOGY 09

17 06 20

17 06 28 07

18 10 18

18 10 25

260121 260122 260123

PEDIATRICS GENERAL PHYSICALREHABILITATION MEDICINE PREVENTIVE MEDICINE

06 32 34 16 04

71 16 04

04 31 24 18

59 18 00

260125 260127 260130

PSYCHIATRY RADIOLOGY DIAGNOSTIC GENERAL SURGERY

40 10 00

13 02 39

62 03 39

30 03

06 01 30

37 04 30

260132 260133 260136

ORTHOPEDIC SURGERY PLASTIC SURGERY UROLOGY 07

51 06 22

51 06 29

06

05

36 08 22

42 08 27

260140 260141 260142

PULMONARY DISEASE GASTROENTEROLOGY CARDIOLOGY

01 08

01 11 16 09

11 18 17 05

05 10 09 08

10 14 13

260144 260145 260146

HEMATOLOGY AND ONCOLOGY ENDOCRINOLOGY RHEUMATOLOGY

05 05 07

05 05 07

05 02 08

05 02 08

260147 260148 260149

CRITICAL CARETRAUMA MEDICINE INTERNAL MEDICINE INFECTIOUS DISEASE

02 17 04

10 41 02 68 04

03 17 05

03 50 03 70 05

260150 CRITICAL CARETRAUMA SURGERY 01 01 08 08 TOTAL 185 99 426 00 711 150 84 375 00 608

MEPRS B Only

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 123

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

0362 RED RIVER ARMY DEPOT

2017 CIV CON MIL OTH TOTAL

260116 OCCUPATIONAL MEDICINE 07 07 07 00 00 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 08 08 08 00 00 00 08

1592 MONROE CONSOLIDATED-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 00 260107 DERMATOLOGY 01 01 260109 GENERAL MEDICINE 06 06 260111 FAMILY PRACTICE 00 00

00 00 07 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 01 01

00 05 05

00 00 00 00 06 00 06

MEPRS B Only

1599 TMC-12-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 00 00 260103 EMERGENCY MEDICINE 04 04 260104 ANESTHESIOLOGY 02 02 260109 GENERAL MEDICINE 10 10 260111 FAMILY PRACTICE 00 260127 RADIOLOGY DIAGNOSTIC 00 00

00 00 16 00 16

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

00 00 00 00

01 01 00 00

00 00 00 01 00 01

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 124

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260102 260103 260109 260111 260120 260121 260122 260123 260125 260136 260148

6014 CHARLES MOORE HLTH CLN-HOOD

2017 CIV CON MIL OTH TOTAL

ALLERGYIMMUNOLOGY 06 06 EMERGENCY MEDICINE 00 00 GENERAL MEDICINE 06 06 FAMILY PRACTICE 01 05 02 08 PATHOLOGY 00 PEDIATRICS GENERAL 00 00 PHYSICALREHABILITATION MEDICINE 02 02 PREVENTIVE MEDICINE 00 PSYCHIATRY 07 07 UROLOGY 01 01 INTERNAL MEDICINE 00 00

01 12 17 00 30

DoD Occ Code

TOTAL

1601 TMC-14-HOOD

2017 CIV CON MIL OTH TOTAL CIV CON

260109 GENERAL MEDICINE 00 260111 FAMILY PRACTICE 00

00 00 00 00 00 00 00

DoD Occ Code

TOTAL

CIV CON

02 05 04

09

07 13

2018 MIL OTH

06 06 00

2018 MIL OTH

01 04 00 00 01 00

00 06 00

TOTAL 00 06 06

TOTAL 00 00 03 13 00 00 01 00 09 00 00 26

MEPRS B Only

6076 RUSSELL COLLIER HLTH CLIN-HOOD

2017 CIV CON MIL OTH TOTAL

260101 AVIATIONAEROSPACE MEDICINE RESIDENCY TRAINED AER 07 07 260103 EMERGENCY MEDICINE 00 00 260109 GENERAL MEDICINE 05 05 260111 FAMILY PRACTICE 05 05 260121 PEDIATRICS GENERAL 11 07 18

18 07 10 00 35

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 07 07

00 00

04 04 08 15 22 14 15 04 00 33

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 125

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

6111 CBMH HARKER HEIGHTS-HOOD

2017 CIV CON MIL OTH TOTAL CIV

260111 FAMILY PRACTICE 18 18 14 18 00 00 00 18 14

DoD Occ Code

TOTAL

CON

00

2018 MIL OTH 00 00 00

TOTAL 14 14

6112 CBMH KILLEEN-HOOD

2017 CIV CON MIL OTH TOTAL

260111 FAMILY PRACTICE 11 00 12 11 00 00 00 12

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 06 06 06 00 00 00 06

MEPRS B Only

260111 260121

6113 CBMH COPPERAS COVE-HOOD

2017 CIV CON MIL OTH TOTAL

FAMILY PRACTICE 07 12 04 23 PEDIATRICS GENERAL 00 00

07 12 04 00 23

DoD Occ Code

TOTAL

CIV 02

02

CON 01

01

2018 MIL OTH 06

06 00

TOTAL 09 00 09

260125 PSYCHIATRY DoD Occ Code

TOTAL

6164 EBH 56 EBHT BLDG 2255-HOOD

2017 CIV CON MIL OTH TOTAL CIV 17 05 22 17 17 05 00 00 22 17

CON

00

2018 MIL OTH 02 02 00

TOTAL 19 19

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 126

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV

00

6165 EBH 8 EBHT-HOOD

2017 CON MIL OTH TOTAL 16 16 16 00 00 16

CIV 08 08

CON

00

2018 MIL OTH 04 04 00

TOTAL 12 12

260125 PSYCHIATRY DoD Occ Code

TOTAL

6171 EBH TEAM A 1-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 01 12 06 18 01 12 06 00 18 00

CON

00

2018 MIL OTH 04 04 00

TOTAL 04 04

260125 PSYCHIATRY DoD Occ Code

TOTAL

6172 EBH TEAM B 2-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV 08 05 13 08 08 00 05 00 13 08

CON

00

2018 MIL OTH 00 00 00

TOTAL 08 08

MEPRS B Only

260125 PSYCHIATRY DoD Occ Code

TOTAL

6173 EBH TEAM C 3-1CD-HOOD

2017 CIV CON MIL OTH TOTAL CIV

00 00 00 00 00 00 00 00

CON

00

2018 MIL OTH

00 00

TOTAL 00 00

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 127

AMC Darnall ndash Skill Type 1P (Physician) by DoD Occupation Code1 (Available FTEs)

260125 PSYCHIATRY DoD Occ Code

TOTAL

CIV 06 06

6174 EBH TEAM D 3CR-HOOD

2017 CON MIL OTH TOTAL CIV 01 06 08 01 00 00 06 08

CON

00

2018 MIL OTH

00 00

TOTAL 08 08

6227 NICOE-INTREPID SPIRIT-HOOD

2017 CIV CON MIL OTH TOTAL

260113 NEUROLOGY 02 01 03 260122 PHYSICALREHABILITATION MEDICINE 04 04

00 06 01 00 07

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL

09 00 09 01 01

00 09 01 00 10

260103 260109 260111 260116 260121 260123

7236 BENNETT FAM CARE CLINIC-HOOD

2017 CIV CON MIL OTH TOTAL

EMERGENCY MEDICINE 02 02 GENERAL MEDICINE 02 02 FAMILY PRACTICE 07 07 OCCUPATIONAL MEDICINE 00 00 PEDIATRICS GENERAL 00 00 PREVENTIVE MEDICINE 01 01

00 00 12 00 12

DoD Occ Code

TOTAL

CIV

00

CON

00

2018 MIL OTH 00 04 04

00

08 00

TOTAL 00 04 04 00 00 00 08

MEPRS B Only

7347 BLDG 36000-HOOD

2017 CIV CON MIL OTH TOTAL

260109 GENERAL MEDICINE 01 01 260111 FAMILY PRACTICE 05 08 04 17 260121 PEDIATRICS GENERAL 00 260140 PULMONARY DISEASE 00 00 260148 INTERNAL MEDICINE 00 00

07 08 04 00 19

DoD Occ Code

TOTAL

2018 CIV CON MIL OTH TOTAL 18 18 15 01 04 20

00 00 01 01

00 33 01 06 00 40

1 Source M2 MEPRS Personnel Detail Based on Child DMIS ID FOUO 128

Eligible Population and Enrollment

Return to TOC

FOUO 129

AMC Darnall ndash Eligibles and Enrollees1 by Catchment Area and Enrollment Site (Parent)

AMC DARNALL-HOOD - TRENDS IN ELIGIBLES AND ENROLLEES

FY Eligibles Prime and Plus Enrollees

ADFM RET OTHER2 AD Total ADFM RET OTHER2 AD3 Total 2014 2015 2016 2017 2018

58855 55979 51613 46857 44146

22471 23292 24168 25140 25800

39175 40183 41995 43195 45641

40047 34889 31138 31377 32772

160548 154344 148913 146568 148358

43027 42238 40345 36689 34584

5779 6643 8770 10775 11279

9257 11175 14760 18217 20016

40047 34889 31138 31377 32772

98110 94945 95012 97058 98651

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on Catchment Area Enrollees based on Enrollment Site Parent and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve 3 Includes all AD eligibles (enrolled OP Forces not enrolled) FOUO

130

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 0110 AMC DARNALL-HOOD 2014 27631 3283 8012 39468 78393 8108 2277 2607 1259 14251 0110 AMC DARNALL-HOOD 2015 25892 3499 7623 34293 71308 9309 2390 3123 1317 16139 0110 AMC DARNALL-HOOD 2016 23856 3751 7986 30513 66106 10489 3464 4386 1304 19643 0110 AMC DARNALL-HOOD 2017 17470 2080 4516 30710 54776 12856 4499 6269 1263 24887 0110 AMC DARNALL-HOOD 2018 12833 256 1686 32298 47073 12090 4723 6844 1231 24888

1592 MONROE CONSOLIDATED-HOOD 2014 0 1 6 14812 14818 1592 MONROE CONSOLIDATED-HOOD 2015 0 0 2 14731 14734 1592 MONROE CONSOLIDATED-HOOD 2016 0 1 3 11329 11333 1592 MONROE CONSOLIDATED-HOOD 2017 0 1 1 9138 9140 1592 MONROE CONSOLIDATED-HOOD 2018 0 1 5 7190 7195

1599 TMC-12-HOOD 2014 0 0 0 2710 2710 1599 TMC-12-HOOD 2015 0 0 0 2736 2736 1599 TMC-12-HOOD 2016 0 0 0 2647 2647 1599 TMC-12-HOOD 2017 0 0 1 2885 2885 1599 TMC-12-HOOD 2018 0 1 1 1767 1769

6014 CHARLES MOORE HLTH CLN-HOOD 2014 5814 600 893 8915 16222 6014 CHARLES MOORE HLTH CLN-HOOD 2015 8947 898 1465 8148 19458 6014 CHARLES MOORE HLTH CLN-HOOD 2016 6554 911 1453 7412 16329 6014 CHARLES MOORE HLTH CLN-HOOD 2017 0 1 4 10406 10411 6014 CHARLES MOORE HLTH CLN-HOOD 2018 0 2 8 11255 11264

6076 RUSSELL COLLIER HLTH CLIN-HOOD 2014 5539 761 1590 2941 10832 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2015 6721 1124 2297 2645 12787 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2016 7855 1418 2926 2193 14393 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2017 7324 1647 3253 1727 13952 6076 RUSSELL COLLIER HLTH CLIN-HOOD 2018 6752 1620 3457 1564 13393

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 131

AMC Darnall ndash Eligibles and Enrollees1 by PRISM and Enrollment Site (Child)

PRISM (for Elig) Enrollment Site (for Enr) Eligibles Prime and Plus Enrolled

FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL 6109 6109

CBMH WEST KILLEEN-HOOD CBMH WEST KILLEEN-HOOD

2017 2018

8464 7753

3859 3981

7060 7369

69 51

19451 19154 31 0 1 0 31

6111 6111 6111 6111 6111

CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD CBMH HARKER HEIGHTS-HOOD

2014 2015 2016 2017 2018

12452 12032 11310 10499 10067

7099 7301 7568 7810 8004

11777 12291 12804 13102 13715

72 73 73

180 96

31400 31697 31755 31592 31881

6584 6312 5784 4827 4676

423 686 997

1204 1394

920 1288 1958 2446 2960

15 11 14 11

4

7942 8296 8753 8488 9035

6112 6112 6112 6112 6112

CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD CBMH KILLEEN-HOOD

2014 2015 2016 2017 2018

10415 10123

9181 8203 7544

4469 4652 4839 5084 5164

7618 7998 8420 8754 9096

117 131 136 177 149

22618 22904 22576 22217 21953

7446 6557 6244 5021 4415

146 247 659 821 941

357 608

1648 1976 2262

9 8

14 14

6

7958 7419 8566 7832 7624

6113 6113 6113 6113 6113

CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD CBMH COPPERAS COVE-HOOD

2014 2015 2016 2017 2018

7073 6628 5905 5152 4630

4603 4737 4826 4961 5005

7425 7688 7902 8172 8370

371 376 393 248 147

19471 19429 19026 18533 18152

4185 3979 3419 2733 2640

1225 1239 1319 1423 1419

2288 2325 2383 2588 2673

10 14 14 12

4

7708 7557 7134 6755 6737

7236 7236 7236 7236 7236

BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD BENNETT FAM CARE CLINIC-HOOD

2014 2015 2016 2017 2018

5351 413

0 0 1

346 59

1 0 2

597 66

3 1 5

10625 10401

9664 9586 9649

16918 10939

9667 9588 9657

7347 7347

BLDG 36000-HOOD BLDG 36000-HOOD

2017 2018

3927 3998

1180 1176

1679 1801

20 7

6806 6982

1 Source Eligibles = M2 DEERS Person Detail Enrollees = M2 TRICARE Relationship Detail Eligibles based on PRISM Area ID Enrollees based on Enrollment Site and ACV Group = Prime or Plus

2 Includes FM of Retired Survivors Other Unknown Inactive GuardReserve FM of Inactive GuardReserve FOUO 132

AMC Darnall ndash Eligibles1 for Catchment Area by Ben Cat Common and Age Group

Eligibles Eligibles Ben Cat Age Grp 2014 2015 2016 2017 2018 Ben Cat Age Grp 2014 2015 2016 2017 2018 ADFM 0-4 13070 12584 11689 10664 10099 RET 0-4 ADFM 5-14 18308 17073 15566 14038 13178 RET 5-14 ADFM 15-17 3583 3376 3138 2763 2512 RET 15-17 ADFM 18-24 7789 7544 6831 6316 5959 RET 18-24 50 65 74 92 105 ADFM 25-34 9399 9032 8431 7606 7209 RET 25-34 886 1042 1120 1152 1178 ADFM 35-44 4942 4678 4345 4033 3860 RET 35-44 2252 2488 2711 2995 3222 ADFM 45-64 1644 1587 1522 1346 1244 RET 45-64 12223 12392 12756 13135 13209 ADFM 65+ 120 106 92 91 85 RET 65+ 7061 7305 7507 7767 8087 ADFM UNK RET UNK

ADFM Total 58855 55979 51613 46857 44146 RET Total 22471 23292 24168 25140 25800 AD 0-4 OTHER 0-4 1567 1745 1912 2027 2166 AD 5-14 OTHER 5-14 6298 6890 7548 8075 8434 AD 15-17 1 2 4 3 4 OTHER 15-17 2952 3179 3335 3571 3704 AD 18-24 14503 13359 12143 12909 14242 OTHER 18-24 4834 4898 5004 4928 5436 AD 25-34 16400 13833 12100 11799 12222 OTHER 25-34 2590 2171 2294 2124 2321 AD 35-44 7495 6304 5534 5299 5066 OTHER 35-44 3057 3087 3289 3449 3729 AD 45-64 1648 1393 1356 1364 1237 OTHER 45-64 10291 10364 10569 10752 11270 AD 65+ 0 0 1 2 2 OTHER 65+ 7586 7849 8046 8268 8580 AD UNK OTHER UNK

AD Total 40047 34889 31138 31377 32772 OTHER Total 39175 40183 41995 43195 45641

1 Source M2 DEERS Person Detail FOUO 133

AMC Darnall ndash Eligibles1 for Catchment Area

Gender by Age Group Gender by Ben Cat Common Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total

Female

2014 7192 12072 3185 10863 12937 8546 12966 7763 75524 2015 7111 11789 3196 10554 12299 8310 13044 8044 74346 2016 6770 11376 3198 9951 11702 8117 13272 8256 72641 2017 6340 10816 3143 9759 10986 8094 13377 8511 71026 2018 6071 10607 3070 10067 10742 8174 13531 8838 71099

Male

2014 7446 12534 3352 16312 16339 9200 12839 7003 85024 2015 7218 12174 3361 15312 13779 8248 12690 7216 79998 2016 6830 11737 3278 14100 12243 7762 12931 7391 76272 2017 6351 11297 3194 14486 11695 7683 13219 7617 75542 2018 6194 11005 3149 15676 12188 7703 13428 7916 77259

Total

2014 14637 24606 6537 27175 29276 17746 25806 14767 160548 2015 14330 23963 6558 25866 26077 16557 25735 15260 154344 2016 13600 23113 6476 24051 23944 15879 26203 15646 148913 2017 12691 22113 6338 24245 22681 15776 26597 16128 146568 2018 12265 21612 6219 25742 22930 15876 26960 16754 148358

Gender FY ADFM RET OTHER AD Total

Female

2014 38177 2118 29231 5999 75525 2015 36586 2319 30377 5064 74346 2016 33750 2553 31560 4778 72641 2017 30613 2782 32590 5041 71026 2018 28859 2851 33997 5392 71099

Male

2014 20679 20353 9944 34048 85024 2015 19394 20973 9807 29825 79998 2016 17863 21615 10435 26360 76272 2017 16244 22358 10605 26336 75542 2018 15286 22949 11644 27380 77259

Total

2014 58855 22471 39175 40047 160548 2015 55979 23292 40183 34889 154344 2016 51613 24168 41995 31138 148913 2017 46857 25140 43195 31377 146568 2018 44146 25800 45641 32772 148358

1 Source M2 DEERS Person Detail FOUO 134

Update History

Version 1 New portfolio template Direct Care costs for FY13 are based on FY13 MEPRSexpenses FY14 is based on FY13 MEPRS with inflation factors applied April 2015

Version 2 Updated FY14 data added FY15 data added Pharmacy Radiology andLaboratory data added additional views of eligible and enrollment data addedAmbulatory Surgery Top 20 Procedures FY14 Direct Care Costs are based on FY14MEPRS expenses FY15 Direct Care Costs are based on FY14 MEPRS with inflationfactors applied February 2016

Version 3 Updated FY15 data added FY16 data added Appointment Data FY15 DirectCare Costs are based on FY15 MEPRS expenses FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied February 2017

Version 4 Updated FY16 data added FY17 data FY16 Direct Care Costs are based onFY16 MEPRS expenses FY17 Direct Care Costs are based on FY16 MEPRS with inflationfactors applied February 2018

Version 5 Updated FY17 data added FY18 data FY17 Direct Care Costs are based onFY17 MEPRS expenses FY18 Direct Care Costs are based on FY17 MEPRS with inflationfactors applied Added information on Purchased Care Non-acute institutional workloadand costs February 2019

FOUO 135

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    • Primary Care Non-AD MTF Prime and Plus Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 107 37184 84 52 5 to 14 3690 203 64074 145 58 15 to 17 897 49 17101 39 52 18 to 24 2882 158 52713 119 55 25 to 34 2889 159 79818 181 36 35 to 44 2063 113 53591 121 38 45 to 64 3823 210 90934 206 42 65 and over 4 00 46106 104 00 Total 18186 1000 4
    • Specialty OP MTF Prime Reliant and Medicare Eligible Population Age Group MHS Impacted Population of Total MHS Target Population Population Total of Population Total Impacted Population Introduced 0 to 4 1938 67 90326 75 21 5 to 14 3690 128 176559 147 21 15 to 17 898 31 48213 40 19 18 to 24 7190 250 122647 102 59 25 to 34 6899 240 186007 155 37 35 to 44 3845 134 153552 128 25 45 to 64 4276 149 270915 225 16 65 and over 4 00 154871 129 00 T
    • Key
    • Specialty Number of Practice Sites Number of Physicians
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    • Grand Total 65 86
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    • Specialty Number of Practice Sites Number of Physicians
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    • Grand Total 75 107
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    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 65 22 Practice Name Monthly Extended Hours
    • Grand Total 220 HS Alignment Number of Practices Number of Physicians
    • Grand Total 65 86
    • (Aligned to Multiple Hospitals) 20 27 Baylor Scott amp White Medical Center Templ 6 22 Metroplex Adventist Hospital 11 14 Mclane Childrens Hospital Scott amp White 1 7 Baylor Scott amp White Hospital Taylor 1 6 Baylor Scott amp White Continuing Care Hosp 1 6 Seton Medical Center Harker Heights 6 3 Carl R Darnall Army Medical Center 1 1 Metroplex Hospital 1 De Tar Hospital Navarro 1 United Regional Health Care System 1 Baylor Scott amp White Medical Center -Round Rock 2 Baylor Scott amp White Medical Center ndash Taylor 2 S
    • Practice Site Size Number of Practice Sites per Site Hospital Alignment Practice Sites Physicians Average Physicians Number of Number of
    • Grand Total 12 15 Practice Name Monthly Extended Hours
    • Grand Total 12 15
    • Grand Total 140
    • HS Alignment Number of Practices Number of Physicians
    • Grand Total 12 15
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 49 18 Practice Name Monthly Extended Hours
    • Grand Total 3440 HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 30 36 Central Texas Veterans Health Care System 4 8 Providence Depaul Center 2 5 Metroplex Adventist Hospital 2 5 Providence Health Center 2 4 Cedar Crest Hospital 1 3 Glen Rose Medical Center 1 1 The Womanrsquos Hospital Of Texas 1 1 Georgetown Behavioral Health Institute 1 1 Seton Shoal Creek Hospital 1 1 Metroplex Hospital 1 Scott amp White Medical Center ndash Temple 1 Freestone Medical Center 1 Hamilton General Hospital 1 Hospital Alignment Number of Practice Sites Number of Physi
    • Grand Total 49 65
    • Practice Site Size Number of Practice Sites Average Physicians per Site
    • Grand Total 14 34
    • Practice Name Monthly Extended Hours
    • Grand Total 00
    • HS Alignment Number of Practices Number of Physicians
    • (Aligned to Multiple Hospitals) 3 6 Dell Childrenrsquos Medical Center Of Central 1 5 Providence Health Center 1 5 Saint Davidrsquos Medical Center 1 4 Baylor Scott amp White Round Rock Hospital 1 4 Baylor Scott amp White Medical Center Templ 1 2 Rollins Brook Community Hospital 1 1 Baylor Scott amp White Medical Center -Marble Falls 1 Baylor Scott amp White Medical Center-College Stati 1 Seton Medical Center Williamson 1 Scott amp White Medical Center -Temple 1 Baylor Scott amp White Medical Center Hillcrest 1 Hospital Alignm
    • Grand Total 14 27
    • Grand Total 65 86
    • Grand Total 12 15
    • Contracted Practice Sample Specialty Killeen Pediatric Care Clinic Pediatrics Scott amp White Clinic Family Practice Lone Star Circle Of Care Pediatrics Pediatrics Lone Star Circle Of Care Pediatrics Killeen Family Health amp Urgent Care Clinic Family Practice Killeen Medical Clinic Family Practice Harker Heights Allergy AllergyImmunology Rockdale Blackhawk LLC Family Practice Coryell County Memorial Hospital Authority Family Practice Scott And White Clinic (Multiple Services) Doctors Express Of The Temple Are
    • Contracted Practice Sample Specialty
    • Figure
    • Grand Total 49 65
    • Grand Total 14 27
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Figure
    • Grand Total 65 86
    • Key
    • Specialty Number of Practice Sites Number of Physicians
    • Grand Total 75 107
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    • Hamilton Lampasas Burnet Bell Falls McLennan Coryel
    • Erath Comanche Hamilton Mills Lampasas Burnet Travis Williamson Milam Burleson Bell Falls McLennan Coryel Bosque Hill
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    • 1 Source M2 CAPER includes MEPRS Codes B FBI and FBN FOUO Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB 1 0 1 000 MH OBGYN OPTOM 8061 83 8144 718 ORTHO OTHER 28700 2 28702 2530 PC 5181 2547 7728 10000 3950 240 4190 10000 55879 20728 76607 6752 SURG SURGSUB TOTAL 5181 2547 7728 3950 240 4190 92641 20813 113454 PRODUCT LINE 1599 - TMC-12-HOOD 1601 - TMC-14-HOOD 6014 - CHARLES MOORE HLTH CLN-HOOD
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH OBGYN OPTOM 4153 7 4160 522 ORTHO OTHER PC 44380 31128 75508 9478 0 11 11 10000 24660 24474 49134 10000 SURG SURGSUB TOTAL 48533 31135 79668 0 11 11 24660 24474 49134 6109 - CBMH WEST KILLEEN-HOOD PRODUCT LINE 6076 - RUSSELL COLLIER HLTH CLIN-HOOD 6111 - CBMH HARKER HEIGHTS-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMS
    • Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 16284 2802 19086 10000 9992 483 10475 10000 10057 409 10466 10000 OBGYN OPTOM ORTHO OTHER PC SURG SURGSUB TOTAL 16284 2802 19086 9992 483 10475 10057 409 10466 PRODUCT LINE 6165 - EBH 8 EBHT-HOOD 6171 - EBH TEAM A 1-1CD-HOOD 6172 - EBH TEAM B 2-1CD-HOOD Seen Telcon Total of Total Seen Telcon Total of Total Seen Telcon Total of Total DERM ENT ER IMSUB MH 9723 1799 11522 100
    • Figure
    • 1 Source M2 PDTS Source System D (Direct Care) and C (Clinician Administered Drug) 0110 AMC DARNALL-HOOD 2017 2018 Scripts Days Supply Full Cost Cost Script Cost Day Scripts Days Supply Full Cost Cost Script Cost Day Prime-MTF 597979 24345119 25764180 $ 43 $ 106 $ 625559 25393717 29604558 $ 47 $ 117 $ Prime-MCSC 48241 2710781 2823060 $ 59 $ 104 $ 49461 2811934 3077072 $ 62 $ 109 $ Reliant 7777 897978 474241 $ 61 $ 053 $ 8456 970708 592694 $
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2018 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Special Programs 23 23 Emergency Room 5 2 7 IM Subspecialty 2 2 Orthopedics 274 1 275 Primary Care 2877 89 37 12 3015 Other 9 1 10 Total 3190 91 37 0 0 14 3332 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 RADIOLOGY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Ancillary 1 1 Special Programs 53 4 57 Emergency Room 3 3 IM
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71020 RAD EXMCHEST2FRONTAL amp LAT 21673 821856 361400 $ 038 1668 $ 19081 BXBREASTLOC DEV1STSTEREOT 62 59737 26272 $ 964 42375 $ 73630 RAD EXMFOOTCOMP MIN 3 VIEWS 11423 439663 193401 $
    • 0362 RED RIVER ARMY DEPOT 0362 RED RIVER ARMY DEPOT TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 71010 CHEST X-RAY 36 1332 586 $ 037 1627 $ 73110 RAD EXMWRISTCOMPMIN 3 VIEWS 1 073 32 $ 073 3211 $ 71045 RADIOLOG EXMCHESTSINGLE VIEW 11 319 140 $ 029 1275 $ 73140 RAD EXAMF
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 997 62568 27520 $ 063 2760 $ 72052 RAD EXMSPINECERV6MOR VIEWS 12 1260 554 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 817 53922 2371
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 425 26691 11740 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 3 315 139 $ 105 4618 $ 71020 RAD EXMCHEST2FRONTAL amp LAT 408 19176 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 73560 RADIOLOGIC EXAMKNEE12 VIEWS 602 37797 16625 $ 063 2762 $ 72052 RAD EXMSPINECERV6MOR VIEWS 5 525 231 $ 105 4618 $ 72100 RAD EXMSPINELUMBO 23 VIEWS 425 28050 1233
    • Figure
    • 7236 BENNETT FAM CARE CLINIC-HOOD FY 2017 LABORATORY SERVICES Ordering Product Line Prime -Site Reliant Prime -Other Plus TFL Not Enrolled Total Inpatient 1 1 Dental 25 25 Ancillary 2 2 Special Programs 35 35 Dermatology 1 1 Emergency Room 36 1 37 General Surgery 1 1 2 IM Subspecialty 25 1 26 Mental Health 90 1 91 OBGYN 20 20 Optometry 3 3 Orthopedics 26 26 Otolaryngology 1 1 Primary Care 7309 165 53 14 58 7599 Surg Subspecialty 11 11 Other 32 32 TOTAL 7616 167 54 0 14 61 7912 7236 BENNETT FAM CARE CLI
    • 0110 AMC DARNALL-HOOD 0110 AMC DARNALL-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 86703 ANTIBDYHIV-1 amp HIV-2SING RES 66501 666363 278184 $ 010 418 $ 87633 INF AGNT DETNARESP12-25 TAR 1637 2386717 995504 $ 1458 60813 $ 80053 COMPREHENSIVE METABOLIC PANEL 58955 8219077 342
    • 0362 RED RIVER ARMY DEPOT
    • 0362 RED RIVER ARMY DEPOT
    • 1592 MONROE CONSOLIDATED-HOOD 1592 MONROE CONSOLIDATED-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1147 9342 3899 $ 008 340 $ 81510 FETAL CONGN ABNBIO3 ANALMAT 6 924 385 $ 154 6423 $ 81015 MICROSCOPIC EXAM OF URINE 840 8674 3618 $ 010 431
    • 6014 CHARLES MOORE HLTH CLN-HOOD 6014 CHARLES MOORE HLTH CLN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 2501 20560 8580 $ 008 343 $ 87880 STREP A ASSAY WOPTIC 820 37720 15736 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1821 54627 22790 $ 03
    • 6076 RUSSELL COLLIER HLTH CLIN-HOOD 6076 RUSSELL COLLIER HLTH CLIN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 3191 26313 10980 $ 008 344 $ 80150 ASSAY OF AMIKACIN 1 052 22 $ 052 2169 $ 85025 COMPLETE CBC WAUTO DIFF WBC 2859 91488 38168 $ 0
    • 6111 CBMH HARKER HEIGHTS-HOOD 6111 CBMH HARKER HEIGHTS-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1397 44704 18650 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 307 14122 5891 $ 046 1919 $ 81003 URINALYSIS AUTO WO SCOPE 1365 11280 4707 $ 008 3
    • 6112 CBMH KILLEEN-HOOD 6112 CBMH KILLEEN-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1446 46272 19304 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 441 20286 8463 $ 046 1919 $ 81025 URINE PREGNANCY TEST 1303 31272 13043 $ 024 1001 $ 87880 STREP A
    • 6113 CBMH COPPERAS COVE-HOOD 6113 CBMH COPPERAS COVE-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 85025 COMPLETE CBC WAUTO DIFF WBC 1436 45952 19171 $ 032 1335 $ 87804 INFLUENZA ASSAY WOPTIC 688 31648 13203 $ 046 1919 $ 87880 STREP A ASSAY WOPTIC 1024 47104 19651 $ 046 1919 $ 8
    • 7236 BENNETT FAM CARE CLINIC-HOOD 7236 BENNETT FAM CARE CLINIC-HOOD TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COSTSVC Procedure FY 2018 Procedure FY 2018 Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc Code Description of Svcs Total RVU Full Cost Avg RVU Cost Svc 81003 URINALYSIS AUTO WO SCOPE 1762 14572 6080 $ 008 345 $ 87804 INFLUENZA ASSAY WOPTIC 186 8556 3569 $ 046 1919 $ 85025 COMPLETE CBC WAUTO DIFF WBC 1115 35680 14885 $
    • Figure
    • All MEPRS Codes No Limitation on Skill Type
    • 0362 RED RIVER ARMY DEPOT Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1P PHYSICIAN 07 07 08 08 2P PHYSICIAN ASSISTANT 02 02 02 02 2Z ALL OTHERS IN SKILL TYPE 2 00 00 00 00 3H OCC HEALTH NURSE (NON-CRED) 10 10 01 01 3R REGISTERED NURSE 00 03 03 4Z ALL OTHERS IN SKILL TYPE 4 00 01 01 00 5Z ALL OTHERS IN SKILL TYPE 5 13 13 05 05 33 00 01 00 35 20 00 00 00 20 Grand Total 1592 MONROE CONSOLIDATED-HOOD Skill 2017 2018 Type Skill
    • 0110 AMC DARNALL-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 01 01 00 02 02 1F FELLOW-MEDICAL 26 26 19 19 1N INTERN-MEDICAL 211 211 215 215 1P PHYSICIAN 442 167 1274 1884 401 151 1268 1820 1R RESIDENT-MEDICAL 372 372 375 375 1U RESIDENT-DENTAL 00 01 01 2A NURSE ANESTHETIST 55 77 124 256 53 79 138 270 2C COMMUNITY HEALTH NURSE (CRED 56 56 50 50 2M NURSE MIDWIFE 77 51 128 88 67 155 2N NURSE PRACTITION
    • 1851 USADC-3-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 20 35 55 17 42 59 1U RESIDENT-DENTAL 00 00 00 4Z ALL OTHERS IN SKILL TYPE 4 129 103 68 299 127 108 60 295 5C CLERICAL 06 06 09 09 5L LOGISTICS 08 08 09 09 163 103 103 00 368 161 108 102 00 372 Grand Total 1852 USADC FAIRBANK-HOOD Skill 2017 2018 Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL 1D DENTIST 29 49 78 22 50 71
    • Figure
    • Figure