STATE OF CALIFORNIA CONTRACT SCH 6Provider No: HSC30240H ANCILLARY CHARGES To Contract Sch 5 ADJUSTMENTS TO MEDI-CAL CHARGES Adj 9 AUDITED ADJUSTMENTS REPORTED This is trial version www.
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Provider No:
HSC30240H
ANCILLARY CHARGES
(To Contract Sch 5)
ADJUSTMENTS TO MEDI-CAL CHARGES
(Adj 9)
AUDITED ADJUSTMENTS
REPORTED
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CENTINELA HOSPITAL MEDICAL CENTER DECEMBER 31, 2008 Provider No:
HSC30240H
PROFESSIONAL SERVICE COST CENTERS
(To Contract Sch 3)
(Adj )
PHYSICIAN'S REMUNERATION
TO CHARGES
MEDI-CAL CHARGES
MEDI-CAL COST REMUNERATION
COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED
TO ALL PATIENTS
RATIO OF REMUNERATION TOTAL CHARGES
HBP
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0 0
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000000000000 000000000000 0
000000000000 000000000000
000000000000 000000000000 000000000000
000000000000 000000000000
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000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 000000000000 00000
000000000000 000000000000
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0 0
000 0000 0
000000 0000000 0
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000000000 00000000
000000000 000000000 00000000
000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 000000000 00000000
000000000 00000000
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