San Antonio Hospital Based Physicians Blue Choice PPO SM Current as of: September 2016

Transcription

1 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room DIMMIT REGIONAL DISTRICT Carrizo Springs Dimmit Regional Hospital District Reference Lab Tomas Garcia, MD PA Dimmit Regional Hospital District 96% FORT DUNCAN MEDICAL Eagle Pass None In Network 10 Assoc San Maverick County Rural Radiologists None In Network 10 CONNALLY MEMORIAL MEDICAL Floresville Anesthesia Assoc Seguin Kevin T Grieder, DO TX ER Staffing Solutions 6% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

2 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room MEMORIAL (GONZALES) Gonzales Memorial Hospital Gonzales CRNA Regional Diagnostic Victoria 26% Cannon 99% N/A MEDINA REGIONAL Hondo Southwest Anesthesia Assoc dba Precision Hondo 14% SOUTH TEXAS REGIONAL MEDICAL Jourdanton None In Network 99% dba Precision Community Assoc PA 2% None in Network 10 A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

3 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room PETERSON REGIONAL MEDICAL Kerrville Anesthesia Foundations Inc. Hill Country Service Partners dba New Braunfels ER PA 1 DOCTORS OF LAREDO Laredo North Star Anesthesia Laboratory Services PA Tomas Garcia, MD PA None in Network 10 Safari Pediatrics Roberto Villegas, MD Jr Pediatrics A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

4 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room LAREDO MEDICAL Laredo Seven Flags Anesthesia Assoc 77% Laredo Clinical Services Diagnostic Association Lardeo Assoc 10 Satbir Chhina, MD - New Braunfels Bluebonnet Anesthesia Assoc New Braunfels / River 6% Service Partners dba New Braunfels ER 26% Assoc. A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

5 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room FRIO REGIONAL Pearsall Frio Hospital Assoc dba Precision East San Images / Aris Teleradiology Frio Hospital ER 22% EMERGENCY % Clinical M&S River ER / River Ped ER - MEDICAL William Robbins Clinical M&S River ER River Ped ER 2 A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

6 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room - ST. LUKES % Clinical River ER River Ped ER - NORTH CENTRAL % Clinical M&S River ER / River Ped ER - NORTHEAST % Clinical M&S River ER / River Ped ER MISSION TRAIL % Clinical M&S River ER / River Ped ER A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

7 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room - CHILDRENS 4% Assoc San River 98% Travis 55% - - MEDICAL 5% Assoc San River 9 Treeline Park 2% - Assoc San River 99% Treeline Park 9% N/A A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

8 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room - WESTOVER HILLS Assoc San River 99% Treeline Park 9% Pediatrix FOUNDATION SURGICAL OF SAN ANTONIO 8% Reference Lab Concord 17% Alamo Group AMBULATORY SURGERY NORTHWEST Pinnacle Anesthesia 2% Assoc San Greater San ER 3 Assoc. Pinnacle Anesthesia 24% Assoc San Greater San ER Assoc. A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

9 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room SPECIALTY AND TRANSPLANT Assoc Ameripath San Greater San ER 2% STONE OAK Pinnacle Anesthesia 4% Assoc San Greater San ER 4% Assoc. TEXSAN ER 1 N/A A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

10 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room METROPOLITAN Pinnacle Anesthesia 1 Assoc San Countdown, PLLC 26% Assoc. NIX HEALTH CARE SYSTEM Atlas Anesthesia Assoc dba Precision 10 Assoc. NORTHEAST PA PA Judson Road 5% Assoc. A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

11 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room SOUTH TEXAS SPINE AND SURGICAL 4 Spine Hospital 99% Hardy Oak 10 SOUTHWEST GENERAL None In Network 10 dba Precision Southwest General 10 Sanjay Patel, MD A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association

12 Hospital Based Blue Choice PPO SM Current as : September 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /Groups Anesthesiology Room UNIVERSITY UT Medicine - San UT Medicine - UT Medicine - UT Medicine - 19% UT Medicine - UVALDE MEMORIAL Uvalde Uvalde Memorial Hospital dba Precision Uvalde TX ER Staffing Solutions A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association