8.8 KiB
8.8 KiB
| 1 | Request ID | Contract ID | Contract Name | Unique Key | Pricing Before Carveouts | Contract Related | Provider | Timeline | Carveout Indicator | Carveout Methodology |
|---|---|---|---|---|---|---|---|---|---|---|
| 2 | 0 | Kidney_ICMProviderAgreement_ICMProviderAgreement_104832_5_MU.txt | Kidney_ICMProviderAgreement_ICMProviderAgreement_104832_5_MU.txt | False | False | False | False | False | False | False |
| 3 | 1 | ICMProviderAgreement_GuardianAngelHomeHealthCareAgency_210054_9.txt | ICMProviderAgreement_GuardianAngelHomeHealthCareAgency_210054_9.txt | False | False | False | False | False | False | False |
| 4 | 2 | BoilerplateAnc_Boro Park Obstetrics & Gynecology PC - Amendment 11.2.12_MU.txt | BoilerplateAnc_Boro Park Obstetrics & Gynecology PC - Amendment 11.2.12_MU.txt | False | False | False | False | False | False | False |
| 5 | 3 | ICMProviderAgreement_AvenueMedicalAssociatesPA_212330_5.txt | ICMProviderAgreement_AvenueMedicalAssociatesPA_212330_5.txt | False | False | False | False | False | False | False |
| 6 | 4 | Boilerplate_Anc_Borbas Surgical Supply Inc - Amendment 7.15.12_MU.txt | Boilerplate_Anc_Borbas Surgical Supply Inc - Amendment 7.15.12_MU.txt | False | False | False | False | False | False | False |
| 7 | 5 | Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt | Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt | False | False | False | False | False | False | False |
| 8 | 6 | Boilerplate_Mid Valley Physicians Association (MVPA) - MMP Amendment - Delegated Group MU.txt | Boilerplate_Mid Valley Physicians Association (MVPA) - MMP Amendment - Delegated Group MU.txt | False | False | False | False | False | False | False |
| 9 | 7 | ICMProviderAgreement_BalancedMindCounselingCenter_217525_6.txt | ICMProviderAgreement_BalancedMindCounselingCenter_217525_6.txt | False | False | False | False | False | False | False |
| 10 | 8 | 2017 01 01 Raul A. Rivera & Associates, P.A. (Master)PHY Executed MU.txt | 2017 01 01 Raul A. Rivera & Associates, P.A. (Master)PHY Executed MU.txt | False | False | False | False | False | False | False |
| 11 | 9 | Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt | Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt | False | False | False | False | False | False | False |
| 12 | 10 | ICMProviderAgreement_101eDelawareAveOperations_211248_9 MU.txt | ICMProviderAgreement_101eDelawareAveOperations_211248_9 MU.txt | False | False | False | False | False | False | False |
| 13 | 11 | ICMProviderAgreement_AnnEWhite-TheCenterForHealingConversations_227589_4.txt | ICMProviderAgreement_AnnEWhite-TheCenterForHealingConversations_227589_4.txt | False | False | False | False | False | False | False |
| 14 | 12 | Prof2_Black Canyon Medical_Malin Medical PLLC_2 - 811754238 MU .txt | Prof2_Black Canyon Medical_Malin Medical PLLC_2 - 811754238 MU .txt | False | False | False | False | False | False | False |
| 15 | 13 | BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt | BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt | False | False | False | False | False | False | False |
| 16 | 14 | Bay Ridge Medical Imaging Universal (113045841) MU.txt | Bay Ridge Medical Imaging Universal (113045841) MU.txt | False | False | False | False | False | False | False |
| 17 | 15 | 2014-01-01 United Health Centers San Joaquin AMD MU.txt | 2014-01-01 United Health Centers San Joaquin AMD MU.txt | False | False | False | False | False | False | False |
| 18 | 16 | 2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt | 2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt | False | False | False | False | False | False | False |
| 19 | 17 | Boilerplate_Anc_Better Living Now, Inc. - Agreement_MU.txt | Boilerplate_Anc_Better Living Now, Inc. - Agreement_MU.txt | False | False | False | False | False | False | False |
| 20 | 18 | ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt | ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt | False | False | False | False | False | False | False |
| 21 | 19 | Boilerplate_Bethpage Medical, PLLC - Agreement_MU.txt | Boilerplate_Bethpage Medical, PLLC - Agreement_MU.txt | False | False | False | False | False | False | False |
| 22 | 20 | Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt | Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt | False | False | False | False | False | False | False |
| 23 | 21 | Prof3_Arizona Children Association - 860096772 MU.txt | Prof3_Arizona Children Association - 860096772 MU.txt | False | False | False | False | False | False | False |
| 24 | 22 | ICMProviderAgreement_CostalCarePhysicalTherapy_211707_6.txt | ICMProviderAgreement_CostalCarePhysicalTherapy_211707_6.txt | False | False | False | False | False | False | False |
| 25 | 23 | Muskogee_ICMProviderAgreement_ICMProviderAgreement_159776_5_MU.txt | Muskogee_ICMProviderAgreement_ICMProviderAgreement_159776_5_MU.txt | False | False | False | False | False | False | False |
| 26 | 24 | Orange Co Radiation Oncology MU.txt | Orange Co Radiation Oncology MU.txt | False | False | False | False | False | False | False |
| 27 | 25 | 050540697 Deepak Nanda 2017 PHSP MU.txt | 050540697 Deepak Nanda 2017 PHSP MU.txt | False | False | False | False | False | False | False |
| 28 | 26 | 22-3146927_ICMProviderAgreement_273971_1 MU.txt | 22-3146927_ICMProviderAgreement_273971_1 MU.txt | False | False | False | False | False | False | False |
| 29 | 27 | Prof1_ICM135705_ICMProviderAgreement_135705 IPA of NJ MU.txt | Prof1_ICM135705_ICMProviderAgreement_135705 IPA of NJ MU.txt | False | False | False | False | False | False | False |
| 30 | 28 | CustomProf_Behavior Analysit Professional Services PLLC - Amendment Provider Signed 1.1.19_MU.txt | CustomProf_Behavior Analysit Professional Services PLLC - Amendment Provider Signed 1.1.19_MU.txt | False | False | False | False | False | False | False |
| 31 | 29 | Roussel Clement, MD_Physician Agreement MU (2).txt | Roussel Clement, MD_Physician Agreement MU (2).txt | False | False | False | False | False | False | False |
| 32 | 30 | Delaware First Health_First State Homecare Agency_212260_7 MU.txt | Delaware First Health_First State Homecare Agency_212260_7 MU.txt | False | False | False | False | False | False | False |
| 33 | 31 | 2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt | 2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt | False | False | False | False | False | False | False |
| 34 | 32 | Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt | Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt | False | False | False | False | False | False | False |
| 35 | 33 | Boilerplate_TX Amendment Mission Health Network effective_040114 MU.txt | Boilerplate_TX Amendment Mission Health Network effective_040114 MU.txt | False | False | False | False | False | False | False |
| 36 | 34 | Prof1_ABAN Care Contract - 562592781 MU.txt | Prof1_ABAN Care Contract - 562592781 MU.txt | False | False | False | False | False | False | False |
| 37 | 35 | Prof4_West Yavapai Guidance Clinic Inc. 11.01.2021 Care1st Practitioner Amendment Template 1.22.2020.1_MU.txt | Prof4_West Yavapai Guidance Clinic Inc. 11.01.2021 Care1st Practitioner Amendment Template 1.22.2020.1_MU.txt | False | False | False | False | False | False | False |
| 38 | 36 | 2023 10 26_Pediatrix Medical Group of T...ment CHIP_STAR_Removed HIM_executed MU.txt | 2023 10 26_Pediatrix Medical Group of T...ment CHIP_STAR_Removed HIM_executed MU.txt | False | False | False | False | False | False | False |
| 39 | 37 | Custom_TX - MP AMENDMENT - MISSION HEALTH NETWORK - MU.txt | Custom_TX - MP AMENDMENT - MISSION HEALTH NETWORK - MU.txt | False | False | False | False | False | False | False |
| 40 | 38 | Alliance Physicians Inc_MU.txt | Alliance Physicians Inc_MU.txt | False | False | False | False | False | False | False |
| 41 | 39 | Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt | Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt | False | False | False | False | False | False | False |
| 42 | 40 | Boilerplate_Bethpage Medical, PLLC - Amendment 9.23.13_MU.txt | Boilerplate_Bethpage Medical, PLLC - Amendment 9.23.13_MU.txt | False | False | False | False | False | False | False |
| 43 | 41 | Molina Healthcare of Texas, Inc. Amendment 4 - HIX ACA__EFF 01012016_MU.txt | Molina Healthcare of Texas, Inc. Amendment 4 - HIX ACA__EFF 01012016_MU.txt | False | False | False | False | False | False | False |
| 44 | 42 | Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt | Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt | False | False | False | False | False | False | False |
| 45 | 43 | 2001-11-01 California Emergency Physicians PSA_MU.txt | 2001-11-01 California Emergency Physicians PSA_MU.txt | False | False | False | False | False | False | False |
| 46 | 44 | Boilerplate_Benjamin Bieber_MU.txt | Boilerplate_Benjamin Bieber_MU.txt | False | False | False | False | False | False | False |
| 47 | 45 | ICMProviderAgreement_Delaware4TheSeniors_212439_6.txt | ICMProviderAgreement_Delaware4TheSeniors_212439_6.txt | False | False | False | False | False | False | False |
| 48 | 46 | Baz Allergy Asthma & Sinus_MU.txt | Baz Allergy Asthma & Sinus_MU.txt | False | False | False | False | False | False | False |
| 49 | 47 | Boilerplate_Anc_Bio Reference Laboratories Inc - Amendment 8.1.17_MU.txt | Boilerplate_Anc_Bio Reference Laboratories Inc - Amendment 8.1.17_MU.txt | False | False | False | False | False | False | False |
| 50 | 48 | ICMProviderAgreement_AmyRiceMA_223388_5.txt | ICMProviderAgreement_AmyRiceMA_223388_5.txt | False | False | False | False | False | False | False |
| 51 | 49 | Boilerplate_Prof_Premier Health Specialists Inc Third Amendment_A.4_20160101_MU.txt | Boilerplate_Prof_Premier Health Specialists Inc Third Amendment_A.4_20160101_MU.txt | False | False | False | False | False | False | False |
| 52 | 50 | Boilerplate_AMEND - BAYLOR MEDCARE - 74-1613878 - 46-2714379 MU.txt | Boilerplate_AMEND - BAYLOR MEDCARE - 74-1613878 - 46-2714379 MU.txt | False | False | False | False | False | False | False |
| 53 | 51 | Boilerplate_Baptist-Provider Service Agreement_MU.txt | Boilerplate_Baptist-Provider Service Agreement_MU.txt | False | False | False | False | False | False | False |