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Rollup Report NATIONAL Program: FQHC Look-Alike Date Requested: 06/20/2013 05:02 PM EST Data as of: 06/19/2013 11:59 PM EST List of Look-Alikes - 2012 National - Universal - 93 Grantees Look-Alike Name City State Tracking Number BHCMIS ID ALTA FAMILY HEATH CLINIC DINUBA CA LAL0000832012 09E00688 AMERICAN INDIAN HEALING CENTER WHITTIER CA LAL0000932012 09E00778 ANTELOPE VALLEY COMMUNITY CLINIC LANCASTER CA LAL0000542012 09E00568 ASIAN & PACIFIC ISLANDER COALITION ON HIV/AIDS, INC NEW YORK NY LAL0001372012 02E00941 ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT SAN JOSE CA LAL0000732012 09E00788 BAYOUCLINIC, INC/BAYOU LABATRE RURAL HEALTH CLINIC BAYOU LA BATRE AL LAL0001092012 04E00812 BLOSS MEMORIAL HEALTH CARE DISTRICT ATWATER CA LAL0000122012 09E00153 CARENET OF LANCASTER LANCASTER SC LAL0001112012 04E00627 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION LOS ANGELES CA LAL0000882012 09E00891 CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469 CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469 CENTRO MEDICO COMMUNITY CLINIC, INC. CORONA CA LAL0000622012 0928860 CHEROKEE HEALTH SYSTEMS KNOXVILLE TN LAL0000202012 0423490 CITY OF CINCINNATI PRIMARY CARE/CINCINNATI HEALTH DEPARTMENT CINCINNATI OH LAL0000232012 05E00167 COMMON GROUND HEALTH CLINIC, INC NEW ORLEANS LA LAL0000942012 06E00550 COMMUNITY CLINIC OF RUTHERFORD SPINDALE NC LAL0001332012 04E00187 COMMUNITY CLINICAL SERVICES LEWISTON ME LAL0000852012 01E00188 COMMUNITY HEALTH INSTITUTE (DBA) COUNCIL FOR THE ADVANCEMENT OF SOCIAL SERVICES AND EDUCATION SHREVEPORT LA LAL0000862012 06E00739 COMPREHENSIVE COMMUNITY CARE NETWORK, INC. WEST PALM BEACH FL LAL0000902012 04E00664 COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830 COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830 COUNTY OF MONTEREY HEALTH DEPARTMENT SALINAS CA LAL0000492012 092640 COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY RIVERSIDE CA LAL0000812012 09E00644 COUNTY OF STANISLAUS MODESTO CA LAL0000762012 09E00703 DAYTON HEALTH CENTER DBA FIVE RIVERS HEALTH CENTERS DAYTON OH LAL0001282012 05E00850 Page 1
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  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    ALTA FAMILY HEATH CLINIC DINUBA CA LAL0000832012 09E00688

    AMERICAN INDIAN HEALING CENTER WHITTIER CA LAL0000932012 09E00778

    ANTELOPE VALLEY COMMUNITY CLINIC LANCASTER CA LAL0000542012 09E00568

    ASIAN & PACIFIC ISLANDER COALITION ON HIV/AIDS, INC NEW YORK NY LAL0001372012 02E00941

    ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT SAN JOSE CA LAL0000732012 09E00788

    BAYOUCLINIC, INC/BAYOU LABATRE RURAL HEALTH

    CLINIC BAYOU LA BATRE AL LAL0001092012 04E00812

    BLOSS MEMORIAL HEALTH CARE DISTRICT ATWATER CA LAL0000122012 09E00153

    CARENET OF LANCASTER LANCASTER SC LAL0001112012 04E00627

    CENTRAL NEIGHBORHOOD HEALTH FOUNDATION LOS ANGELES CA LAL0000882012 09E00891

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO MEDICO COMMUNITY CLINIC, INC. CORONA CA LAL0000622012 0928860

    CHEROKEE HEALTH SYSTEMS KNOXVILLE TN LAL0000202012 0423490

    CITY OF CINCINNATI PRIMARY CARE/CINCINNATI HEALTH

    DEPARTMENT CINCINNATI OH LAL0000232012 05E00167

    COMMON GROUND HEALTH CLINIC, INC NEW ORLEANS LA LAL0000942012 06E00550

    COMMUNITY CLINIC OF RUTHERFORD SPINDALE NC LAL0001332012 04E00187

    COMMUNITY CLINICAL SERVICES LEWISTON ME LAL0000852012 01E00188

    COMMUNITY HEALTH INSTITUTE (DBA) COUNCIL FOR THE

    ADVANCEMENT OF SOCIAL SERVICES AND EDUCATION SHREVEPORT LA LAL0000862012 06E00739

    COMPREHENSIVE COMMUNITY CARE NETWORK, INC. WEST PALM BEACH FL LAL0000902012 04E00664

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF MONTEREY HEALTH DEPARTMENT SALINAS CA LAL0000492012 092640

    COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY RIVERSIDE CA LAL0000812012 09E00644

    COUNTY OF STANISLAUS MODESTO CA LAL0000762012 09E00703

    DAYTON HEALTH CENTER DBA FIVE RIVERS HEALTH

    CENTERS DAYTON OH LAL0001282012 05E00850

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    DESERT AIDS PROJECT, INC. PALM SPRINGS CA LAL0001252012 09E00857

    ECTOR COUNTY HOSPITAL DISTRICT ODESSA TX LAL0000072012 06E00846

    EL PUEBLO HEALTH SERVICES BERNALILLO NM LAL0000402012 06E00612

    ERIE COUNTY HEALTH DEPARTMENT SANDUSKY OH LAL0001152012 05E00924

    FAMILY HEALTH CARE OF NORTHWEST OHIO VAN WERT OH LAL0000272012 05E00645

    FAMILY HEALTH SERVICES OF ERIE COUNTY SANDUSKY OH LAL0000982012 05E00863

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FLORIDA DEPARTMENT OF HEALTH-LAKE COUNTY

    HEALTH DEPARTMENT EUSTIS FL LAL0001322012 04E00912

    FORDLAND CLINIC FORDLAND MO LAL0000782012 07E00570

    GARFIELD HEALTH CENTER MONTEREY PARK CA LAL0001242012 09E00641

    GENESIS HEALTH CARE, INC. COLUMBIA SC LAL0000922012 04E00547

    GREATER FRESNO HEALTH ORGANIZATION FRESNO CA LAL0000412012 0924800

    HARBOR COMMUNITY CLINIC SAN PEDRO CA LAL0000442012 09E00894

    HARVARD STREET NEIGHBORHOOD HEALTH CENTER DORCHESTER MA LAL0000912012 01E00582

    HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA LAL0000182012 09E00647

    HEALTH CENTERS DETROIT FOUNDATION DETROIT MI LAL0000082012 05E00936

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH FOR ALL, INC SACRAMENTO CA LAL0000342012 09E00928

    HOT SPRINGS HEALTH PROGRAM MARSHALL NC LAL0000362012 044855E

    HOWARD BROWN HEALTH CENTER CHICAGO IL LAL0000662012 05E00588

    HYGEIA FACILITIES FOUNDATION, INC. WHITESVILLE WV LAL0000392012 03E00793

    JANE PAULEY COMMUNITY HEALTH CENTER INDIANAPOLIS IN LAL0001022012 05E00842

    KNOX/WINAMAC COMMUNITY HEALTH CENTERS, INC. WINAMAC IN LAL0000382012 05E00734

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    KOREAN HEALTH, EDUCATION, INFORMATION AND

    RESEARCH CENTER LOS ANGELES CA LAL0000802012 09E00720

    LOS ANGELES GAY & LESBIAN CMTY SRVS CTR LOS ANGELES CA LAL0000142012 09E00762

    MARIAS HEALTHCARE SERVICES INC. SHELBY MT LAL0000432012 08E00870

    MARICOPA INTEGRATED HEALTH SYSTEMS PHOENIX AZ LAL0000372012 09E00911

    MATTAWA COMMUNITY MEDICAL CLINIC MATTAWA WA LAL0001362012 10E00940

    MAYVIEW COMMUNITY HEALTH CENTER, INC PALO ALTO CA LAL0000012012 09E00575

    MERCY DIAGNOSTIC AND TREATMENT CENTER CHICAGO IL LAL0000692012 05E00758

    MERIDIAN SERVICES CORP MUNCIE IN LAL0001262012 05E00601

    METRO FAMILY PRACTICE, INC. PITTSBURGH PA LAL0000132012 03E00566

    MID-STATE HEALTH CENTER PLYMOUTH NH LAL0000062012 01E00704

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MON VALLEY COMMUNITY HEALTH SERVICES, INC CHARLEROI PA LAL0000652012 03E00802

    MOUNTAINEER COMMUNITY HEALTH CENTER, INC PAW PAW WV LAL0000532012 03E00927

    MQVN COMMUNITY DEVELOPMENT CORPORATION NEW ORLEANS LA LAL0000872012 06E00637

    NEIGHBORHOOD OUTREACH ACCESS TO HEALTH PHOENIX AZ LAL0001182012 09E00712

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    OPERATION SAMAHAN, INC. NATIONAL CITY CA LAL0000162012 09E00352

    OWENSVILLE PRIMARY CARE, INC. WEST RIVER MD LAL0000052012 03E00558

    PHILADELPHIA PUBLIC HEALTH DEPARTMENT PHILADELPHIA PA LAL0000842012 03E00360

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PROHEALTH RURAL HEALTH SERVICES, INC FRANKLIN TN LAL0000612012 04E00685

    RURAL HEALTH ACCESS CORPORATION (DBA COALFIELD

    HEALTH CENTER) CHAPMANVILLE WV LAL0001122012 03E00583

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    SAC HEALTH SYSTEM SAN BERNARDINO CA LAL0001202012 09E00689

    SADLER HEALTH CENTER CORPORATION CARLISLE PA LAL0000602012 03E00679

    SHARON COMMUNITY HEALTH CENTER, INC. SHARON PA LAL0000452012 03E00937

    SIERRA FAMILY MEDICAL CLINIC NEVADA CITY CA LAL0000582012 09E00860

    SOUTH END COMMUNITY HEALTH CTR BOSTON MA LAL0000312012 01E00392

    SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER EAST SAINT LOUIS IL LAL0000222012 05E00578

    SPECIAL HEALTH RESOURCES FOR TEXAS, INC. LONGVIEW TX LAL0000742012 06E00848

    ST. ANTHONY MEDICAL CENTERS LOS ANGELES CA LAL0000792012 09E00589

    SUMMIT COMMUNITY CARE CLINIC FRISCO CO LAL0001382012 08E00412

    SWEETWATER COUNTY CHC ROCK SPRINGS WY LAL0001342012 08E00677

    THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC. BOISE ID LAL0000822012 10E00721

    THE POMONA COMMUNITY HEALTH CENTER POMONA CA LAL0001142012 09E00722

    THE UPHAM'S CORNER HEALTH COMMITTEE, INC. DORCHESTER MA LAL0000102012 01E00574

    TRIAD ADULT AND PEDIATRIC MEDICINE GREENSBORO NC LAL0001132012 04E00754

    TULARE COUNTY HEALTH & HUMAN SERVICES AGENCY VISALIA CA LAL0000702012 09E00864

    UNION COMMUNITY HEALTH CENTER, INC. BRONX NY LAL0000712012 02E00820

    UNITED COMMUNITY AND FAMILY SERVICES, INC. NORWICH CT LAL0000722012 01E00874

    UNIVERSAL COMMUNITY HEALTH CENTER LOS ANGELES CA LAL0001232012 09E00716

    UNIVERSAL MEDICAL SERVICES, INC. MINNEAPOLIS MN LAL0000282012 05E00781

    UPPER GREAT LAKES FAMILY HEALTH CENTER MARQUETTE MI LAL0000962012 05E00445

    URBAN HEALTH INITIATIVES INC. PHILADELPHIA PA LAL0001302012 03E00446

    VIETNAMESE COMMUNITY OF ORANGE COUNTY, INC. SANTA ANA CA LAL0000472012 09E00780

    WESTSIDE NEIGHBORHOOD CLINIC LONG BEACH CA LAL0001292012 09E00549

    WHITMAN-WALKER CLINIC WASHINGTON DC LAL0000112012 03E00630

    WOOD, COUNTY OF BOWLING GREEN OH LAL0001352012 05E00724

    Page 1

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    ALTA FAMILY HEATH CLINIC DINUBA CA LAL0000832012 09E00688

    AMERICAN INDIAN HEALING CENTER WHITTIER CA LAL0000932012 09E00778

    ANTELOPE VALLEY COMMUNITY CLINIC LANCASTER CA LAL0000542012 09E00568

    ASIAN & PACIFIC ISLANDER COALITION ON HIV/AIDS, INC NEW YORK NY LAL0001372012 02E00941

    ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT SAN JOSE CA LAL0000732012 09E00788

    BAYOUCLINIC, INC/BAYOU LABATRE RURAL HEALTH

    CLINIC BAYOU LA BATRE AL LAL0001092012 04E00812

    BLOSS MEMORIAL HEALTH CARE DISTRICT ATWATER CA LAL0000122012 09E00153

    CARENET OF LANCASTER LANCASTER SC LAL0001112012 04E00627

    CENTRAL NEIGHBORHOOD HEALTH FOUNDATION LOS ANGELES CA LAL0000882012 09E00891

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO MEDICO COMMUNITY CLINIC, INC. CORONA CA LAL0000622012 0928860

    CHEROKEE HEALTH SYSTEMS KNOXVILLE TN LAL0000202012 0423490

    CITY OF CINCINNATI PRIMARY CARE/CINCINNATI HEALTH

    DEPARTMENT CINCINNATI OH LAL0000232012 05E00167

    COMMON GROUND HEALTH CLINIC, INC NEW ORLEANS LA LAL0000942012 06E00550

    COMMUNITY CLINIC OF RUTHERFORD SPINDALE NC LAL0001332012 04E00187

    COMMUNITY CLINICAL SERVICES LEWISTON ME LAL0000852012 01E00188

    COMMUNITY HEALTH INSTITUTE (DBA) COUNCIL FOR THE

    ADVANCEMENT OF SOCIAL SERVICES AND EDUCATION SHREVEPORT LA LAL0000862012 06E00739

    COMPREHENSIVE COMMUNITY CARE NETWORK, INC. WEST PALM BEACH FL LAL0000902012 04E00664

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF MONTEREY HEALTH DEPARTMENT SALINAS CA LAL0000492012 092640

    COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY RIVERSIDE CA LAL0000812012 09E00644

    COUNTY OF STANISLAUS MODESTO CA LAL0000762012 09E00703

    DAYTON HEALTH CENTER DBA FIVE RIVERS HEALTH

    CENTERS DAYTON OH LAL0001282012 05E00850

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    DESERT AIDS PROJECT, INC. PALM SPRINGS CA LAL0001252012 09E00857

    ECTOR COUNTY HOSPITAL DISTRICT ODESSA TX LAL0000072012 06E00846

    EL PUEBLO HEALTH SERVICES BERNALILLO NM LAL0000402012 06E00612

    ERIE COUNTY HEALTH DEPARTMENT SANDUSKY OH LAL0001152012 05E00924

    FAMILY HEALTH CARE OF NORTHWEST OHIO VAN WERT OH LAL0000272012 05E00645

    FAMILY HEALTH SERVICES OF ERIE COUNTY SANDUSKY OH LAL0000982012 05E00863

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FLORIDA DEPARTMENT OF HEALTH-LAKE COUNTY

    HEALTH DEPARTMENT EUSTIS FL LAL0001322012 04E00912

    FORDLAND CLINIC FORDLAND MO LAL0000782012 07E00570

    GARFIELD HEALTH CENTER MONTEREY PARK CA LAL0001242012 09E00641

    GENESIS HEALTH CARE, INC. COLUMBIA SC LAL0000922012 04E00547

    GREATER FRESNO HEALTH ORGANIZATION FRESNO CA LAL0000412012 0924800

    HARBOR COMMUNITY CLINIC SAN PEDRO CA LAL0000442012 09E00894

    HARVARD STREET NEIGHBORHOOD HEALTH CENTER DORCHESTER MA LAL0000912012 01E00582

    HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA LAL0000182012 09E00647

    HEALTH CENTERS DETROIT FOUNDATION DETROIT MI LAL0000082012 05E00936

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH FOR ALL, INC SACRAMENTO CA LAL0000342012 09E00928

    HOT SPRINGS HEALTH PROGRAM MARSHALL NC LAL0000362012 044855E

    HOWARD BROWN HEALTH CENTER CHICAGO IL LAL0000662012 05E00588

    HYGEIA FACILITIES FOUNDATION, INC. WHITESVILLE WV LAL0000392012 03E00793

    JANE PAULEY COMMUNITY HEALTH CENTER INDIANAPOLIS IN LAL0001022012 05E00842

    KNOX/WINAMAC COMMUNITY HEALTH CENTERS, INC. WINAMAC IN LAL0000382012 05E00734

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    KOREAN HEALTH, EDUCATION, INFORMATION AND

    RESEARCH CENTER LOS ANGELES CA LAL0000802012 09E00720

    LOS ANGELES GAY & LESBIAN CMTY SRVS CTR LOS ANGELES CA LAL0000142012 09E00762

    MARIAS HEALTHCARE SERVICES INC. SHELBY MT LAL0000432012 08E00870

    MARICOPA INTEGRATED HEALTH SYSTEMS PHOENIX AZ LAL0000372012 09E00911

    MATTAWA COMMUNITY MEDICAL CLINIC MATTAWA WA LAL0001362012 10E00940

    MAYVIEW COMMUNITY HEALTH CENTER, INC PALO ALTO CA LAL0000012012 09E00575

    MERCY DIAGNOSTIC AND TREATMENT CENTER CHICAGO IL LAL0000692012 05E00758

    MERIDIAN SERVICES CORP MUNCIE IN LAL0001262012 05E00601

    METRO FAMILY PRACTICE, INC. PITTSBURGH PA LAL0000132012 03E00566

    MID-STATE HEALTH CENTER PLYMOUTH NH LAL0000062012 01E00704

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MON VALLEY COMMUNITY HEALTH SERVICES, INC CHARLEROI PA LAL0000652012 03E00802

    MOUNTAINEER COMMUNITY HEALTH CENTER, INC PAW PAW WV LAL0000532012 03E00927

    MQVN COMMUNITY DEVELOPMENT CORPORATION NEW ORLEANS LA LAL0000872012 06E00637

    NEIGHBORHOOD OUTREACH ACCESS TO HEALTH PHOENIX AZ LAL0001182012 09E00712

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    OPERATION SAMAHAN, INC. NATIONAL CITY CA LAL0000162012 09E00352

    OWENSVILLE PRIMARY CARE, INC. WEST RIVER MD LAL0000052012 03E00558

    PHILADELPHIA PUBLIC HEALTH DEPARTMENT PHILADELPHIA PA LAL0000842012 03E00360

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PROHEALTH RURAL HEALTH SERVICES, INC FRANKLIN TN LAL0000612012 04E00685

    RURAL HEALTH ACCESS CORPORATION (DBA COALFIELD

    HEALTH CENTER) CHAPMANVILLE WV LAL0001122012 03E00583

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    SAC HEALTH SYSTEM SAN BERNARDINO CA LAL0001202012 09E00689

    SADLER HEALTH CENTER CORPORATION CARLISLE PA LAL0000602012 03E00679

    SHARON COMMUNITY HEALTH CENTER, INC. SHARON PA LAL0000452012 03E00937

    SIERRA FAMILY MEDICAL CLINIC NEVADA CITY CA LAL0000582012 09E00860

    SOUTH END COMMUNITY HEALTH CTR BOSTON MA LAL0000312012 01E00392

    SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER EAST SAINT LOUIS IL LAL0000222012 05E00578

    SPECIAL HEALTH RESOURCES FOR TEXAS, INC. LONGVIEW TX LAL0000742012 06E00848

    ST. ANTHONY MEDICAL CENTERS LOS ANGELES CA LAL0000792012 09E00589

    SUMMIT COMMUNITY CARE CLINIC FRISCO CO LAL0001382012 08E00412

    SWEETWATER COUNTY CHC ROCK SPRINGS WY LAL0001342012 08E00677

    THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC. BOISE ID LAL0000822012 10E00721

    THE POMONA COMMUNITY HEALTH CENTER POMONA CA LAL0001142012 09E00722

    THE UPHAM'S CORNER HEALTH COMMITTEE, INC. DORCHESTER MA LAL0000102012 01E00574

    TRIAD ADULT AND PEDIATRIC MEDICINE GREENSBORO NC LAL0001132012 04E00754

    TULARE COUNTY HEALTH & HUMAN SERVICES AGENCY VISALIA CA LAL0000702012 09E00864

    UNION COMMUNITY HEALTH CENTER, INC. BRONX NY LAL0000712012 02E00820

    UNITED COMMUNITY AND FAMILY SERVICES, INC. NORWICH CT LAL0000722012 01E00874

    UNIVERSAL COMMUNITY HEALTH CENTER LOS ANGELES CA LAL0001232012 09E00716

    UNIVERSAL MEDICAL SERVICES, INC. MINNEAPOLIS MN LAL0000282012 05E00781

    UPPER GREAT LAKES FAMILY HEALTH CENTER MARQUETTE MI LAL0000962012 05E00445

    URBAN HEALTH INITIATIVES INC. PHILADELPHIA PA LAL0001302012 03E00446

    VIETNAMESE COMMUNITY OF ORANGE COUNTY, INC. SANTA ANA CA LAL0000472012 09E00780

    WESTSIDE NEIGHBORHOOD CLINIC LONG BEACH CA LAL0001292012 09E00549

    WHITMAN-WALKER CLINIC WASHINGTON DC LAL0000112012 03E00630

    WOOD, COUNTY OF BOWLING GREEN OH LAL0001352012 05E00724

    Page 2

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    ALTA FAMILY HEATH CLINIC DINUBA CA LAL0000832012 09E00688

    AMERICAN INDIAN HEALING CENTER WHITTIER CA LAL0000932012 09E00778

    ANTELOPE VALLEY COMMUNITY CLINIC LANCASTER CA LAL0000542012 09E00568

    ASIAN & PACIFIC ISLANDER COALITION ON HIV/AIDS, INC NEW YORK NY LAL0001372012 02E00941

    ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT SAN JOSE CA LAL0000732012 09E00788

    BAYOUCLINIC, INC/BAYOU LABATRE RURAL HEALTH

    CLINIC BAYOU LA BATRE AL LAL0001092012 04E00812

    BLOSS MEMORIAL HEALTH CARE DISTRICT ATWATER CA LAL0000122012 09E00153

    CARENET OF LANCASTER LANCASTER SC LAL0001112012 04E00627

    CENTRAL NEIGHBORHOOD HEALTH FOUNDATION LOS ANGELES CA LAL0000882012 09E00891

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO MEDICO COMMUNITY CLINIC, INC. CORONA CA LAL0000622012 0928860

    CHEROKEE HEALTH SYSTEMS KNOXVILLE TN LAL0000202012 0423490

    CITY OF CINCINNATI PRIMARY CARE/CINCINNATI HEALTH

    DEPARTMENT CINCINNATI OH LAL0000232012 05E00167

    COMMON GROUND HEALTH CLINIC, INC NEW ORLEANS LA LAL0000942012 06E00550

    COMMUNITY CLINIC OF RUTHERFORD SPINDALE NC LAL0001332012 04E00187

    COMMUNITY CLINICAL SERVICES LEWISTON ME LAL0000852012 01E00188

    COMMUNITY HEALTH INSTITUTE (DBA) COUNCIL FOR THE

    ADVANCEMENT OF SOCIAL SERVICES AND EDUCATION SHREVEPORT LA LAL0000862012 06E00739

    COMPREHENSIVE COMMUNITY CARE NETWORK, INC. WEST PALM BEACH FL LAL0000902012 04E00664

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF MONTEREY HEALTH DEPARTMENT SALINAS CA LAL0000492012 092640

    COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY RIVERSIDE CA LAL0000812012 09E00644

    COUNTY OF STANISLAUS MODESTO CA LAL0000762012 09E00703

    DAYTON HEALTH CENTER DBA FIVE RIVERS HEALTH

    CENTERS DAYTON OH LAL0001282012 05E00850

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    DESERT AIDS PROJECT, INC. PALM SPRINGS CA LAL0001252012 09E00857

    ECTOR COUNTY HOSPITAL DISTRICT ODESSA TX LAL0000072012 06E00846

    EL PUEBLO HEALTH SERVICES BERNALILLO NM LAL0000402012 06E00612

    ERIE COUNTY HEALTH DEPARTMENT SANDUSKY OH LAL0001152012 05E00924

    FAMILY HEALTH CARE OF NORTHWEST OHIO VAN WERT OH LAL0000272012 05E00645

    FAMILY HEALTH SERVICES OF ERIE COUNTY SANDUSKY OH LAL0000982012 05E00863

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FLORIDA DEPARTMENT OF HEALTH-LAKE COUNTY

    HEALTH DEPARTMENT EUSTIS FL LAL0001322012 04E00912

    FORDLAND CLINIC FORDLAND MO LAL0000782012 07E00570

    GARFIELD HEALTH CENTER MONTEREY PARK CA LAL0001242012 09E00641

    GENESIS HEALTH CARE, INC. COLUMBIA SC LAL0000922012 04E00547

    GREATER FRESNO HEALTH ORGANIZATION FRESNO CA LAL0000412012 0924800

    HARBOR COMMUNITY CLINIC SAN PEDRO CA LAL0000442012 09E00894

    HARVARD STREET NEIGHBORHOOD HEALTH CENTER DORCHESTER MA LAL0000912012 01E00582

    HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA LAL0000182012 09E00647

    HEALTH CENTERS DETROIT FOUNDATION DETROIT MI LAL0000082012 05E00936

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH FOR ALL, INC SACRAMENTO CA LAL0000342012 09E00928

    HOT SPRINGS HEALTH PROGRAM MARSHALL NC LAL0000362012 044855E

    HOWARD BROWN HEALTH CENTER CHICAGO IL LAL0000662012 05E00588

    HYGEIA FACILITIES FOUNDATION, INC. WHITESVILLE WV LAL0000392012 03E00793

    JANE PAULEY COMMUNITY HEALTH CENTER INDIANAPOLIS IN LAL0001022012 05E00842

    KNOX/WINAMAC COMMUNITY HEALTH CENTERS, INC. WINAMAC IN LAL0000382012 05E00734

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    KOREAN HEALTH, EDUCATION, INFORMATION AND

    RESEARCH CENTER LOS ANGELES CA LAL0000802012 09E00720

    LOS ANGELES GAY & LESBIAN CMTY SRVS CTR LOS ANGELES CA LAL0000142012 09E00762

    MARIAS HEALTHCARE SERVICES INC. SHELBY MT LAL0000432012 08E00870

    MARICOPA INTEGRATED HEALTH SYSTEMS PHOENIX AZ LAL0000372012 09E00911

    MATTAWA COMMUNITY MEDICAL CLINIC MATTAWA WA LAL0001362012 10E00940

    MAYVIEW COMMUNITY HEALTH CENTER, INC PALO ALTO CA LAL0000012012 09E00575

    MERCY DIAGNOSTIC AND TREATMENT CENTER CHICAGO IL LAL0000692012 05E00758

    MERIDIAN SERVICES CORP MUNCIE IN LAL0001262012 05E00601

    METRO FAMILY PRACTICE, INC. PITTSBURGH PA LAL0000132012 03E00566

    MID-STATE HEALTH CENTER PLYMOUTH NH LAL0000062012 01E00704

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MON VALLEY COMMUNITY HEALTH SERVICES, INC CHARLEROI PA LAL0000652012 03E00802

    MOUNTAINEER COMMUNITY HEALTH CENTER, INC PAW PAW WV LAL0000532012 03E00927

    MQVN COMMUNITY DEVELOPMENT CORPORATION NEW ORLEANS LA LAL0000872012 06E00637

    NEIGHBORHOOD OUTREACH ACCESS TO HEALTH PHOENIX AZ LAL0001182012 09E00712

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    OPERATION SAMAHAN, INC. NATIONAL CITY CA LAL0000162012 09E00352

    OWENSVILLE PRIMARY CARE, INC. WEST RIVER MD LAL0000052012 03E00558

    PHILADELPHIA PUBLIC HEALTH DEPARTMENT PHILADELPHIA PA LAL0000842012 03E00360

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PROHEALTH RURAL HEALTH SERVICES, INC FRANKLIN TN LAL0000612012 04E00685

    RURAL HEALTH ACCESS CORPORATION (DBA COALFIELD

    HEALTH CENTER) CHAPMANVILLE WV LAL0001122012 03E00583

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    SAC HEALTH SYSTEM SAN BERNARDINO CA LAL0001202012 09E00689

    SADLER HEALTH CENTER CORPORATION CARLISLE PA LAL0000602012 03E00679

    SHARON COMMUNITY HEALTH CENTER, INC. SHARON PA LAL0000452012 03E00937

    SIERRA FAMILY MEDICAL CLINIC NEVADA CITY CA LAL0000582012 09E00860

    SOUTH END COMMUNITY HEALTH CTR BOSTON MA LAL0000312012 01E00392

    SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER EAST SAINT LOUIS IL LAL0000222012 05E00578

    SPECIAL HEALTH RESOURCES FOR TEXAS, INC. LONGVIEW TX LAL0000742012 06E00848

    ST. ANTHONY MEDICAL CENTERS LOS ANGELES CA LAL0000792012 09E00589

    SUMMIT COMMUNITY CARE CLINIC FRISCO CO LAL0001382012 08E00412

    SWEETWATER COUNTY CHC ROCK SPRINGS WY LAL0001342012 08E00677

    THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC. BOISE ID LAL0000822012 10E00721

    THE POMONA COMMUNITY HEALTH CENTER POMONA CA LAL0001142012 09E00722

    THE UPHAM'S CORNER HEALTH COMMITTEE, INC. DORCHESTER MA LAL0000102012 01E00574

    TRIAD ADULT AND PEDIATRIC MEDICINE GREENSBORO NC LAL0001132012 04E00754

    TULARE COUNTY HEALTH & HUMAN SERVICES AGENCY VISALIA CA LAL0000702012 09E00864

    UNION COMMUNITY HEALTH CENTER, INC. BRONX NY LAL0000712012 02E00820

    UNITED COMMUNITY AND FAMILY SERVICES, INC. NORWICH CT LAL0000722012 01E00874

    UNIVERSAL COMMUNITY HEALTH CENTER LOS ANGELES CA LAL0001232012 09E00716

    UNIVERSAL MEDICAL SERVICES, INC. MINNEAPOLIS MN LAL0000282012 05E00781

    UPPER GREAT LAKES FAMILY HEALTH CENTER MARQUETTE MI LAL0000962012 05E00445

    URBAN HEALTH INITIATIVES INC. PHILADELPHIA PA LAL0001302012 03E00446

    VIETNAMESE COMMUNITY OF ORANGE COUNTY, INC. SANTA ANA CA LAL0000472012 09E00780

    WESTSIDE NEIGHBORHOOD CLINIC LONG BEACH CA LAL0001292012 09E00549

    WHITMAN-WALKER CLINIC WASHINGTON DC LAL0000112012 03E00630

    WOOD, COUNTY OF BOWLING GREEN OH LAL0001352012 05E00724

    Page 3

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    ALTA FAMILY HEATH CLINIC DINUBA CA LAL0000832012 09E00688

    AMERICAN INDIAN HEALING CENTER WHITTIER CA LAL0000932012 09E00778

    ANTELOPE VALLEY COMMUNITY CLINIC LANCASTER CA LAL0000542012 09E00568

    ASIAN & PACIFIC ISLANDER COALITION ON HIV/AIDS, INC NEW YORK NY LAL0001372012 02E00941

    ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT SAN JOSE CA LAL0000732012 09E00788

    BAYOUCLINIC, INC/BAYOU LABATRE RURAL HEALTH

    CLINIC BAYOU LA BATRE AL LAL0001092012 04E00812

    BLOSS MEMORIAL HEALTH CARE DISTRICT ATWATER CA LAL0000122012 09E00153

    CARENET OF LANCASTER LANCASTER SC LAL0001112012 04E00627

    CENTRAL NEIGHBORHOOD HEALTH FOUNDATION LOS ANGELES CA LAL0000882012 09E00891

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO DE SALUD ESPERANZA CHICAGO IL LAL0000422012 05E00469

    CENTRO MEDICO COMMUNITY CLINIC, INC. CORONA CA LAL0000622012 0928860

    CHEROKEE HEALTH SYSTEMS KNOXVILLE TN LAL0000202012 0423490

    CITY OF CINCINNATI PRIMARY CARE/CINCINNATI HEALTH

    DEPARTMENT CINCINNATI OH LAL0000232012 05E00167

    COMMON GROUND HEALTH CLINIC, INC NEW ORLEANS LA LAL0000942012 06E00550

    COMMUNITY CLINIC OF RUTHERFORD SPINDALE NC LAL0001332012 04E00187

    COMMUNITY CLINICAL SERVICES LEWISTON ME LAL0000852012 01E00188

    COMMUNITY HEALTH INSTITUTE (DBA) COUNCIL FOR THE

    ADVANCEMENT OF SOCIAL SERVICES AND EDUCATION SHREVEPORT LA LAL0000862012 06E00739

    COMPREHENSIVE COMMUNITY CARE NETWORK, INC. WEST PALM BEACH FL LAL0000902012 04E00664

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI LAL0000022012 051830

    COUNTY OF MONTEREY HEALTH DEPARTMENT SALINAS CA LAL0000492012 092640

    COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY RIVERSIDE CA LAL0000812012 09E00644

    COUNTY OF STANISLAUS MODESTO CA LAL0000762012 09E00703

    DAYTON HEALTH CENTER DBA FIVE RIVERS HEALTH

    CENTERS DAYTON OH LAL0001282012 05E00850

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    DESERT AIDS PROJECT, INC. PALM SPRINGS CA LAL0001252012 09E00857

    ECTOR COUNTY HOSPITAL DISTRICT ODESSA TX LAL0000072012 06E00846

    EL PUEBLO HEALTH SERVICES BERNALILLO NM LAL0000402012 06E00612

    ERIE COUNTY HEALTH DEPARTMENT SANDUSKY OH LAL0001152012 05E00924

    FAMILY HEALTH CARE OF NORTHWEST OHIO VAN WERT OH LAL0000272012 05E00645

    FAMILY HEALTH SERVICES OF ERIE COUNTY SANDUSKY OH LAL0000982012 05E00863

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FAMILY HEALTHCARE, INC. CHILLICOTHE OH LAL0001082012 052270

    FLORIDA DEPARTMENT OF HEALTH-LAKE COUNTY

    HEALTH DEPARTMENT EUSTIS FL LAL0001322012 04E00912

    FORDLAND CLINIC FORDLAND MO LAL0000782012 07E00570

    GARFIELD HEALTH CENTER MONTEREY PARK CA LAL0001242012 09E00641

    GENESIS HEALTH CARE, INC. COLUMBIA SC LAL0000922012 04E00547

    GREATER FRESNO HEALTH ORGANIZATION FRESNO CA LAL0000412012 0924800

    HARBOR COMMUNITY CLINIC SAN PEDRO CA LAL0000442012 09E00894

    HARVARD STREET NEIGHBORHOOD HEALTH CENTER DORCHESTER MA LAL0000912012 01E00582

    HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA LAL0000182012 09E00647

    HEALTH CENTERS DETROIT FOUNDATION DETROIT MI LAL0000082012 05E00936

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH DELIVERY, INC. SAGINAW MI LAL0001172012 050360

    HEALTH FOR ALL, INC SACRAMENTO CA LAL0000342012 09E00928

    HOT SPRINGS HEALTH PROGRAM MARSHALL NC LAL0000362012 044855E

    HOWARD BROWN HEALTH CENTER CHICAGO IL LAL0000662012 05E00588

    HYGEIA FACILITIES FOUNDATION, INC. WHITESVILLE WV LAL0000392012 03E00793

    JANE PAULEY COMMUNITY HEALTH CENTER INDIANAPOLIS IN LAL0001022012 05E00842

    KNOX/WINAMAC COMMUNITY HEALTH CENTERS, INC. WINAMAC IN LAL0000382012 05E00734

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    KOREAN HEALTH, EDUCATION, INFORMATION AND

    RESEARCH CENTER LOS ANGELES CA LAL0000802012 09E00720

    LOS ANGELES GAY & LESBIAN CMTY SRVS CTR LOS ANGELES CA LAL0000142012 09E00762

    MARIAS HEALTHCARE SERVICES INC. SHELBY MT LAL0000432012 08E00870

    MARICOPA INTEGRATED HEALTH SYSTEMS PHOENIX AZ LAL0000372012 09E00911

    MATTAWA COMMUNITY MEDICAL CLINIC MATTAWA WA LAL0001362012 10E00940

    MAYVIEW COMMUNITY HEALTH CENTER, INC PALO ALTO CA LAL0000012012 09E00575

    MERCY DIAGNOSTIC AND TREATMENT CENTER CHICAGO IL LAL0000692012 05E00758

    MERIDIAN SERVICES CORP MUNCIE IN LAL0001262012 05E00601

    METRO FAMILY PRACTICE, INC. PITTSBURGH PA LAL0000132012 03E00566

    MID-STATE HEALTH CENTER PLYMOUTH NH LAL0000062012 01E00704

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA LAL0000292012 0929830

    MON VALLEY COMMUNITY HEALTH SERVICES, INC CHARLEROI PA LAL0000652012 03E00802

    MOUNTAINEER COMMUNITY HEALTH CENTER, INC PAW PAW WV LAL0000532012 03E00927

    MQVN COMMUNITY DEVELOPMENT CORPORATION NEW ORLEANS LA LAL0000872012 06E00637

    NEIGHBORHOOD OUTREACH ACCESS TO HEALTH PHOENIX AZ LAL0001182012 09E00712

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    NORTHEAST COMMUNITY CLINIC, INC WILMINGTON CA LAL0000332012 09E00004

    OPERATION SAMAHAN, INC. NATIONAL CITY CA LAL0000162012 09E00352

    OWENSVILLE PRIMARY CARE, INC. WEST RIVER MD LAL0000052012 03E00558

    PHILADELPHIA PUBLIC HEALTH DEPARTMENT PHILADELPHIA PA LAL0000842012 03E00360

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA LAL0000552012 0443690

    PROHEALTH RURAL HEALTH SERVICES, INC FRANKLIN TN LAL0000612012 04E00685

    RURAL HEALTH ACCESS CORPORATION (DBA COALFIELD

    HEALTH CENTER) CHAPMANVILLE WV LAL0001122012 03E00583

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    List of Look-Alikes - 2012

    National - Universal - 93 Grantees

     

    Look-Alike Name City State Tracking Number BHCMIS ID

    SAC HEALTH SYSTEM SAN BERNARDINO CA LAL0001202012 09E00689

    SADLER HEALTH CENTER CORPORATION CARLISLE PA LAL0000602012 03E00679

    SHARON COMMUNITY HEALTH CENTER, INC. SHARON PA LAL0000452012 03E00937

    SIERRA FAMILY MEDICAL CLINIC NEVADA CITY CA LAL0000582012 09E00860

    SOUTH END COMMUNITY HEALTH CTR BOSTON MA LAL0000312012 01E00392

    SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER EAST SAINT LOUIS IL LAL0000222012 05E00578

    SPECIAL HEALTH RESOURCES FOR TEXAS, INC. LONGVIEW TX LAL0000742012 06E00848

    ST. ANTHONY MEDICAL CENTERS LOS ANGELES CA LAL0000792012 09E00589

    SUMMIT COMMUNITY CARE CLINIC FRISCO CO LAL0001382012 08E00412

    SWEETWATER COUNTY CHC ROCK SPRINGS WY LAL0001342012 08E00677

    THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC. BOISE ID LAL0000822012 10E00721

    THE POMONA COMMUNITY HEALTH CENTER POMONA CA LAL0001142012 09E00722

    THE UPHAM'S CORNER HEALTH COMMITTEE, INC. DORCHESTER MA LAL0000102012 01E00574

    TRIAD ADULT AND PEDIATRIC MEDICINE GREENSBORO NC LAL0001132012 04E00754

    TULARE COUNTY HEALTH & HUMAN SERVICES AGENCY VISALIA CA LAL0000702012 09E00864

    UNION COMMUNITY HEALTH CENTER, INC. BRONX NY LAL0000712012 02E00820

    UNITED COMMUNITY AND FAMILY SERVICES, INC. NORWICH CT LAL0000722012 01E00874

    UNIVERSAL COMMUNITY HEALTH CENTER LOS ANGELES CA LAL0001232012 09E00716

    UNIVERSAL MEDICAL SERVICES, INC. MINNEAPOLIS MN LAL0000282012 05E00781

    UPPER GREAT LAKES FAMILY HEALTH CENTER MARQUETTE MI LAL0000962012 05E00445

    URBAN HEALTH INITIATIVES INC. PHILADELPHIA PA LAL0001302012 03E00446

    VIETNAMESE COMMUNITY OF ORANGE COUNTY, INC. SANTA ANA CA LAL0000472012 09E00780

    WESTSIDE NEIGHBORHOOD CLINIC LONG BEACH CA LAL0001292012 09E00549

    WHITMAN-WALKER CLINIC WASHINGTON DC LAL0000112012 03E00630

    WOOD, COUNTY OF BOWLING GREEN OH LAL0001352012 05E00724

    Page 4

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 3A - Patients by Age and Gender - 2012

    National - Universal - 93 Grantees

     

    S.No. Age Groups Male Patients (a) Female Patients (b) All Patients

    1. Under Age 1 14,954  14,586  29,540 

    2. Age 1 9,607  9,332  18,939 

    3. Age 2 8,974  8,603  17,577 

    4. Age 3 9,150  8,736  17,886 

    5. Age 4 9,347  9,037  18,384 

    6. Age 5 9,273  9,162  18,435 

    7. Age 6 8,565  8,597  17,162 

    8. Age 7 7,781  7,414  15,195 

    9. Age 8 7,406  7,134  14,540 

    10. Age 9 7,266  6,924  14,190 

    11. Age 10 6,805  6,706  13,511 

    12. Age 11 7,120  7,094  14,214 

    13. Age 12 7,380  6,956  14,336 

    14. Age 13 7,011  7,021  14,032 

    15. Age 14 6,908  7,281  14,189 

    16. Age 15 6,468  7,651  14,119 

    17. Age 16 6,500  8,178  14,678 

    18. Age 17 6,275  9,009  15,284 

    19. Age 18 5,262  9,207  14,469 

    20. Age 19 4,402  9,123  13,525 

    Subtotal Patients (Sum lines 1-20) 156,454  167,751  324,205 

    21. Age 20 4,306  9,217  13,523 

    22. Age 21 4,332  9,565  13,897 

    23. Age 22 4,477  9,700  14,177 

    24. Age 23 4,477  9,628  14,105 

    25. Age 24 4,612  9,713  14,325 

    26. Ages 25 - 29 22,899  45,039  67,938 

    27. Ages 30 - 34 22,851  40,915  63,766 

    28. Ages 35 - 39 21,465  35,809  57,274 

    29. Ages 40 - 44 24,171  36,190  60,361 

    30. Ages 45 - 49 28,043  37,285  65,328 

    31. Ages 50 - 54 29,090  38,774  67,864 

    32. Ages 55 - 59 25,198  34,837  60,035 

    33. Ages 60 - 64 18,183  28,230  46,413 

    Subtotal Patients (Sum lines 21-33) 214,104  344,902  559,006 

    34. Ages 65 - 69 10,660  16,844  27,504 

    35. Ages 70 - 74 6,665  9,900  16,565 

    36. Ages 75 - 79 4,249  6,795  11,044 

    37. Ages 80 - 84 2,579  4,329  6,908 

    38. Ages 85 and over 1,875  4,135  6,010 

    Subtotal Patients (Sum lines 34-38) 26,028  42,003  68,031 

    39. Total Patients (Sum lines 1-38) 396,586  554,656  951,242 

    % of Total 41.7%  58.3%   

    Page 5

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 3B - Patients by Hispanic or Latino Ethnicity / Race / Language - 2012

    National - Universal - 93 Grantees

     

    S.No. Patients by Race

    Patients by Hispanic or Latino Ethnicity

    Hispanic/Latino

    (a)

    Non-

    Hispanic/Latino

    (b)

    Unreported/Refused to

    Report (c)

    Total

    (d)

    Number % of Total Number % of Total % of Known

    1. Asian 569  55,856      56,425  5.9%  8.2% 

    2a. Native Hawaiian 235  359      594  0.1%  0.1% 

    2b. Other Pacific Islander 1,866  2,181      4,047  0.4%  0.6% 

    2. Total Hawaiian/Pacific Islander (Sum lines

    2a+2b) 2,101  2,540      4,641  0.5%  0.7% 

    3. Black/African American 4,767  209,290      214,057  22.5%  31.1% 

    4. American Indian/Alaska native 648  7,089      7,737  0.8%  1.1% 

    5. White 130,555  251,274      381,829  40.1%  55.4% 

    6. More than one race 9,408  14,803      24,211  2.5%  3.5% 

    6a. Total Known (Sum lines 1+2+3+4+5+6) 148,048  540,852      688,900     

    7. Unreported/Refused to report 167,469  24,507  70,366  7.4%  262,342  27.6%   

    8. Total Patients(Sum lines 1+2+3 to 7) 315,517  565,359  70,366  7.4%  951,242  100%   

      % of Known (a) % of Known (b)  

    9. Total Patients 35.8%  64.2%   

    S.No. Patients by Language Number (a) % of Total

    12. Patients best served in a language other than English 222,539  23.4% 

    % may not equal 100% due to rounding

    Page 6

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 4 - Selected Patient Characteristics - 2012

    National - Universal - 93 Grantees

     

    S.No. Characteristic Number of Patients

    (a) % of Total % of Known

    Income as Percent of Poverty Level

    1. 100% and Below 455,521  47.9%  71.8% 

    2. 101 - 150% 91,474  9.6%  14.4% 

    3. 151 - 200% 28,917  3.0%  4.6% 

    4. Over 200% 58,143  6.1%  9.2% 

    5. Unknown 317,187  33.3%   

    6. Total (Sum lines 1-5) 951,242  100%   

    Principal Third Party Medical Insurance Source Ages 0 - 19 (a) Ages 20+ (b) Total %

    7. None/Uninsured 48,044  252,190  300,234  31.6% 

    8a. Regular Medicaid (Title XIX) 220,617  188,723  409,340  43.0% 

    8b. CHIP Medicaid 11,387  249  11,636  1.2% 

    8. Total Medicaid (Sum lines 8a+8b) 232,004  188,972  420,976  44.3% 

    9. Medicare (Title XVIII) 455  76,888  77,343  8.1% 

    10a. Other Public Insurance Non-CHIP 7,396  20,412  27,808  2.9% 

    10b. Other Public Insurance CHIP 6,167  188  6,355  0.7% 

    10. Total Public Insurance

    (Sum lines 10a+10b) 13,563  20,600  34,163  3.6% 

    11. Private Insurance 30,139  88,387  118,526  12.5% 

    12. Total (Sum Lines 7+8+9+10+11) 324,205  627,037  951,242  100% 

    Managed Care Utilization

    S.No. Payor Category Medicaid

    (a)

    Medicare

    (b)

    Other Public

    Including Non-

    Medicaid CHIP

    (c)

    Private

    (d)

    Total

    (e)

    13a. Capitated Member months          

    13b. Fee-for-service Member months          

    13c. Total Member Months

    (Sum lines 13a+13b)          

    S.No. Characteristics - Special Populations Number of

    Patients (a) %

    14. Migratory (330g grantees only)    

    15. Seasonal (330g grantees only)    

      Migratory/Seasonal (non-330 g grantees)    

    16. Total Agricultural Workers or Dependents

    (All Grantees Report This Line) 17,946  100% 

    17. Homeless Shelter (330h grantees only)    

    18. Transitional (330h grantees only)    

    19. Doubling Up (330h grantees only)    

    20. Street (330h grantees only)    

    21. Other (330h grantees only)    

    22. Unknown (330h grantees only)    

      Homeless (non-330 h grantees)    

    23. Total Homeless (All Grantees Report This Line) 24,412  100% 

    24. Total School Based Health Center Patients

    (All Grantees Report This Line) 12,762   

    25. Total Veterans (All Grantees Report this Line) 5,286   

    % may not equal 100% due to rounding

    Page 7

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    1. Family Physicians 276.59  839,695   

    2. General Practitioners 17.80  62,807   

    3. Internists 113.14  423,427   

    4. Obstetrician/Gynecologists 28.56  95,750   

    5. Pediatricians 107.90  363,653   

    7. Other Specialty Physicians 22.05  64,207   

    8. Total Physicians (Sum lines 1-7) 566.04  1,849,539   

    9a. Nurse Practitioners 169.65  462,707   

    9b. Physician Assistants 86.58  284,737   

    10. Certified Nurse Midwives 19.42  49,573   

    10a. Total NP, PA, CNMs (Sum lines 9a-10) 275.65  797,017   

    11. Nurses 471.77  98,028   

    12. Other Medical Personnel 878.62     

    13. Laboratory Personnel 80.89     

    14. X-Ray Personnel 33.76     

    15. Total Medical Services (Sum lines 8+10a through 14) 2,306.73  2,744,584  873,042 

    16. Dentists 74.70  222,032   

    17. Dental Hygienists 25.97  31,777   

    18. Dental Assistants, Aides, Techs 157.43     

    19. Total Dental Services (Sum lines 16-18) 258.10  253,809  107,785 

    20a. Psychiatrists 33.81  70,062   

    20a1. Licensed Clinical Psychologists 22.16  20,144   

    20a2. Licensed Clinical Social Workers 89.60  73,140   

    20b. Other Licensed Mental Health Providers 80.45  52,785   

    20c. Other Mental Health Staff 75.92  36,230   

    20. Total Mental Health Services (Sum lines 20a-20c) 301.94  252,361  46,270 

    21. Substance Abuse Services 12.07  6,064  505 

    22. Other Professional Services 31.52  43,404  7,815 

    22a. Ophthalmologist 0.38  2,431   

    22b. Optometrist 7.03  17,089   

    22c. Other Vision Care Staff 5.31     

    22d. Total Vision Services (Sum lines 22a-22c) 12.72  19,520  12,616 

    23. Pharmacy Personnel 122.51     

    24. Case Managers 121.19  92,273   

    25. Patient/Community Education Specialists 84.92  36,473   

    26. Outreach Workers 69.24     

    27. Transportation Staff 8.72     

    27a. Eligibility Assistance Workers 89.26     

    27b. Interpretation Staff 20.05     

    28. Other Enabling Services 46.06     

    29. Total Enabling Services (Sum lines 24-28) 439.44  128,746  50,841 

    29a. Other Programs/Services 50.69     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    30a. Management and Support Staff 781.77     

    30b. Fiscal and Billing Staff 358.61     

    30c. IT Staff 79.53     

    31. Facility Staff 116.26     

    32. Patient Support Staff 835.29     

    33. Total Facility and Non-Clinical Support Services(Lines 30a

    through 32) 2,171.46     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 5,707.18  3,448,488   

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    1. Family Physicians 12.0%  4.8%  30.6%  24.3% 

    2. General Practitioners 0.8%  0.3%  2.3%  1.8% 

    3. Internists 4.9%  2.0%  15.4%  12.3% 

    4. Obstetrician/Gynecologists 1.2%  0.5%  3.5%  2.8% 

    5. Pediatricians 4.7%  1.9%  13.2%  10.5% 

    7. Other Specialty Physicians 1.0%  0.4%  2.3%  1.9% 

    8. Total Physicians (Sum lines 1-7) 24.5%  9.9%  67.4%  53.6% 

    9a. Nurse Practitioners 7.4%  3.0%  16.9%  13.4% 

    9b. Physician Assistants 3.8%  1.5%  10.4%  8.3% 

    10. Certified Nurse Midwives 0.8%  0.3%  1.8%  1.4% 

    10a. Total NPs,PAs,CNMs (Sum lines 9a-10) 11.9%  4.8%  29.0%  23.1% 

    11. Nurses 20.5%  8.3%  3.6%  2.8% 

    12. Other Medical Personnel 38.1%  15.4%     

    13. Laboratory Personnel 3.5%  1.4%     

    14. X-Ray Personnel 1.5%  0.6%     

    15. Total Medical (Sum lines 8+10a through 14) 100%  40.4%  100%  79.6% 

    16. Dentists 28.9%  1.3%  87.5%  6.4% 

    17. Dental Hygienists 10.1%  0.5%  12.5%  0.9% 

    18. Dental Assistance,Aides,Techs 61.0%  2.8%     

    19. Total Dental Services (Sum lines 16-18) 100%  4.5%  100%  7.4% 

    20a. Psychiatrists 11.2%  0.6%  27.8%  2.0% 

    20a1. Licensed Clinical Psychologists 7.3%  0.4%  8.0%  0.6% 

    20a2. Licensed Clinical Social Workers 29.7%  1.6%  29.0%  2.1% 

    20b. Other Licensed Mental Health Providers 26.6%  1.4%  20.9%  1.5% 

    20c. Other Mental Health Staff 25.1%  1.3%  14.4%  1.1% 

    20. Total Mental Health Services (Sum lines 20a-20c) 100%  5.3%  100%  7.3% 

    21. Substance Abuse Services 100%  0.2%  100%  0.2% 

    22. Other Professional Services 100%  0.6%  100%  1.3% 

    22a. Ophthalmologist 3.0%  0.0%  12.5%  0.1% 

    22b. Optometrist 55.3%  0.1%  87.5%  0.5% 

    22c. Other Vision Care Staff 41.7%  0.1%     

    22d. Total Vision Services (Sum lines 22a-22c) 100%  0.2%  100%  0.6% 

    23. Pharmacy Personnel 100%  2.1%     

    24. Case Managers 27.6%  2.1%  71.7%  2.7% 

    25. Patient/Community Education Specialists 19.3%  1.5%  28.3%  1.1% 

    26. Outreach Workers 15.8%  1.2%     

    27. Transportation Staff 2.0%  0.2%     

    27a. Eligibility Assistance Workers 20.3%  1.6%     

    27b. Interpretation Staff 4.6%  0.4%     

    28. Other Enabling Services 10.5%  0.8%     

    29. Total Enabling Services (Sum lines 24-28) 100%  7.7%  100%  3.7% 

    29a. Other Programs/Services 100%  0.9%     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    30a. Management and Support Staff   13.7%     

    30b. Fiscal and Billing Staff   6.3%     

    30c. IT Staff   1.4%     

    31. Facility Staff   2.0%     

    32. Patient Support Staff   14.6%     

    33. Total Facility and Non Clinical Support Staff (Sum lines 30a-

    32) 100%  38.0%     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33)   100%    100% 

    Clinic Visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

    Page 8

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    1. Family Physicians 276.59  839,695   

    2. General Practitioners 17.80  62,807   

    3. Internists 113.14  423,427   

    4. Obstetrician/Gynecologists 28.56  95,750   

    5. Pediatricians 107.90  363,653   

    7. Other Specialty Physicians 22.05  64,207   

    8. Total Physicians (Sum lines 1-7) 566.04  1,849,539   

    9a. Nurse Practitioners 169.65  462,707   

    9b. Physician Assistants 86.58  284,737   

    10. Certified Nurse Midwives 19.42  49,573   

    10a. Total NP, PA, CNMs (Sum lines 9a-10) 275.65  797,017   

    11. Nurses 471.77  98,028   

    12. Other Medical Personnel 878.62     

    13. Laboratory Personnel 80.89     

    14. X-Ray Personnel 33.76     

    15. Total Medical Services (Sum lines 8+10a through 14) 2,306.73  2,744,584  873,042 

    16. Dentists 74.70  222,032   

    17. Dental Hygienists 25.97  31,777   

    18. Dental Assistants, Aides, Techs 157.43     

    19. Total Dental Services (Sum lines 16-18) 258.10  253,809  107,785 

    20a. Psychiatrists 33.81  70,062   

    20a1. Licensed Clinical Psychologists 22.16  20,144   

    20a2. Licensed Clinical Social Workers 89.60  73,140   

    20b. Other Licensed Mental Health Providers 80.45  52,785   

    20c. Other Mental Health Staff 75.92  36,230   

    20. Total Mental Health Services (Sum lines 20a-20c) 301.94  252,361  46,270 

    21. Substance Abuse Services 12.07  6,064  505 

    22. Other Professional Services 31.52  43,404  7,815 

    22a. Ophthalmologist 0.38  2,431   

    22b. Optometrist 7.03  17,089   

    22c. Other Vision Care Staff 5.31     

    22d. Total Vision Services (Sum lines 22a-22c) 12.72  19,520  12,616 

    23. Pharmacy Personnel 122.51     

    24. Case Managers 121.19  92,273   

    25. Patient/Community Education Specialists 84.92  36,473   

    26. Outreach Workers 69.24     

    27. Transportation Staff 8.72     

    27a. Eligibility Assistance Workers 89.26     

    27b. Interpretation Staff 20.05     

    28. Other Enabling Services 46.06     

    29. Total Enabling Services (Sum lines 24-28) 439.44  128,746  50,841 

    29a. Other Programs/Services 50.69     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    30a. Management and Support Staff 781.77     

    30b. Fiscal and Billing Staff 358.61     

    30c. IT Staff 79.53     

    31. Facility Staff 116.26     

    32. Patient Support Staff 835.29     

    33. Total Facility and Non-Clinical Support Services(Lines 30a

    through 32) 2,171.46     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 5,707.18  3,448,488   

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    1. Family Physicians 12.0%  4.8%  30.6%  24.3% 

    2. General Practitioners 0.8%  0.3%  2.3%  1.8% 

    3. Internists 4.9%  2.0%  15.4%  12.3% 

    4. Obstetrician/Gynecologists 1.2%  0.5%  3.5%  2.8% 

    5. Pediatricians 4.7%  1.9%  13.2%  10.5% 

    7. Other Specialty Physicians 1.0%  0.4%  2.3%  1.9% 

    8. Total Physicians (Sum lines 1-7) 24.5%  9.9%  67.4%  53.6% 

    9a. Nurse Practitioners 7.4%  3.0%  16.9%  13.4% 

    9b. Physician Assistants 3.8%  1.5%  10.4%  8.3% 

    10. Certified Nurse Midwives 0.8%  0.3%  1.8%  1.4% 

    10a. Total NPs,PAs,CNMs (Sum lines 9a-10) 11.9%  4.8%  29.0%  23.1% 

    11. Nurses 20.5%  8.3%  3.6%  2.8% 

    12. Other Medical Personnel 38.1%  15.4%     

    13. Laboratory Personnel 3.5%  1.4%     

    14. X-Ray Personnel 1.5%  0.6%     

    15. Total Medical (Sum lines 8+10a through 14) 100%  40.4%  100%  79.6% 

    16. Dentists 28.9%  1.3%  87.5%  6.4% 

    17. Dental Hygienists 10.1%  0.5%  12.5%  0.9% 

    18. Dental Assistance,Aides,Techs 61.0%  2.8%     

    19. Total Dental Services (Sum lines 16-18) 100%  4.5%  100%  7.4% 

    20a. Psychiatrists 11.2%  0.6%  27.8%  2.0% 

    20a1. Licensed Clinical Psychologists 7.3%  0.4%  8.0%  0.6% 

    20a2. Licensed Clinical Social Workers 29.7%  1.6%  29.0%  2.1% 

    20b. Other Licensed Mental Health Providers 26.6%  1.4%  20.9%  1.5% 

    20c. Other Mental Health Staff 25.1%  1.3%  14.4%  1.1% 

    20. Total Mental Health Services (Sum lines 20a-20c) 100%  5.3%  100%  7.3% 

    21. Substance Abuse Services 100%  0.2%  100%  0.2% 

    22. Other Professional Services 100%  0.6%  100%  1.3% 

    22a. Ophthalmologist 3.0%  0.0%  12.5%  0.1% 

    22b. Optometrist 55.3%  0.1%  87.5%  0.5% 

    22c. Other Vision Care Staff 41.7%  0.1%     

    22d. Total Vision Services (Sum lines 22a-22c) 100%  0.2%  100%  0.6% 

    23. Pharmacy Personnel 100%  2.1%     

    24. Case Managers 27.6%  2.1%  71.7%  2.7% 

    25. Patient/Community Education Specialists 19.3%  1.5%  28.3%  1.1% 

    26. Outreach Workers 15.8%  1.2%     

    27. Transportation Staff 2.0%  0.2%     

    27a. Eligibility Assistance Workers 20.3%  1.6%     

    27b. Interpretation Staff 4.6%  0.4%     

    28. Other Enabling Services 10.5%  0.8%     

    29. Total Enabling Services (Sum lines 24-28) 100%  7.7%  100%  3.7% 

    29a. Other Programs/Services 100%  0.9%     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    30a. Management and Support Staff   13.7%     

    30b. Fiscal and Billing Staff   6.3%     

    30c. IT Staff   1.4%     

    31. Facility Staff   2.0%     

    32. Patient Support Staff   14.6%     

    33. Total Facility and Non Clinical Support Staff (Sum lines 30a-

    32) 100%  38.0%     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33)   100%    100% 

    Clinic Visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

    Page 9

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    1. Family Physicians 276.59  839,695   

    2. General Practitioners 17.80  62,807   

    3. Internists 113.14  423,427   

    4. Obstetrician/Gynecologists 28.56  95,750   

    5. Pediatricians 107.90  363,653   

    7. Other Specialty Physicians 22.05  64,207   

    8. Total Physicians (Sum lines 1-7) 566.04  1,849,539   

    9a. Nurse Practitioners 169.65  462,707   

    9b. Physician Assistants 86.58  284,737   

    10. Certified Nurse Midwives 19.42  49,573   

    10a. Total NP, PA, CNMs (Sum lines 9a-10) 275.65  797,017   

    11. Nurses 471.77  98,028   

    12. Other Medical Personnel 878.62     

    13. Laboratory Personnel 80.89     

    14. X-Ray Personnel 33.76     

    15. Total Medical Services (Sum lines 8+10a through 14) 2,306.73  2,744,584  873,042 

    16. Dentists 74.70  222,032   

    17. Dental Hygienists 25.97  31,777   

    18. Dental Assistants, Aides, Techs 157.43     

    19. Total Dental Services (Sum lines 16-18) 258.10  253,809  107,785 

    20a. Psychiatrists 33.81  70,062   

    20a1. Licensed Clinical Psychologists 22.16  20,144   

    20a2. Licensed Clinical Social Workers 89.60  73,140   

    20b. Other Licensed Mental Health Providers 80.45  52,785   

    20c. Other Mental Health Staff 75.92  36,230   

    20. Total Mental Health Services (Sum lines 20a-20c) 301.94  252,361  46,270 

    21. Substance Abuse Services 12.07  6,064  505 

    22. Other Professional Services 31.52  43,404  7,815 

    22a. Ophthalmologist 0.38  2,431   

    22b. Optometrist 7.03  17,089   

    22c. Other Vision Care Staff 5.31     

    22d. Total Vision Services (Sum lines 22a-22c) 12.72  19,520  12,616 

    23. Pharmacy Personnel 122.51     

    24. Case Managers 121.19  92,273   

    25. Patient/Community Education Specialists 84.92  36,473   

    26. Outreach Workers 69.24     

    27. Transportation Staff 8.72     

    27a. Eligibility Assistance Workers 89.26     

    27b. Interpretation Staff 20.05     

    28. Other Enabling Services 46.06     

    29. Total Enabling Services (Sum lines 24-28) 439.44  128,746  50,841 

    29a. Other Programs/Services 50.69     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    30a. Management and Support Staff 781.77     

    30b. Fiscal and Billing Staff 358.61     

    30c. IT Staff 79.53     

    31. Facility Staff 116.26     

    32. Patient Support Staff 835.29     

    33. Total Facility and Non-Clinical Support Services(Lines 30a

    through 32) 2,171.46     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 5,707.18  3,448,488   

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    1. Family Physicians 12.0%  4.8%  30.6%  24.3% 

    2. General Practitioners 0.8%  0.3%  2.3%  1.8% 

    3. Internists 4.9%  2.0%  15.4%  12.3% 

    4. Obstetrician/Gynecologists 1.2%  0.5%  3.5%  2.8% 

    5. Pediatricians 4.7%  1.9%  13.2%  10.5% 

    7. Other Specialty Physicians 1.0%  0.4%  2.3%  1.9% 

    8. Total Physicians (Sum lines 1-7) 24.5%  9.9%  67.4%  53.6% 

    9a. Nurse Practitioners 7.4%  3.0%  16.9%  13.4% 

    9b. Physician Assistants 3.8%  1.5%  10.4%  8.3% 

    10. Certified Nurse Midwives 0.8%  0.3%  1.8%  1.4% 

    10a. Total NPs,PAs,CNMs (Sum lines 9a-10) 11.9%  4.8%  29.0%  23.1% 

    11. Nurses 20.5%  8.3%  3.6%  2.8% 

    12. Other Medical Personnel 38.1%  15.4%     

    13. Laboratory Personnel 3.5%  1.4%     

    14. X-Ray Personnel 1.5%  0.6%     

    15. Total Medical (Sum lines 8+10a through 14) 100%  40.4%  100%  79.6% 

    16. Dentists 28.9%  1.3%  87.5%  6.4% 

    17. Dental Hygienists 10.1%  0.5%  12.5%  0.9% 

    18. Dental Assistance,Aides,Techs 61.0%  2.8%     

    19. Total Dental Services (Sum lines 16-18) 100%  4.5%  100%  7.4% 

    20a. Psychiatrists 11.2%  0.6%  27.8%  2.0% 

    20a1. Licensed Clinical Psychologists 7.3%  0.4%  8.0%  0.6% 

    20a2. Licensed Clinical Social Workers 29.7%  1.6%  29.0%  2.1% 

    20b. Other Licensed Mental Health Providers 26.6%  1.4%  20.9%  1.5% 

    20c. Other Mental Health Staff 25.1%  1.3%  14.4%  1.1% 

    20. Total Mental Health Services (Sum lines 20a-20c) 100%  5.3%  100%  7.3% 

    21. Substance Abuse Services 100%  0.2%  100%  0.2% 

    22. Other Professional Services 100%  0.6%  100%  1.3% 

    22a. Ophthalmologist 3.0%  0.0%  12.5%  0.1% 

    22b. Optometrist 55.3%  0.1%  87.5%  0.5% 

    22c. Other Vision Care Staff 41.7%  0.1%     

    22d. Total Vision Services (Sum lines 22a-22c) 100%  0.2%  100%  0.6% 

    23. Pharmacy Personnel 100%  2.1%     

    24. Case Managers 27.6%  2.1%  71.7%  2.7% 

    25. Patient/Community Education Specialists 19.3%  1.5%  28.3%  1.1% 

    26. Outreach Workers 15.8%  1.2%     

    27. Transportation Staff 2.0%  0.2%     

    27a. Eligibility Assistance Workers 20.3%  1.6%     

    27b. Interpretation Staff 4.6%  0.4%     

    28. Other Enabling Services 10.5%  0.8%     

    29. Total Enabling Services (Sum lines 24-28) 100%  7.7%  100%  3.7% 

    29a. Other Programs/Services 100%  0.9%     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    30a. Management and Support Staff   13.7%     

    30b. Fiscal and Billing Staff   6.3%     

    30c. IT Staff   1.4%     

    31. Facility Staff   2.0%     

    32. Patient Support Staff   14.6%     

    33. Total Facility and Non Clinical Support Staff (Sum lines 30a-

    32) 100%  38.0%     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33)   100%    100% 

    Clinic Visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

    Page 10

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    1. Family Physicians 276.59  839,695   

    2. General Practitioners 17.80  62,807   

    3. Internists 113.14  423,427   

    4. Obstetrician/Gynecologists 28.56  95,750   

    5. Pediatricians 107.90  363,653   

    7. Other Specialty Physicians 22.05  64,207   

    8. Total Physicians (Sum lines 1-7) 566.04  1,849,539   

    9a. Nurse Practitioners 169.65  462,707   

    9b. Physician Assistants 86.58  284,737   

    10. Certified Nurse Midwives 19.42  49,573   

    10a. Total NP, PA, CNMs (Sum lines 9a-10) 275.65  797,017   

    11. Nurses 471.77  98,028   

    12. Other Medical Personnel 878.62     

    13. Laboratory Personnel 80.89     

    14. X-Ray Personnel 33.76     

    15. Total Medical Services (Sum lines 8+10a through 14) 2,306.73  2,744,584  873,042 

    16. Dentists 74.70  222,032   

    17. Dental Hygienists 25.97  31,777   

    18. Dental Assistants, Aides, Techs 157.43     

    19. Total Dental Services (Sum lines 16-18) 258.10  253,809  107,785 

    20a. Psychiatrists 33.81  70,062   

    20a1. Licensed Clinical Psychologists 22.16  20,144   

    20a2. Licensed Clinical Social Workers 89.60  73,140   

    20b. Other Licensed Mental Health Providers 80.45  52,785   

    20c. Other Mental Health Staff 75.92  36,230   

    20. Total Mental Health Services (Sum lines 20a-20c) 301.94  252,361  46,270 

    21. Substance Abuse Services 12.07  6,064  505 

    22. Other Professional Services 31.52  43,404  7,815 

    22a. Ophthalmologist 0.38  2,431   

    22b. Optometrist 7.03  17,089   

    22c. Other Vision Care Staff 5.31     

    22d. Total Vision Services (Sum lines 22a-22c) 12.72  19,520  12,616 

    23. Pharmacy Personnel 122.51     

    24. Case Managers 121.19  92,273   

    25. Patient/Community Education Specialists 84.92  36,473   

    26. Outreach Workers 69.24     

    27. Transportation Staff 8.72     

    27a. Eligibility Assistance Workers 89.26     

    27b. Interpretation Staff 20.05     

    28. Other Enabling Services 46.06     

    29. Total Enabling Services (Sum lines 24-28) 439.44  128,746  50,841 

    29a. Other Programs/Services 50.69     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs

    (a)

    Clinic Visits

    (b)

    Patients

    (c)

    30a. Management and Support Staff 781.77     

    30b. Fiscal and Billing Staff 358.61     

    30c. IT Staff 79.53     

    31. Facility Staff 116.26     

    32. Patient Support Staff 835.29     

    33. Total Facility and Non-Clinical Support Services(Lines 30a

    through 32) 2,171.46     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 5,707.18  3,448,488   

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    1. Family Physicians 12.0%  4.8%  30.6%  24.3% 

    2. General Practitioners 0.8%  0.3%  2.3%  1.8% 

    3. Internists 4.9%  2.0%  15.4%  12.3% 

    4. Obstetrician/Gynecologists 1.2%  0.5%  3.5%  2.8% 

    5. Pediatricians 4.7%  1.9%  13.2%  10.5% 

    7. Other Specialty Physicians 1.0%  0.4%  2.3%  1.9% 

    8. Total Physicians (Sum lines 1-7) 24.5%  9.9%  67.4%  53.6% 

    9a. Nurse Practitioners 7.4%  3.0%  16.9%  13.4% 

    9b. Physician Assistants 3.8%  1.5%  10.4%  8.3% 

    10. Certified Nurse Midwives 0.8%  0.3%  1.8%  1.4% 

    10a. Total NPs,PAs,CNMs (Sum lines 9a-10) 11.9%  4.8%  29.0%  23.1% 

    11. Nurses 20.5%  8.3%  3.6%  2.8% 

    12. Other Medical Personnel 38.1%  15.4%     

    13. Laboratory Personnel 3.5%  1.4%     

    14. X-Ray Personnel 1.5%  0.6%     

    15. Total Medical (Sum lines 8+10a through 14) 100%  40.4%  100%  79.6% 

    16. Dentists 28.9%  1.3%  87.5%  6.4% 

    17. Dental Hygienists 10.1%  0.5%  12.5%  0.9% 

    18. Dental Assistance,Aides,Techs 61.0%  2.8%     

    19. Total Dental Services (Sum lines 16-18) 100%  4.5%  100%  7.4% 

    20a. Psychiatrists 11.2%  0.6%  27.8%  2.0% 

    20a1. Licensed Clinical Psychologists 7.3%  0.4%  8.0%  0.6% 

    20a2. Licensed Clinical Social Workers 29.7%  1.6%  29.0%  2.1% 

    20b. Other Licensed Mental Health Providers 26.6%  1.4%  20.9%  1.5% 

    20c. Other Mental Health Staff 25.1%  1.3%  14.4%  1.1% 

    20. Total Mental Health Services (Sum lines 20a-20c) 100%  5.3%  100%  7.3% 

    21. Substance Abuse Services 100%  0.2%  100%  0.2% 

    22. Other Professional Services 100%  0.6%  100%  1.3% 

    22a. Ophthalmologist 3.0%  0.0%  12.5%  0.1% 

    22b. Optometrist 55.3%  0.1%  87.5%  0.5% 

    22c. Other Vision Care Staff 41.7%  0.1%     

    22d. Total Vision Services (Sum lines 22a-22c) 100%  0.2%  100%  0.6% 

    23. Pharmacy Personnel 100%  2.1%     

    24. Case Managers 27.6%  2.1%  71.7%  2.7% 

    25. Patient/Community Education Specialists 19.3%  1.5%  28.3%  1.1% 

    26. Outreach Workers 15.8%  1.2%     

    27. Transportation Staff 2.0%  0.2%     

    27a. Eligibility Assistance Workers 20.3%  1.6%     

    27b. Interpretation Staff 4.6%  0.4%     

    28. Other Enabling Services 10.5%  0.8%     

    29. Total Enabling Services (Sum lines 24-28) 100%  7.7%  100%  3.7% 

    29a. Other Programs/Services 100%  0.9%     

    Clinic visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5 - Staffing and Utilization - 2012

    National - Universal - 93 Grantees

     

    S.No Personnel by Major Service Category FTEs Clinic Visits

    % Group % Total % Group % Total

    30a. Management and Support Staff   13.7%     

    30b. Fiscal and Billing Staff   6.3%     

    30c. IT Staff   1.4%     

    31. Facility Staff   2.0%     

    32. Patient Support Staff   14.6%     

    33. Total Facility and Non Clinical Support Staff (Sum lines 30a-

    32) 100%  38.0%     

    34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33)   100%    100% 

    Clinic Visits are shown only for personnel that generate reportable visits

    Subtotals may differ from the sum of cells due to rounding

    % may not equal 100% due to rounding

    Page 11

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 5A - Tenure for Health Center Staff - 2012

    National - Universal - 93 Grantees

     

    S.No Key Staff Full and Part Time

    Persons (a) Total Months (b)

    Locum, On-Call, etc

    Persons (c) Total Months (d)

    1. Family Physicians 454 25,508 88 1,922

    2. General Practitioners 25 824 3 14

    3. Internists 180 17,833 51 866

    4. Obstetrician/Gynecologists 92 4,497 30 673

    5. Pediatricians 159 13,493 7 84

    7. Other Specialty Physicians 75 5,633 124 3,717

    9a. Nurse Practitioners 274 11,918 16 185

    9b. Physician Assistants 107 4,845 7 224

    10. Certified Nurse Midwives 49 2,414 1 20

    11. Nurses 565 47,960 13 529

    16. Dentists 93 6,720 11 213

    17. Dental Hygienists 35 1,510 3 76

    20a. Psychiatrists 58 3,268 1 72

    20a1. Licensed Clinical Psychologists 27 1,145 0 0

    20a2. Licensed Clinical Social Workers 101 4,660 5 49

    20b. Other Licensed Mental Health Providers 106 4,265 1 12

    22a. Ophthalmologist 7 592 0 0

    22b. Optometrist 9 870 1 57

    30a1. Chief Executive Officer 87 8,010 1 12

    30a2. Chief Medical Officer 78 5,209 1 12

    30a3. Chief Financial Officer 72 5,327 4 210

    30a4. Chief Information Officer 31 2,095 1 12

    Page 12

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 6B - Quality of Care Indicators - 2012

    National - Universal - 93 Grantees

     

    Section A - Age Categories For Prenatal Patients (Grantees Who Provide Prenatal Care Only)

    Demographic Characteristics of Prenatal Care Patients

    S.No Age Number of Patients

    (a) Percent

    1. Less than 15 Years 67  0.3% 

    2. Ages 15 - 19 2,969  13.8% 

    3. Ages 20 - 24 6,524  30.4% 

    4. Ages 25 - 44 11,741  54.7% 

    5. Ages 45 and Over 165  0.8% 

    6. Total Patients (Sum lines 1-5) 21,466  100% 

    Section B - Trimester of Entry Into Prenatal Care

    S.NoTrimester of First Known Visit for Women

    Receiving Prenatal Care During Reporting Year

    Women Having First Visit with Grantee Women Having First Visit with Another

    Provider % Total

    (a) % (b) %

    7. First Trimester 13,171  61.4%  579  2.7%  64.1% 

    8. Second Trimester 5,697  26.5%  462  2.2%  28.7% 

    9. Third Trimester 1,349  6.3%  208  1.0%  7.3% 

    Section C - Childhood Immunization

    S.No Childhood Immunization

    Total Number Patients with

    2nd Birthday

    During Measurement Year

    (a)

    Estimated number patients

    immunized

    (b)

    Estimated % patients

    immunized

    10.

    Children who have received age appropriate vaccines who had

    their 2nd birthday during measurement year (on or prior to 31

    December) *

    16,333  8,422  51.6% 

    Section D - Cervical Cancer Screening

    S.No Pap Test

    Total Number of Female

    Patients 24-64 Years of Age

    (a)

    Estimated Number Patients

    tested

    (b)

    Estimated % Patients

    Tested

    11. Female patients aged 24-64 who received one or more Pap tests

    to screen for cervical cancer 265,687  144,273  54.3% 

    Section E –Weight Assessment And Counseling For Children And Adolescents

    S.No Child and Adolescent Weight Assessment and Counseling

    Total Patients Aged 3 – 17 on

    December 31

    (a)

    Estimated number patients

    Assessed and Counseled

    (b)

    Estimated % patients

    Assessed and Counseled

    12.

    Children and adolescents aged 3 through 17 during

    measurement year (on or prior to 31 December) with a BMI

    percentile, and counseling on nutrition and physical activity

    documented for the current year

    196,945  124,073  63.0% 

    Section F – Adult Weight Screening And Follow-Up

    S.No Adult Weight Screening and Follow-Up Total Patients 18 and Over

    (a)

    Estimated number patients

    with BMI Charted and Follow-

    Up Plan Documented as

    Appropriate

    (b)

    Estimated % patients with

    BMI Charted and Follow-

    Up Plan Documented as

    Appropriate

    13. Patients aged 19 and over with (1) BMI charged and (2) follow-up

    plan documented if patients are overweight or underweight 553,242  296,705  53.6% 

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 6B - Quality of Care Indicators - 2012

    National - Universal - 93 Grantees

     

    Section G1 – Tobacco Assessment

    S.No Tobacco Assessment Total Patients 18 and Over

    (a)

    Estimated number patients

    assessed for Tobacco use

    (b)

    Estimated % patients

    assessed for Tobacco

    use

    14. Patients queried about tobacco use one or more times in the

    measurement year or prior year 466,669  391,216  83.8% 

    Section G2 – Tobacco Cessation Intervention

    S.No Tobacco Cessation Intervention Total Patients Using Tobacco

    (a)

    Estimated number patients

    Advised to Quit

    (b)

    Estimated % patients

    Advised to Quit

    15. Tobacco users aged 18 or older who have received cessation

    advice or medication 79,745  47,074  59.0% 

    Section H – Asthma Pharmacological Therapy

    S.No Asthma Treatment Plan

    Total Patients aged 5-40 with

    Persistent Asthma

    (a)

    Estimated number with

    Acceptable Plan

    (b)

    Estimated % patients with

    Acceptable Plan

    16. Patients aged 5 through 40 diagnosed with persistent asthma

    who have an acceptable pharmacological treatment plan 23,387  18,870  80.7% 

    Section I – Coronary Artery Disease (CAD): Lipid Therapy

    S.No Lipid Therapy

    Total Patients Aged 18 and

    Over with CAD Diagnosis

    (a)

    Estimated Number Patients

    Prescribed a Lipid Lowering

    Therapy

    (b)

    Estimated % Patients

    Prescribed a Lipid

    Lowering Therapy

    17. Patients aged 19 and older with a diagnosis of CAD who were

    prescribed a lipid lowering therapy 16,389  13,179  80.4% 

    Section J – Ischemic Vascular Disease (IVD): Aspirin or Antithrombotic Therapy

    S.No Aspirin or Other Antithrombotic Therapy

    Total Patients Aged 18 and

    Over with IVD Diagnosis or

    AMI, CABG, OR PTCA

    Procedure

    (a)

    Estimated Number Patients

    with Aspirin or other

    Antithrombotic Therapy

    (b)

    Estimated % Patients with

    Aspirin or other

    Antithrombotic Therapy

    18. Patients aged 18 and older with a diagnosis of IVD or AMI, CABG,

    or PTCA procedure with aspirin or another antithrombotic therapy 16,725  13,488  80.6% 

    Section K – Colorectal Cancer Screening

    S.No Colorectal Cancer Screening

    Total Patients Aged 51 – 74

    Years of Age

    (a)

    Estimated Number Patients

    with Appropriate Screening for

    Colorectal Cancer

    (b)

    Estimated % Patients with

    Appropriate Screening for

    Colorectal Cancer

    19.

    Patients age 51 through 74 years of age during measurement

    year (on or prior to 31 December) with appropriate screening for

    colorectal cancer

    189,528  70,229  37.1% 

    % may not equal 100% due to rounding

    Estimated % Patients for the Childhood Immunization, Pap Test, Weight Assessment and Counseling, Weight Screening and Follow-up, Tobacco Assessment and

    Counseling, Tobacco Cessation Advice, Asthma Treatment Plan, Coronary Artery Disease (CAD): Lipid Therapy, Ischemic Vascular Disease: Aspirin or Antithrombotic Therapy,

    and Colorectal Cancer Screening is based on the total of the estimated number of patients included in column b for each health center, for each measure, divided by the total

    number of patients in the applicable category (i.e., the Universe) for each measure.

    Page 13

  • Rollup Report

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 6B - Quality of Care Indicators - 2012

    National - Universal - 93 Grantees

     

    Section A - Age Categories For Prenatal Patients (Grantees Who Provide Prenatal Care Only)

    Demographic Characteristics of Prenatal Care Patients

    S.No Age Number of Patients

    (a) Percent

    1. Less than 15 Years 67  0.3% 

    2. Ages 15 - 19 2,969  13.8% 

    3. Ages 20 - 24 6,524  30.4% 

    4. Ages 25 - 44 11,741  54.7% 

    5. Ages 45 and Over 165  0.8% 

    6. Total Patients (Sum lines 1-5) 21,466  100% 

    Section B - Trimester of Entry Into Prenatal Care

    S.NoTrimester of First Known Visit for Women

    Receiving Prenatal Care During Reporting Year

    Women Having First Visit with Grantee Women Having First Visit with Another

    Provider % Total

    (a) % (b) %

    7. First Trimester 13,171  61.4%  579  2.7%  64.1% 

    8. Second Trimester 5,697  26.5%  462  2.2%  28.7% 

    9. Third Trimester 1,349  6.3%  208  1.0%  7.3% 

    Section C - Childhood Immunization

    S.No Childhood Immunization

    Total Number Patients with

    2nd Birthday

    During Measurement Year

    (a)

    Estimated number patients

    immunized

    (b)

    Estimated % patients

    immunized

    10.

    Children who have received age appropriate vaccines who had

    their 2nd birthday during measurement year (on or prior to 31

    December) *

    16,333  8,422  51.6% 

    Section D - Cervical Cancer Screening

    S.No Pap Test

    Total Number of Female

    Patients 24-64 Years of Age

    (a)

    Estimated Number Patients

    tested

    (b)

    Estimated % Patients

    Tested

    11. Female patients aged 24-64 who received one or more Pap tests

    to screen for cervical cancer 265,687  144,273  54.3% 

    Section E –Weight Assessment And Counseling For Children And Adolescents

    S.No Child and Adolescent Weight Assessment and Counseling

    Total Patients Aged 3 – 17 on

    December 31

    (a)

    Estimated number patients

    Assessed and Counseled

    (b)

    Estimated % patients

    Assessed and Counseled

    12.

    Children and adolescents aged 3 through 17 during

    measurement year (on or prior to 31 December) with a BMI

    percentile, and counseling on nutrition and physical activity

    documented for the current year

    196,945  124,073  63.0% 

    Section F – Adult Weight Screening And Follow-Up

    S.No Adult Weight Screening and Follow-Up Total Patients 18 and Over

    (a)

    Estimated number patients

    with BMI Charted and Follow-

    Up Plan Documented as

    Appropriate

    (b)

    Estimated % patients with

    BMI Charted and Follow-

    Up Plan Documented as

    Appropriate

    13. Patients aged 19 and over with (1) BMI charged and (2) follow-up

    plan documented if patients are overweight or underweight 553,242  296,705  53.6% 

     

    NATIONAL

    Program: FQHC Look-Alike  

    Date Requested: 06/20/2013 05:02 PM EST

    Data as of: 06/19/2013 11:59 PM EST

    Table 6B - Quality of Care Indicators - 2012

    National - Universal - 93 Grantees

     

    Section G1 – Tobacco Assessment

    S.No Tobacco Assessment Total Patients 18 and Over

    (a)

    Estimated number patients

    assessed for Tobacco use

    (b)

    Estimated % patients

    assessed for Tobacco

    use

    14. Patients queried about tobacco use one or more times in the

    measurement year or prior year 466,669  391,216  83.8% 

    Section G2 – Tobacco Cessation Intervention

    S.No Tobacco Cessation Intervention Total Patients Using Tobacco

    (a)

    Estimated number patients

    Advised to Quit

    (b)

    Estimated % patients

    Advised to Quit

    15. Tobacco users aged 18 or older who have received cessation

    advice or medication 79,745  47,074  59.0% 

    Section H – Asthma Pharmacological Therapy

    S.No Asthma Treatment Plan

    Total Patients aged 5-40 with

    Persistent Asthma

    (a)

    Estimated number with

    Acceptable Plan

    (b)

    Estimated % patients with

    Acceptable Plan

    16. Patients aged 5 through 40 diagnosed with persistent asthma

    who have an acceptable pharmacological treatment plan 23,387  18,870  80.7% 

    Section I – Coronary Artery Disease (CAD): Lipid Therapy

    S.No Lipid Therapy

    Total Patients Aged 18 and

    Over with CAD Diagnosis

    (a)

    Estimated Number Patients

    Prescribed a Lipid Lowering

    Therapy

    (b)

    Estimated % Patients

    Prescribed a Lipid

    Lowering Therapy

    17. Patients aged 19 and older with a diagnosis of CAD who were

    prescribed a lipid lowering therapy 16,389  13,179  80.4% 

    Section J – Ischemic Vascular Disease (IVD): Aspirin or Antithrombotic Therapy

    S.No Aspirin or Other Antithrombotic Therapy

    Total Patients Aged 18 and

    Over with IVD Diagnosis or

    AMI, CABG, OR PTCA

    Procedure

    (a)

    Estimated Number Patients

    with Aspirin or other

    Antithrombotic Therapy

    (b)

    Estimated % Patients with

    Aspirin or other

    Antithrombotic Therapy

    18. Patients aged 18 and older with a diagnosis of IVD or AMI, CABG,

    or PTCA procedure with aspirin or another antithrombotic therapy 16,725  13,488  80.6% 

    Section K – Colorectal Cancer Screening

    S.No Colorectal Cancer Screening

    Total Patients Aged 51 – 74

    Years of Age