FY 2018-2019 Adjusted Nonpublic Medical Assistance Day …...80 153 90 200 126 96 120 59 30 130 121 77 194 85 146 160 102 115 120 240 255

FY 2018-2019 Adjusted Nonpublic Medical Assistance Day One Incentive (MDOI) Payments ndash Adjusted Payment One and Two

The purpose of this web posting is to announce that the Department of Human Services (Department) adjusted the Medical Assistance Day One Incentive (MDOI) payments to each qualified nonpublic nursing facility for Fiscal Year (FY) 2018-2019 because a calculation error was identified

Nonpublic MDOI Adjusted Payment Information

The Department published a notice at 48 PaB 5927 (September 22 2018) announcing it intended to continue the nonpublic MDOI payments for FY 2018-2019 That notice included qualifying criteria and payment methodology for the nonpublic MDOI payments Each nursing facility may qualify for a maximum of two payments

The Department has identified that the two nonpublic MDOI payments to qualified nursing facilities were underpaid due to a calculation error Therefore the Department has recalculated the nonpublic MDOI payments As a result each qualified nursing facility will receive a minimal increase to their nonpublic MDOI payments There is no change to qualifying criteria or the payment methodology

The total funds available for the first adjusted payment is $3906381 and the Total PA MA days for qualifying nursing facilities is 2575584 which results in an adjusted nonpublic MDOI per diem amount of $0015166972 The total funds available for the second adjusted payment is $3906381 and the Total PA MA days for qualifying nursing facilities is 2743756 which results in an adjusted nonpublic MDOI per diem amount of $0014237348

Payment One

Total Nonpublic Beds from Total PA MA Resident Overall MA Qualifying MDOI

Name CHC Zone NIS Days Days Days Payments RA Date

ABINGTON CREST HEALTHCARE amp REHAB CENTER Northwest 80 3281 3739 51 88 0 000 992019 ABINGTON MANOR Northeast 119 7835 9871 91 79 7835 11883 992019 ALLIED SERVICES SKILLED NURSING CENTER Northeast 371 22823 31286 93 73 22823 34616 992019 ALTOONA CENTER FOR NURSING CARE Southwest 120 8040 9641 87 83 8040 12194 992019 AMBLER EXTENDED CARE CENTER Southeast 100 7173 8228 90 87 7173 10879 992019 ANNS CHOICE Southeast 88 971 7841 98 12 0 000 992019 ARBUTUS PARK MANOR Southwest 141 8715 12233 94 71 8715 13218 992019 ARISTACARE AT MEADOW SPRINGS Southeast 153 10714 12736 91 84 10714 16250 992019 ASBURY HEALTH CENTER Southwest 139 5162 12210 95 42 0 000 992019 ATHENS HEALTH AND REHABILITATION CENTER Northwest 90 3547 4817 59 74 0 000 992019 ATTLEBORO NURSING AND REHAB CENTER Southeast 179 9369 15137 93 62 0 000 992019 AVALON PLACE Southwest 84 5540 7267 94 76 5540 8403 992019 AVALON SPRINGS PLACE Northwest 100 6064 8067 89 75 6064 9197 992019 BALA NURSING AND RETIREMENT CENTER Southeast 180 13817 15403 94 90 13817 20956 992019 BALDWIN HEALTH CENTER Southwest 200 13123 17152 93 77 13123 19904 992019 BAPTIST HOMES OF WESTERN PENNSYLVANIA Southwest 126 7722 10302 89 75 7722 11712 992019 BARCLAY FRIENDS Southeast 96 1624 5099 58 32 0 000 992019 BARNES-KASSON COUNTY HOSPITAL SNF Northeast 58 3756 4708 89 80 3756 5697 992019 BEACON RIDGE A CHOICE COMMUNITY Southwest 118 5883 9040 83 65 0 000 992019 BEAVER HEALTHCARE AND REHABILITATION CTR Southwest 67 3950 5443 88 73 3950 5991 992019 BEAVER VALLEY HEALTH AND REHAB CENTER Southwest 120 7447 10146 92 73 7447 11295 992019 BELAIR HEALTH AND REHABILITATION CENTER Southwest 103 5679 7621 80 75 0 000 992019 BELLE HAVEN HEALTHCARE amp REHAB CENTER Southeast 59 4021 4878 91 82 4021 6099 992019 BELLE REVE HEALTH CARE CENTER Northeast 30 869 2445 90 36 0 000 992019 BERKSHIRE CENTER LehighCapital 130 7202 11318 96 64 0 000 992019 BETHANY VILLAGE RETIREMENT CENTER LehighCapital 69 1706 6002 96 28 0 000 992019 BETHLEN HM OF THE HUNGARIAN RFRMD FED Southwest 96 5108 8430 95 61 0 000 992019 BIRCHWOOD NURSING AND REHAB CENTER Northeast 121 7834 10127 92 77 7834 11882 992019 BONHAM NURSING CENTER Northeast 77 5238 6310 90 83 5238 7944 992019 BRADFORD ECUMENICAL HOME INC Northwest 100 5484 8772 96 63 0 000 992019 BRADFORD MANOR Northwest 115 5818 8910 85 65 5818 8824 992019 BRANDYWINE HALL Southeast 180 12504 14446 88 87 12504 18965 992019 BRIARLEAF NURSING AND CONVAL CENTER Southeast 178 13389 15812 98 85 13389 20307 992019 BRIDGEVILLE REHAB AND CARE CENTER Southwest 194 8804 14795 83 60 0 000 992019 BRIGHTON REHABILITATION amp WELLNESS CTR Southwest 589 34883 41149 76 85 0 000 992019 BROAD ACRES HEALTH AND REHAB CENTER Northeast 120 5999 9691 89 62 0 000 992019 BROAD MOUNTAIN HEALTH amp REHAB CENTER Northeast 129 6845 8813 75 78 0 000 992019 BROOKLINE MANOR AND REHABILITATIVE SRVCS Northeast 85 4372 7261 94 60 0 000 992019 BROOKMONT HEALTHCARE CENTER LLC Northeast 119 7706 10092 93 76 7706 11688 992019 BROOKSIDE HEALTHCARE AND REHAB CENTER Southeast 120 8485 10429 96 81 8485 12869 992019 BROOMALL MANOR Southeast 123 5686 6202 55 92 0 000 992019 BROOMALL PRESBYTERIAN VILLAGE Southeast 146 7002 10945 82 64 0 000 992019 BRYN MAWR EXTENDED CARE CENTER Southeast 160 10490 11932 82 88 0 000 992019 BUCKINGHAM VALLEY NURSING amp REHAB CENTER Southeast 130 7518 10110 85 74 7518 11403 992019 BUFFALO VALLEY LUTHERAN VILLAGE Northeast 102 5236 9184 99 57 0 000 992019 CAMBRIA CARE CENTER Southwest 301 18369 20535 74 89 0 000 992019 CANTERBURY PLACE Southwest 115 5441 8641 82 63 0 000 992019 CARBONDALE NURSING AND REHAB CENTER Northeast 115 7502 9891 95 76 7502 11378 992019 CARE PAVILION NURSING AND REHAB CENTER Southeast 396 29070 33746 94 86 29070 44090 992019 CARING HEART REHAB AND NURSING CENTER Southeast 269 15534 21148 86 73 15534 23560 992019 CARING HEIGHTS COMMUNITY CARE amp REHAB Southwest 120 7516 10273 93 73 7516 11399 992019 CARING PLACE THE Northwest 100 5829 8142 89 72 5829 8841 992019 CARLETON HEALTHCARE amp REHABILITATION CTR Northeast 26 1381 1896 80 73 0 000 992019 CATHEDRAL VILLAGE Southeast 133 3148 9293 77 34 0 000 992019 CEDAR HAVEN HEALTHCARE CENTER LehighCapital 324 22464 26647 90 84 22464 34071 992019 CENTENNIAL HEALTHCARE amp REHAB CENTER Southeast 180 12146 15480 95 78 12146 18422 992019 CENTRE CREST LehighCapital 240 15753 20521 94 77 15753 23893 992019 CHAPEL MANOR Southeast 238 17098 18756 87 91 17098 25932 992019 CHARLES M MORRIS NURSING AND REHAB CTR Southwest 159 6583 11626 79 57 0 000 992019 CHELTENHAM NURSING AND REHAB CENTER Southeast 255 19381 20703 89 94 19381 29395 992019 CHERRY TREE NURSING CENTER Southwest 120 6373 7730 70 82 0 000 992019 CHESTNUT HILL LODGE HEALTH AND REHAB CTR Southeast 181 13065 14636 89 89 13065 19816 992019 CHESWICK REHAB amp WELLNESS CTR LLC Southwest 121 7329 8232 74 89 0 000 992019 CHRIST THE KING MANOR Northwest 160 7157 13469 93 53 0 000 992019 CHURCH OF THE BRETHREN HOME Southwest 134 6543 9595 78 68 0 000 992019



CLARION HEALTHCARE AND REHAB CENTER Northwest 83 3037 3714 49 82 0 000 992019 CLARVIEW NURSING AND REHAB CENTER Northwest 120 5276 7381 68 71 0 000 992019 CLEPPER MANOR Northwest 54 3811 4607 94 83 3811 5780 992019 CLIVEDEN NSG amp REHAB CTR Southeast 180 13220 15074 92 88 13220 20051 992019 COLONIAL MANOR NURSING HOME LehighCapital 270 17601 20633 84 85 0 000 992019 COLONIAL PARK CARE CENTER LehighCapital 198 13176 16284 90 81 13176 19984 992019 CONCORDIA AT THE CEDARS Southwest 59 3057 4874 90 63 0 000 992019 CONCORDIA LUTHERAN HEALTH AND HUMAN CARE Southwest 142 6851 12771 98 54 0 000 992019 CONESTOGA VIEW LehighCapital 446 34259 38705 95 89 34259 51961 992019 CONNER-WILLIAMS NURSING HOME Southeast 42 2426 2749 72 88 0 000 992019 CORRY MANOR Northwest 121 6630 9906 90 67 6630 10056 992019 CRANBERRY PLACE Southwest 150 6563 10219 74 64 0 000 992019 CREEKSIDE HEALTH AND REHABILITATION CTR Northeast 81 5272 6189 84 85 0 000 992019 CRESTVIEW CENTER Southeast 180 12226 15196 93 80 12226 18543 992019 CUMBERLAND CROSSINGS RETIREMENT COMM LehighCapital 58 2497 4871 92 51 0 000 992019 DARWAY HEALTHCARE amp REHABILITATION CTR Northeast 67 4938 5651 93 87 4938 7489 992019 DEER MEADOWS REHABILITATION CENTER Southeast 206 13178 18026 96 73 13178 19987 992019 DONAHOE MANOR Southwest 72 3849 6010 91 64 0 000 992019 DRESHER HILL HEALTH amp REHAB CENTER Southeast 118 7875 8796 82 90 0 000 992019 DUBOIS NURSING HOME Northwest 140 8465 11533 91 73 8465 12839 992019 DUNMORE HEALTH CARE CENTER Northeast 92 5852 7775 93 75 5852 8876 992019 EDGEHILL NURSING AND REHAB CENTER Southeast 60 4685 5154 94 91 4685 7106 992019 EDINBORO MANOR Northwest 121 7423 10017 91 74 7423 11258 992019 EDISON MANOR NURSING AND REHAB CENTER Southwest 118 7090 8693 80 82 0 000 992019 ELDERCREST NURSING CENTER Southwest 48 3180 4186 95 76 3180 4823 992019 ELIZABETHTOWN HEALTHCARE amp REHAB CENTER LehighCapital 45 2870 3982 97 72 2870 4353 992019 ELK HAVEN NURSING HOME Northwest 120 5568 9863 90 56 0 000 992019 ELKINS CREST HEALTH amp REHAB CENTER Southeast 150 9998 11167 82 90 0 000 992019 ELLEN MEMORIAL HEALTH CARE CENTER Northeast 128 5220 8257 71 63 0 000 992019 ELM TERRACE GARDENS Southeast 72 2777 6309 96 44 0 000 992019 EMMANUEL CENTER FOR NURSING AND REHAB Northeast 90 5018 7919 97 63 0 000 992019 EPHRATA MANOR LehighCapital 120 6005 10117 93 59 0 000 992019 EPWORTH HEALTHCARE AND REHAB CENTER Southwest 102 6730 8872 95 76 6730 10207 992019 FAIRLANE GARDENS NSG amp REHAB AT READING LehighCapital 124 7493 8954 79 84 0 000 992019 FAIRMOUNT HOMES LehighCapital 114 3957 9064 87 44 0 000 992019 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE Southeast 176 12305 14022 88 88 12305 18663 992019 FAIRVIEW MANOR Northwest 121 7717 10254 93 75 7717 11704 992019 FALLING SPRING NURSING AND REHAB CENTER LehighCapital 186 11471 14504 86 79 11471 17398 992019 FORBES CENTER FOR REHAB amp HEALTHCARE LLC Southwest 187 8999 10499 61 86 0 000 992019 FOREST CITY NURSING AND REHAB CENTER Northeast 132 6207 9231 77 67 0 000 992019 FOREST PARK HEALTH CENTER LehighCapital 114 7688 9858 95 78 7688 11660 992019 FORESTVIEW Northwest 80 2148 6758 93 32 0 000 992019 FOX SUBACUTE AT CLARA BURKE Southeast 60 4193 5305 97 79 4193 6360 992019 FOX SUBACUTE AT MECHANICSBURG LehighCapital 56 3239 4284 84 76 0 000 992019 FOX SUBACUTE AT SOUTH PHILADELPHIA Southeast 22 1468 1898 95 77 1468 2227 992019 FOX SUBACUTE CENTER Southeast 60 3792 5186 95 73 3792 5751 992019 FREY VILLAGE LehighCapital 136 7197 11804 95 61 0 000 992019 FRIENDSHIP VILLAGE OF SOUTH HILLS Southwest 89 254 7818 95 3 0 000 992019 FULTON COUNTY MEDICAL CENTER LTCU LehighCapital 67 4638 5800 95 80 4638 7034 992019 GARVEY MANOR Southwest 132 8471 11976 99 71 8471 12848 992019 GERMANTOWN HOME Southeast 180 15091 16134 98 94 15091 22888 992019 GETTYSBURG CENTER LehighCapital 118 6616 9094 85 73 6616 10034 992019 GOOD SHEPHERD HOME RAKER CENTER LehighCapital 99 8600 8972 100 96 8600 13044 992019 GOOD SHEPHERD HOME-BETHLEHEM LehighCapital 60 5431 5443 100 100 5431 8237 992019 GRANDVIEW NURSING AND REHABILITATION Northeast 172 10458 14683 94 71 10458 15862 992019 GREEN MEADOWS NURSING amp REHAB CENTER Southeast 184 10689 13023 78 82 0 000 992019 GREEN RIDGE CARE CENTER Northeast 95 5483 7738 90 71 5483 8316 992019 GREENERY CENTER FOR REHAB amp NURSING Southwest 140 8013 9398 73 85 0 000 992019 GREENLEAF NURSING HOME AND CONVAL CENTER Southeast 130 10129 11332 96 89 10129 15363 992019 GREENSBURG CARE CENTER Southwest 120 7865 9749 88 81 7865 11929 992019 GROVE MANOR Northwest 59 2095 5135 96 41 0 000 992019 GUARDIAN HEALTHCARE amp REHAB CENTER Northeast 110 7452 9192 92 81 7452 11302 992019 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU Northwest 68 3410 5456 88 63 0 000 992019 GUY AND MARY FELT MANOR INC Northwest 40 2139 3023 83 71 0 000 992019 GWYNEDD HEALTHCARE amp REHABILITATION CTR Southeast 181 13200 15886 96 83 13200 20020 992019 HAIDA HEALTHCARE AND REHAB CENTER Southwest 98 6254 8148 90 77 6254 9485 992019 HAMILTON ARMS CENTER LehighCapital 94 5857 7549 88 78 5857 8883 992019 HAMPTON HOUSE Northeast 104 7022 8166 86 86 7022 10650 992019



HANOVER HALL LehighCapital 152 10283 12724 92 81 10283 15596 992019 HARBORVIEW REHAB amp C C AT DOYLESTOWN Southeast 120 6387 7165 66 89 0 000 992019 HARBORVIEW REHAB amp CARE CTR AT LANSDALE Southeast 126 7792 8464 74 92 0 000 992019 HARMAR VILLAGE CARE CENTER Southwest 130 8117 10865 91 75 8117 12311 992019 HARMON HOUSE CARE CENTER Southwest 109 6683 9237 92 72 6683 10136 992019 HARSTON HALL Southeast 120 8385 9823 90 85 8385 12718 992019 HAVEN CONVALESCENT HOME INC Southwest 91 7064 8314 99 85 7064 10714 992019 HAVENCREST NURSING CENTER Southwest 48 2677 3934 89 68 2677 4060 992019 HEARTHSIDE REHAB CENTER LehighCapital 157 10060 12204 85 82 10060 15258 992019 HEMPFIELD MANOR Southwest 120 6384 10438 95 61 0 000 992019 HICKORY HOUSE NURSING HOME Southeast 110 6015 9045 90 67 6015 9123 992019 HIGHLAND MANOR REHAB amp NURSING CENTER Northeast 120 8013 10122 93 79 8013 12153 992019 HIGHLAND PARK CARE CENTER Southwest 144 10309 11801 89 87 10309 15636 992019 HIGHLAND VIEW HEALTHCARE amp REHAB CENTER Northwest 50 2503 3784 83 66 0 000 992019 HIGHLANDS HEALTHCARE amp REHAB CENTER Northeast 120 9444 10350 95 91 9444 14324 992019 HILLCREST CENTER Southeast 180 14131 15458 94 91 14131 21432 992019 HILLSDALE PARK REHAB CENTER Southwest 74 4659 5859 86 80 4659 7066 992019 HILLVIEW HEALTHCARE AND REHAB CENTER Southwest 133 8575 11326 93 76 8575 13006 992019 HOLY FAMILY HOME Southeast 45 3647 3974 97 92 3647 5531 992019 HOMETOWN NURSING AND REHAB CENTER Northeast 150 9607 12673 93 76 9607 14571 992019 HOMEWOOD AT MARTINSBURG PA INC Southwest 129 4999 11263 95 44 0 000 992019 HOMEWOOD AT PLUM CREEK LehighCapital 120 3231 9780 90 33 0 000 992019 HOPKINS CENTER Southeast 106 8090 8673 90 93 8090 12270 992019 HOSPITALITY CARE CENTER OF HERMITAGE INC Northwest 33 1826 2454 82 74 0 000 992019 HUNTINGDON PARK REHAB CENTER LehighCapital 93 5118 7236 86 71 5118 7762 992019 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE Southeast 296 18822 24465 91 77 18822 28547 992019 INGLIS HOUSE Southeast 252 21050 21634 94 97 21050 31926 992019 IVY HILL REHAB CENTER Southeast 145 9472 11050 84 86 0 000 992019 JAMESON CARE CENTER Southwest 78 3712 6653 93 56 0 000 992019 JEFFERSON HILLS HEALTHCARE amp REHAB CTR Southwest 83 4582 6190 81 74 0 000 992019 JEFFERSON MANOR HEALTH CENTER Northwest 160 6468 8893 61 73 0 000 992019 JEWISH HOME OF EASTERN PENNSYLVANIA Northeast 173 9990 14605 93 68 9990 15152 992019 JEWISH HOME OF GREATER HARRISBURG LehighCapital 138 8224 11996 96 69 8224 12473 992019 JULIA POUND CARE CENTER Southwest 131 7107 10971 91 65 7107 10779 992019 JULIA RIBAUDO EXTENDED CARE CENTER Northeast 120 7211 8754 80 82 0 000 992019 KEARSLEY REHAB AND NURSING CENTER Southeast 84 3532 7103 93 50 0 000 992019 KINGSTON HEALTH CARE CENTER Northeast 65 4122 5124 87 80 4122 6252 992019 KINKORA PYTHIAN HOME CORPORATION LehighCapital 60 2598 4655 85 56 0 000 992019 KINZUA HEALTHCARE AND REHAB CENTER Northwest 106 6792 8189 85 83 6792 10301 992019 KITTANNING CARE CENTER Southwest 120 7898 9125 83 87 0 000 992019 KUTZTOWN MANOR LehighCapital 140 10567 12366 97 85 10567 16027 992019 LACKAWANNA HEALTH AND REHAB CENTER Northeast 272 13288 16112 65 82 0 000 992019 LAFAYETTE MANOR INC Southwest 98 5453 8150 90 67 5453 8271 992019 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) Southeast 120 6029 10567 97 57 0 000 992019 LAKEVIEW HEALTHCARE amp REHABILITATION CTR Northwest 34 1425 2688 87 53 0 000 992019 LANCASHIRE HALL LehighCapital 240 18173 20373 93 89 18173 27563 992019 LANGHORNE GARDENS HEALTH amp REHAB CENTER Southeast 120 8415 9471 87 89 8415 12763 992019 LAUREL CENTER LehighCapital 130 8042 10981 93 73 8042 12197 992019 LAUREL RIDGE CENTER Southwest 61 3843 4936 88 78 3843 5829 992019 LAUREL SQUARE HEALTHCARE amp REHAB CTR Southeast 87 6901 7623 96 91 6901 10467 992019 LAUREL VIEW VILLAGE Southwest 60 2199 5203 94 42 0 000 992019 LAUREL WOOD CARE CENTER Southwest 120 7666 9117 83 84 0 000 992019 LAWSON NURSING HOME INC Southwest 50 2482 3570 78 70 0 000 992019 LEBANON VALLEY BRETHREN HOME LehighCapital 100 2927 7414 81 39 0 000 992019 LEBANON VALLEY HOME THE LehighCapital 55 2384 4714 94 51 0 000 992019 LECOM AT PRESQUE ISLE INC Northwest 141 8891 11003 86 81 8891 13485 992019 LEHIGH CENTER LehighCapital 128 6853 10946 94 63 0 000 992019 LGAR HEALTH AND REHABILITATION CENTER Southwest 120 7869 9664 88 81 7869 11935 992019 LIBERTY CENTER FOR REHAB AND NURSING Southeast 94 6430 7036 82 91 0 000 992019 LIFEQUEST NURSING CENTER Southeast 140 7935 10489 82 76 0 000 992019 LINWOOD NURSING AND REHABILITATION CTR Northeast 102 4437 4968 54 89 0 000 992019 LITTLE FLOWER MANOR Southeast 127 5421 9894 86 55 0 000 992019 LITTLE FLOWER MANOR OF DIOCESE SCRANTON Northeast 133 8252 11277 93 73 8252 12516 992019 LITTLE SISTERS OF THE POOR Southwest 48 4189 4363 99 96 4189 6353 992019 LOCUST GROVE RETIREMENT VILLAGE Northeast 104 5897 8100 86 73 5897 8944 992019 LOYALHANNA CARE CENTER Southwest 120 6681 9107 82 73 0 000 992019 LOYALSOCK REHAB CENTER Northeast 133 7788 10781 89 72 7788 11812 992019 LUTHER CREST NURSING FACILITY LehighCapital 60 2344 5388 99 44 0 000 992019



LUTHER WOODS NURSING amp REHAB CENTER Southeast 140 7813 11392 89 69 7813 11850 992019 LUTHERAN COMMUNITY AT TELFORD Southeast 75 1964 6242 91 31 0 000 992019 LUTHERAN HOME AT HOLLIDAYSBURG THE Southwest 89 3541 7411 91 48 0 000 992019 LUTHERAN HOME AT JOHNSTOWN THE Southwest 63 2835 5095 88 56 0 000 992019 LUTHERAN HOME AT KANE THE Northwest 90 5053 7606 93 66 5053 7664 992019 LUTHERAN HOME AT TOPTON LehighCapital 194 10559 17006 96 62 0 000 992019 MAHONING VALLEY NURSING AND REHAB CENTER Northeast 142 7173 11517 89 62 0 000 992019 MAJESTIC OAKS REHAB amp NURSING CENTER Southeast 180 12474 14518 89 86 12474 18919 992019 MANATAWNY MANOR INC Southeast 133 7447 11607 96 64 0 000 992019 MANORCARE HEALTH SERVICES - MONTGOMERY Southeast 155 9399 11665 83 81 0 000 992019 MANORCARE HEALTH SERVICES - NORTHSIDE Southwest 100 7797 8646 94 90 7797 11826 992019 MANORCARE HEALTH SERVICES - WALLINGFORD Southeast 193 12861 15628 89 82 12861 19506 992019 MANORCARE HEALTH SVCS-ALLENTOWN LehighCapital 166 12271 13814 91 89 12271 18611 992019 MANORCARE HEALTH SVCS-BETHEL PARK Southwest 160 9833 13071 89 75 9833 14914 992019 MANORCARE HEALTH SVCS-BETHLEHEM (2021) LehighCapital 227 17425 19139 93 91 17425 26428 992019 MANORCARE HEALTH SVCS-BETHLEHEM (2029) LehighCapital 217 16818 18547 94 91 16818 25508 992019 MANORCARE HEALTH SVCS-CAMP HILL LehighCapital 123 7640 9982 89 77 7640 11588 992019 MANORCARE HEALTH SVCS-CARLISLE LehighCapital 150 10215 12186 89 84 10215 15493 992019 MANORCARE HEALTH SVCS-CHAMBERSBURG LehighCapital 210 12119 14522 76 83 0 000 992019 MANORCARE HEALTH SVCS-DALLASTOWN LehighCapital 202 13319 15773 86 84 13319 20201 992019 MANORCARE HEALTH SVCS-EASTON LehighCapital 227 16362 19780 96 83 16362 24816 992019 MANORCARE HEALTH SVCS-ELIZABETHTOWN LehighCapital 73 5405 6213 94 87 5405 8198 992019 MANORCARE HEALTH SVCS-GREEN TREE Southwest 180 9314 14161 86 66 9314 14127 992019 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY Southeast 125 8888 10081 89 88 8888 13480 992019 MANORCARE HEALTH SVCS-JERSEY SHORE Northeast 120 8297 9764 89 85 8297 12584 992019 MANORCARE HEALTH SVCS-KING OF PRUSSIA Southeast 170 8931 11580 75 77 0 000 992019 MANORCARE HEALTH SVCS-KINGSTON Northeast 176 10022 12662 79 79 0 000 992019 MANORCARE HEALTH SVCS-KINGSTON COURT LehighCapital 151 9630 11840 86 81 9630 14606 992019 MANORCARE HEALTH SVCS-LANCASTER LehighCapital 172 11512 14227 91 81 11512 17460 992019 MANORCARE HEALTH SVCS-LAURELDALE LehighCapital 198 13570 16143 90 84 13570 20582 992019 MANORCARE HEALTH SVCS-LEBANON LehighCapital 159 11225 13501 93 83 11225 17025 992019 MANORCARE HEALTH SVCS-MONROEVILLE Southwest 131 6497 10478 87 62 0 000 992019 MANORCARE HEALTH SVCS-NORTH HILLS Southwest 200 12230 16046 87 76 12230 18549 992019 MANORCARE HEALTH SVCS-OXFORD VALLEY Southeast 170 7768 12548 81 62 0 000 992019 MANORCARE HEALTH SVCS-PETERS TOWNSHIP Southwest 140 8376 10989 85 76 8376 12704 992019 MANORCARE HEALTH SVCS-PITTSBURGH Southwest 197 14060 16094 89 87 14060 21325 992019 MANORCARE HEALTH SVCS-POTTSTOWN Southeast 150 9223 10335 76 89 0 000 992019 MANORCARE HEALTH SVCS-POTTSVILLE Northeast 179 10949 12403 76 88 0 000 992019 MANORCARE HEALTH SVCS-SHADYSIDE Southwest 150 11318 12895 93 88 11318 17166 992019 MANORCARE HEALTH SVCS-SINKING SPRING LehighCapital 214 14939 17623 90 85 14939 22658 992019 MANORCARE HEALTH SVCS-SUNBURY Northeast 126 8596 10652 93 81 8596 13038 992019 MANORCARE HEALTH SVCS-WEST READING NORTH LehighCapital 176 12682 13571 85 93 12682 19235 992019 MANORCARE HEALTH SVCS-WHITEHALL BOROUGH Southwest 166 7338 13631 89 54 0 000 992019 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH Northeast 152 9438 11035 80 86 0 000 992019 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH Northeast 116 6218 7616 72 82 0 000 992019 MANORCARE HEALTH SVCS-YEADON Southeast 198 15474 16721 93 93 15474 23469 992019 MANORCARE HEALTH SVCS-YORK NORTH LehighCapital 161 9984 13427 92 74 9984 15143 992019 MANORCARE HEALTH SVCS-YORK SOUTH LehighCapital 151 8779 12044 88 73 8779 13315 992019 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN LehighCapital 146 11916 12562 95 95 11916 18073 992019 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC Southwest 50 2188 3912 85 56 0 000 992019 MAPLEWOOD NURSING AND REHABILITATION CTR Southeast 180 14173 15260 93 93 14173 21496 992019 MARGARET E MOUL HOME LehighCapital 82 7436 7462 100 100 7436 11278 992019 MARIAN MANOR CORPORATION Southwest 154 5767 10296 73 56 0 000 992019 MASONIC VILLAGE AT ELIZABETHTOWN LehighCapital 453 23602 38570 94 61 0 000 992019 MASONIC VILLAGE AT LAFAYETTE HILL Southeast 60 3539 5287 97 67 3539 5368 992019 MASONIC VILLAGE AT SEWICKLEY Southwest 128 3446 11443 97 30 0 000 992019 MASONIC VILLAGE AT WARMINSTER Southeast 43 3072 3814 97 81 3072 4659 992019 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER Southwest 240 15634 19494 88 80 15634 23712 992019 MCMURRAY HILLS MANOR Southwest 115 8117 10007 95 81 8117 12311 992019 MEADOW VIEW HEALTHCARE amp REHAB CENTER Northeast 63 3971 5484 96 72 3971 6023 992019 MEADOW VIEW NURSING CENTER Southwest 150 9935 12904 94 77 9935 15068 992019 MEADOWCREST NURSING CENTER Southwest 50 3175 3956 86 80 3175 4816 992019 MEADOWS NURSING AND REHAB CENTER Northeast 130 7971 11177 94 71 7971 12090 992019 MEADOWVIEW REHAB amp NURSING CENTER Southeast 244 18410 20930 94 88 18410 27922 992019 MERCY CENTER NURSING UNIT INC Northeast 59 2587 4941 92 52 0 000 992019 MEYERSDALE HEALTHCARE AND REHAB CTR Southwest 99 5926 6498 71 91 0 000 992019 MID VALLEY HEALTH CARE CENTER Northeast 38 1753 3194 92 55 0 000 992019 MIFFLIN CENTER LehighCapital 136 8291 12142 98 68 8291 12575 992019



MILFORD HEALTHCARE AND REHAB CENTER Northeast 80 5207 6973 96 75 5207 7897 992019 MILLCREEK MANOR Northwest 138 6647 11901 95 56 0 000 992019 MILTON REHABILITATION AND NURSING CENTER Northeast 138 8079 10510 84 77 0 000 992019 MON VALLEY CARE CENTER Southwest 60 2595 4872 88 53 0 000 992019 MONROEVILLE REHAB amp WELLNESS CENTER Southwest 120 8048 10529 95 76 8048 12206 992019 MORRISONS COVE HOME Southwest 124 7847 10312 90 76 7847 11902 992019 MOSSER NURSING HOME LehighCapital 60 2766 4395 80 63 0 000 992019 MOUNT CARMEL NURSING AND REHAB CENTER Northeast 121 8398 10474 95 80 8398 12737 992019 MOUNT MACRINA MANOR NURSING HOME Southwest 139 6236 10408 81 60 0 000 992019 MOUNTAIN CITY NURSING AND REHAB CENTER Northeast 297 21371 24435 90 87 21371 32413 992019 MOUNTAIN LAUREL HEALTHCARE amp REHAB CTR Northwest 240 11369 14214 65 80 0 000 992019 MOUNTAIN TOP HEALTHCARE AND REHAB CTR Northeast 106 6887 9246 96 74 6887 10445 992019 MOUNTAIN VIEW A NURSING AND REHAB CTR Northeast 271 18515 21098 86 88 18515 28082 992019 MOUNTAINVIEW SPECIALTY CARE CENTER Southwest 137 6877 8437 67 82 0 000 992019 MT LEBANON REHAB AND WELLNESS CENTER Southwest 121 7763 9222 83 84 0 000 992019 MULBERRY HEALTHCARE amp REHAB CTR Northwest 75 4586 5475 80 84 0 000 992019 MURRYSVILLE REHAB amp WELLNESS CENTER Southwest 120 7840 9477 86 83 7840 11891 992019 NAAMANS CREEK COUNTRY MANOR Southeast 90 5099 7701 94 66 5099 7734 992019 NEW EASTWOOD HEALTHCARE AND REHAB CENTER LehighCapital 97 3995 8114 92 49 0 000 992019 NORMANDIE RIDGE LehighCapital 64 2252 5366 92 42 0 000 992019 NORRITON SQUARE NURSING amp REHAB CENTER Southeast 99 5879 8162 91 72 5879 8917 992019 NORTH HILLS HEALTH AND REHAB CENTER Southwest 55 3112 4564 90 68 3112 4720 992019 NORTH STRABANE REHAB amp WELLNESS CTR LLC Southwest 62 3763 5105 89 74 3763 5707 992019 NURSING amp REHABILITATION AT THE MANSION Northeast 70 4905 5908 93 83 4905 7439 992019 OAK HILL NURSING AND REHAB CENTER Southwest 48 3090 3754 85 82 3090 4687 992019 OAKMONT CENTER FOR NURSING AND REHAB Southwest 85 5522 7180 92 77 5522 8375 992019 OAKWOOD HEALTHCARE amp REHABILITATION CTR Southeast 148 10820 12815 95 84 10820 16411 992019 OHESSON MANOR Northeast 134 8216 11775 97 70 8216 12461 992019 OIL CITY HEALTHCARE AND REHAB CENTER Northwest 95 5205 7747 90 67 5205 7894 992019 OLD ORCHARD HEALTH CARE CENTER LehighCapital 180 12032 15424 94 78 12032 18249 992019 ORCHARD MANOR INC Northwest 121 7285 10404 94 70 7285 11049 992019 OXFORD HEALTH CENTER Southeast 137 6660 10649 85 63 0 000 992019 PAPERMILL ROAD NURSING amp REHAB CENTER Southeast 129 7749 9984 85 78 7749 11753 992019 PARK AVENUE REHAB CENTER Northwest 173 8733 10531 67 83 0 000 992019 PARKHOUSE REHABILITATION AND NURSING CTR Southeast 467 26977 32579 77 83 0 000 992019 PASSAVANT RETIREMENT AND HEALTH CENTER Southwest 102 5272 9014 96 58 0 000 992019 PEMBROOKE HEALTH AND REHAB CENTER Southeast 180 11972 13481 82 89 0 000 992019 PENN CENTER FOR REHABILITATION AND CARE Southeast 124 7274 9482 84 77 0 000 992019 PENNKNOLL VILLAGE Southwest 133 9185 11247 92 82 9185 13931 992019 PENNSBURG MANOR Southeast 120 7722 10136 93 76 7722 11712 992019 PENNYPACK NURSING amp REHAB CENTER Southeast 54 2581 3666 75 70 0 000 992019 PICKERING MANOR HOME Southeast 47 1462 3849 90 38 0 000 992019 PLATINUM RIDGE CTR FOR REHAB amp HEALING Southwest 97 6047 7745 87 78 6047 9171 992019 POWERBACK REHABILITATION 1526 Southeast 150 5458 12072 88 45 0 000 992019 POWERBACK REHABILITATION 3485 Southeast 109 2173 8210 83 26 0 000 992019 PREMIER ARMSTRONG REHAB amp NSG FACILITY Southwest 115 7096 8010 76 89 0 000 992019 PREMIER AT PERRY VLG FOR NURSE AND REHAB LehighCapital 123 6812 8485 76 80 0 000 992019 PREMIER AT SUSQUEHANNA FOR NURSE amp REHAB LehighCapital 194 11277 14312 81 79 0 000 992019 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON Southwest 67 2724 5795 94 47 0 000 992019 PROSPECT PARK HEALTH AND REHAB CENTER Southeast 180 10419 11845 72 88 0 000 992019 PROVIDENCE CARE CENTER Southwest 180 12731 15330 93 83 12731 19309 992019 PROVIDENCE REHAB amp HCC MERCY FITZGERALD Southeast 129 7051 10621 90 66 7051 10694 992019 QUAKERTOWN CENTER Southeast 138 10376 11567 92 90 10376 15737 992019 QUALITY LIFE SERVICES - APOLLO Southwest 177 10520 13648 84 77 0 000 992019 QUALITY LIFE SERVICES - CHICORA Southwest 114 7514 9455 90 79 7514 11396 992019 QUALITY LIFE SERVICES - GROVE CITY Northwest 109 7220 8393 85 86 7220 10951 992019 QUALITY LIFE SERVICES - HENRY CLAY Southwest 74 5661 6302 93 90 5661 8586 992019 QUALITY LIFE SERVICES - MARKLEYSBURG Southwest 60 4719 5222 95 90 4719 7157 992019 QUALITY LIFE SERVICES - MERCER Northwest 48 2293 3818 87 60 0 000 992019 QUALITY LIFE SERVICES - NEW CASTLE Southwest 204 12843 16878 90 76 12843 19479 992019 QUALITY LIFE SERVICES - SARVER Southwest 66 4341 5494 90 79 4341 6584 992019 QUALITY LIFE SERVICES - SUGAR CREEK Southwest 114 8273 9414 90 88 8273 12548 992019 QUALITY LIFE SERVICES - WESTMONT Southwest 41 2265 3286 87 69 2265 3435 992019 QUINCY RETIREMENT COMMUNITY LehighCapital 134 7716 11203 92 69 7716 11703 992019 REDSTONE HIGHLANDS HEALTH CARE CENTER Southwest 77 3255 6451 91 50 0 000 992019 REFORMED PRESBYTERIAN HOME Southwest 58 2458 3391 64 72 0 000 992019 REGINA COMMUNITY NURSING CENTER Southeast 121 8046 10239 93 79 8046 12203 992019 REHAB amp NURSING CTR GREATER PITTSBURGH Southwest 120 4606 8923 81 52 0 000 992019



RENAISSANCE HEALTHCARE amp REHAB CENTER Southeast 123 9054 10749 96 84 9054 13732 992019 REST HAVEN-YORK LehighCapital 159 8835 11804 82 75 0 000 992019 RICHBORO REHABILITATION amp NURSING CENTER Southeast 82 4178 5943 80 70 0 000 992019 RICHFIELD HEALTHCARE AND REHAB CENTER Northeast 40 2395 3475 95 69 2395 3632 992019 RICHLAND HEALTHCARE AND REHAB CENTER Southwest 97 6062 8700 97 70 6062 9194 992019 RIDGEVIEW HEALTHCARE amp REHAB CENTER Northeast 111 6601 7051 70 94 0 000 992019 RIDGEVIEW HEALTHCARE amp REHAB CENTER Northwest 131 7729 10280 86 75 7729 11723 992019 RIVER RUN REHAB AND NURSING CENTER Northeast 134 5793 7839 64 74 0 000 992019 RIVERSIDE CARE CENTER Southwest 120 8413 9964 90 84 8413 12760 992019 RIVERSIDE REHABILITATION AND NURSING CTR Northeast 161 9584 12762 87 75 9584 14536 992019 RIVERSTREET MANOR Northeast 122 7058 10658 96 66 7058 10705 992019 RIVERWOODS Northeast 226 6914 11049 54 63 0 000 992019 ROCHESTER MANOR Southwest 122 6023 8412 75 72 0 000 992019 ROLLING FIELDS INC Northwest 181 10964 14260 87 77 10964 16629 992019 ROLLING HILLS HEALTHCARE amp REHAB CENTER Northeast 57 4221 5013 97 84 4221 6402 992019 ROLLING MEADOWS Southwest 121 7404 9009 81 82 0 000 992019 ROSE CITY NURSING AND REHAB AT LANCASTER LehighCapital 124 8608 9580 85 90 8608 13056 992019 ROSE VIEW NURSING amp REHAB CENTER Northeast 123 7897 9851 88 80 7897 11977 992019 ROSEMONT CARE AND REHABILITATION CENTER Southeast 76 5580 5913 85 94 5580 8463 992019 ROSEWOOD REHABILITATION amp NURSING CENTER Northeast 142 10484 12458 96 84 10484 15901 992019 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES Southeast 114 1974 8774 85 22 0 000 992019 SAINT JOHN XXIII HOME Northwest 90 4676 7528 92 62 0 000 992019 SAINT MARYS VILLA NURSING HOME INC Northeast 112 6079 9284 91 65 6079 9220 992019 SANATOGA CENTER Southeast 130 7665 11004 93 70 7665 11625 992019 SARAH A TODD MEMORIAL HOME LehighCapital 117 7560 9977 94 76 7560 11466 992019 SAXONY HEALTH CENTER Southwest 68 3664 5265 84 70 0 000 992019 SCENERY HILL HEALTHCARE amp REHAB CENTER Southwest 56 3477 4277 83 81 0 000 992019 SCHUYLKILL CENTER Northeast 190 12547 16740 97 75 12547 19030 992019 SCOTTDALE HEALTHCARE amp REHAB CENTER Southwest 35 1204 2914 90 41 0 000 992019 SCRANTON HEALTH CARE CENTER Northeast 44 2666 3678 92 72 2666 4044 992019 SENA-KEAN MANOR Northwest 152 10007 12365 89 81 10007 15178 992019 SENECA PLACE Southwest 174 8972 12459 78 72 0 000 992019 SETON MANOR NURSING amp REHABILITATION CTR Northeast 120 7320 10500 96 70 7320 11102 992019 SHENANDOAH MANOR NURSING CENTER Northeast 124 8606 10552 94 82 8606 13053 992019 SHENANGO PRESBYTERIAN SENIORCARE Southwest 25 557 2257 98 25 0 000 992019 SHERWOOD OAKS Southwest 43 92 3308 84 3 0 000 992019 SHIPPENSBURG HEALTH CARE CENTER LehighCapital 125 7420 9818 86 76 7420 11254 992019 SHIPPENVILLE HEALTHCARE AND REHAB CENTER Northwest 120 5144 7213 66 71 0 000 992019 SHOOK HOME THE LehighCapital 65 2772 5218 88 53 0 000 992019 SIEMONS LAKEVIEW MANOR NSG AND REHAB Southwest 120 7688 9239 84 83 0 000 992019 SILVER LAKE CENTER Southeast 174 12900 15225 96 85 12900 19565 992019 SILVER STREAM NURSING amp REHAB CENTER Southeast 120 7845 8329 76 94 0 000 992019 SIMPSON HOUSE INC Southeast 154 10302 12258 87 84 10302 15625 992019 SLATE BELT HEALTH AND REHAB CENTER LehighCapital 126 6733 9371 82 72 0 000 992019 SNYDER MEMORIAL HEALTH CARE CENTER Northwest 100 7626 8577 94 89 7626 11566 992019 SOUTH HILLS REHAB amp WELLNESS CENTER Southwest 104 7093 8141 85 87 7093 10758 992019 SOUTHMONT OF PRESBYTERIAN SENIORCARE Southwest 155 6854 13286 93 52 0 000 992019 SOUTHWESTERN NURSING CARE CENTER Southwest 118 6849 9517 88 72 6849 10388 992019 SPRING CREEK REHAB AND NURSING CENTER LehighCapital 404 28550 31828 87 90 28550 43302 992019 SPRINGS AT THE WATERMARK THE Southeast 109 3245 7809 79 42 0 000 992019 SPRUCE MANOR NURSING AND REHAB CENTER LehighCapital 184 13864 15896 95 87 13864 21027 992019 SQUIRREL HILL CTR FOR REHAB AND HEALING Southwest 178 10126 11768 72 86 0 000 992019 ST FRANCIS CENTER FOR REHAB amp HEALTHCARE Southeast 273 14467 16218 65 89 0 000 992019 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE Southeast 226 15085 19785 96 76 15085 22879 992019 ST JOHN SPECIALTY CARE CENTER Southwest 300 12380 16382 59 76 0 000 992019 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) Southeast 296 14214 25945 96 55 0 000 992019 ST MARTHA CENTER FOR REHAB amp HEALTHCARE Southeast 120 6452 9617 88 67 6452 9786 992019 ST MARY CENTER FOR REHAB amp HEALTHCARE Southeast 120 7473 9507 87 79 7473 11334 992019 ST MONICA CENTER FOR REHAB amp HEALTHCARE Southeast 180 10506 15554 95 68 10506 15934 992019 ST ANNE HOME Southwest 155 5022 10160 71 49 0 000 992019 ST BARNABAS NURSING HOME Southwest 172 5264 8551 54 62 0 000 992019 ST LUKES VILLA Northeast 50 1718 3955 87 43 0 000 992019 ST PAUL HOMES Northwest 192 10697 16914 97 63 0 000 992019 STATESMAN HEALTH amp REHAB CENTER Southeast 101 6464 7774 85 83 6464 9804 992019 STERLING HEALTH CARE AND REHAB CENTER Southeast 164 11493 13771 92 83 11493 17431 992019 STONEBRIDGE HEALTH amp REHAB CENTER LLC LehighCapital 60 3090 4430 81 70 0 000 992019 SUBURBAN WOODS HEALTH AND REHAB CENTER Southeast 120 6310 7282 67 87 0 000 992019 SUGAR CREEK STATION SKILLED NSG amp REHAB Northwest 148 7461 9776 73 76 0 000 992019



SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB Northeast 91 5195 7839 95 66 5195 7879 992019 SUNBURY COMMUNITY HEALTH amp REHAB CENTER Northeast 29 1447 2153 82 67 0 000 992019 SUNNYVIEW NURSING AND REHABILITATION CTR Southwest 220 15740 19659 97 80 15740 23873 992019 SUNSET RIDGE HEALTHCARE amp REHAB CENTER Northeast 66 4404 5701 95 77 4404 6680 992019 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR Northeast 138 8965 11417 91 79 8965 13597 992019 SUSQUEHANNA VALLEY NURSING AND REHAB CTR LehighCapital 173 12266 14236 90 86 12266 18604 992019 SWAIM HEALTH CENTER LehighCapital 79 4130 6190 86 67 4130 6264 992019 SWEDEN VALLEY MANOR Northwest 121 7579 9173 83 83 0 000 992019 TEL HAI RETIREMENT COMMUNITY Southeast 139 4241 10927 86 39 0 000 992019 THE BELVEDERE CENTER GENESIS HEALTHCARE Southeast 150 10903 12260 90 89 10903 16537 992019 THE COMMUNITY AT ROCKHILL Southeast 90 1633 5712 70 29 0 000 992019 THE GARDENS AT BLUE RIDGE LehighCapital 95 7344 8400 97 87 7344 11139 992019 THE GARDENS AT BUTLER Northeast 37 2561 3069 91 83 2561 3884 992019 THE GARDENS AT CAMP HILL LehighCapital 95 7116 7987 92 89 7116 10793 992019 THE GARDENS AT CAMPBELLTOWN LehighCapital 53 3063 4019 83 76 0 000 992019 THE GARDENS AT EAST MOUNTAIN Northeast 120 7627 10163 93 75 7627 11568 992019 THE GARDENS AT EASTON LehighCapital 181 14328 15875 96 90 14328 21731 992019 THE GARDENS AT GETTYSBURG LehighCapital 102 7090 8248 89 86 7090 10753 992019 THE GARDENS AT LAKESIDE Northeast 31 2141 2701 96 79 2141 3247 992019 THE GARDENS AT LITITZ LehighCapital 42 2108 3347 88 63 0 000 992019 THE GARDENS AT MILLVILLE Northeast 110 8590 9603 96 89 8590 13028 992019 THE GARDENS AT ORANGEVILLE Northeast 120 8051 10027 92 80 8051 12211 992019 THE GARDENS AT PALMYRA LehighCapital 39 2210 3012 85 73 2210 3352 992019 THE GARDENS AT POTTSTOWN Southeast 41 2619 3365 90 78 2619 3972 992019 THE GARDENS AT SCRANTON Northeast 139 7960 9761 77 82 0 000 992019 THE GARDENS AT STEVENS LehighCapital 82 5096 7038 94 72 5096 7729 992019 THE GARDENS AT STROUD Northeast 127 8248 10995 95 75 8248 12510 992019 THE GARDENS AT TUNKHANNOCK Northeast 124 7860 10147 90 77 7860 11921 992019 THE GARDENS AT WEST SHORE LehighCapital 309 14452 16239 58 89 0 000 992019 THE GARDENS AT WYOMING VALLEY Northeast 120 8630 10012 92 86 8630 13089 992019 THE GARDENS AT YORK TERRACE Northeast 80 5438 6537 90 83 5438 8248 992019 THE GARDENS FOR MEMORY CARE AT EASTON LehighCapital 115 8671 10059 96 86 8671 13151 992019 THE GROVE AT GREENVILLE Northwest 154 11653 13030 93 89 11653 17674 992019 THE GROVE AT HARMONY Southwest 115 8122 9391 89 86 8122 12319 992019 THE GROVE AT IRWIN Southwest 120 6970 8188 74 85 0 000 992019 THE GROVE AT LATROBE Southwest 107 8371 9146 93 92 8371 12696 992019 THE GROVE AT NEW CASTLE Southwest 62 4099 5253 92 78 4099 6217 992019 THE GROVE AT NEW WILMINGTON Southwest 115 7834 9118 86 86 7834 11882 992019 THE GROVE AT WASHINGTON Southwest 74 5596 6207 91 90 5596 8487 992019 THE MANOR AT PENN VILLAGE Northeast 159 9325 13160 91 71 9325 14143 992019 THE MANOR AT ST LUKE VILLAGE Northeast 104 6553 8503 90 77 6553 9939 992019 THE PATRIOT A CHOICE COMMUNITY Southwest 100 5672 8308 90 68 5672 8603 992019 THE PAVILION AT BRMC Northwest 95 5687 7491 87 76 5687 8625 992019 THE PAVILION AT ST LUKE VILLAGE Northeast 120 6769 8964 82 76 0 000 992019 THE PHOENIX CENTER FOR REHAB AND NURSING Southeast 138 6648 7430 59 89 0 000 992019 THORNWALD HOME LehighCapital 83 4484 7407 98 61 0 000 992019 TIMBER RIDGE HEALTH CENTER Northeast 180 12367 15647 96 79 12367 18757 992019 TITUSVILLE HEALTHCARE amp REHAB CENTER Northwest 77 4327 5950 85 73 4327 6563 992019 TOWNE MANOR EAST Southeast 120 9413 10246 94 92 9413 14277 992019 TOWNE MANOR WEST Southeast 119 9007 10190 94 88 9007 13661 992019 TOWNVIEW HEALTH AND REHAB CENTER Southwest 118 6668 8786 81 76 0 000 992019 TRANSITIONS HEALTHCARE AUTUMN GROVE C C Southwest 103 8021 9069 96 88 8021 12165 992019 TRANSITIONS HEALTHCARE GETTYSBURG LehighCapital 135 9304 11664 95 80 9304 14111 992019 TRANSITIONS HEALTHCARE NORTH HUNTINGDON Southwest 120 7108 10093 91 70 7108 10781 992019 TRANSITIONS HEALTHCARE WASHINGTON PA Southwest 120 7360 10203 92 72 7360 11163 992019 TREMONT HEALTH amp REHABILITATION CENTER Northeast 180 12521 14972 91 84 12521 18991 992019 TUCKER HOUSE NSG amp REHAB CTR Southeast 180 13183 14819 90 89 13183 19995 992019 TWIN PINES HEALTH CARE CENTER Southeast 120 7975 10119 93 79 7975 12096 992019 TWINBROOK HEALTHCARE amp REHAB CENTER Northwest 120 8316 9553 87 87 8316 12613 992019 UNIONTOWN HEALTHCARE amp REHAB CENTER Southwest 120 7545 10004 91 75 7545 11443 992019 UNITED ZION RETIREMENT COMMUNITY LehighCapital 59 2171 4587 85 47 0 000 992019 UPMC COLE SKILLED NURSING amp REHAB UNIT Northwest 44 2057 3750 94 55 0 000 992019 UPMC HERITAGE PLACE Southwest 143 7007 10400 79 67 0 000 992019 VALENCIA WOODS AT ST BARNABAS Southwest 47 1376 2886 67 48 0 000 992019 VALLEY MANOR REHAB AND HEALTHCARE CTR Southeast 180 13065 14919 91 88 13065 19816 992019 VALLEY VIEW HAVEN INC Northeast 162 7587 13510 92 56 0 000 992019 VALLEY VIEW REHAB AND NURSING CENTER Northeast 163 7798 13044 88 60 0 000 992019 VILLA SAINT JOSEPH OF BADEN INC Southwest 120 5609 10783 98 52 0 000 992019

Name CHC Zone Beds from

NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

VILLAGE AT LUTHER SQUARE VILLAGE AT PENNWOOD VINCENTIAN DE MARILLAC VINCENTIAN HOME WALNUT CREEK HEALTHCARE amp REHAB CENTER WARREN MANOR WATSONTOWN REHABILITATION AND NRSG CTR WAYNE CENTER WAYNE WOODLANDS MANOR WAYNESBURG HEALTHCARE amp REHAB CENTER WEATHERWOOD HEALTHCARE AND REHAB CTR WESLEY ENHANCED LIVING AT STAPELEY WESLEY ENHANCED LIVING MAIN LINE REHAB WESLEY ENHANCED LIVING PENNYPACK PARK WESLEY ENHANCED LIVING-DOYLESTOWNWESLEY VILLAGE WEST HILLS HEALTH AND REHAB CENTER WESTERN RESERVE HEALTHCARE amp REHAB CTR WESTGATE HILLS REHAB AND NURSING CENTER WESTMINSTER VILLAGE WESTMINSTER WOODS AT HUNTINGDON WEXFORD HEALTHCARE CENTER WHITESTONE CARE CENTER WILLIAM PENN CARE CENTER WILLIAM PENN HEALTHCARE amp REHAB CENTER WILLIAMSPORT HOME THE WILLOW TERRACE WILLOWS OF PRESBYTERIAN SENIORCARE THE WINDY HILL VILLAGE OF PRESBYTERIAN HOMES WOODHAVEN CARE CENTER WOODLAND PARK REHAB CENTER WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND REHABILITATION CENTER

Northwest Southwest Southwest Southwest Northwest Northwest Northeast Southeast Northeast Southwest Northeast Southeast Southeast Southeast

Southeast Northeast Southwest Northwest Southeast LehighCapital LehighCapital Southwest Northeast Southwest Northeast Northeast Southeast Southwest LehighCapital Southwest LehighCapital LehighCapital Southeast

110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two

ABINGTON CREST HEALTHCARE amp REHAB CENTER Northwest 3044 3596 3596 49 85 0 000 992019 ABINGTON MANOR Northeast 7985 10306 10306 94 77 7985 11369 992019 ABRAMSON RESIDENCE Southeast 17298 29088 29088 98 59 0 000 992019 ALLIED SERVICES SKILLED NURSING CENTER ALTOONA CENTER FOR NURSING CARE

Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019

AMBLER EXTENDED CARE CENTER Southeast 7448 8686 8686 94 86 7448 10604 992019 ANNS CHOICE ARBUTUS PARK MANOR

Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019

ARISTACARE AT MEADOW SPRINGS Southeast 10389 12826 12826 91 81 10389 14791 992019 ARTMAN LUTHERAN HOME ASBURY HEALTH CENTER

Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019

ATHENS HEALTH AND REHABILITATION CENTER Northwest 3582 4845 4845 59 74 0 000 992019 ATTLEBORO NURSING AND REHAB CENTER AVALON PLACE

Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019

AVALON SPRINGS PLACE Northwest 6467 8460 8460 92 76 6467 9207 992019 BALA NURSING AND RETIREMENT CENTER BALDWIN HEALTH CENTER

Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019

BALL PAVILION THE BAPTIST HOMES OF WESTERN PENNSYLVANIA

Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019

BARCLAY FRIENDS Southeast 1843 6979 6979 79 26 0 000 992019 BARNES-KASSON COUNTY HOSPITAL SNF BEACON RIDGE A CHOICE COMMUNITY BEAVER HEALTHCARE AND REHABILITATION CTR BEAVER VALLEY HEALTH AND REHAB CENTER BELAIR HEALTH AND REHABILITATION CENTER

Northeast Southwest Southwest Southwest Southwest

3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019

BELLE HAVEN HEALTHCARE amp REHAB CENTER Southeast 3913 4668 4668 86 84 3913 5571 992019 BERKSHIRE CENTER LehighCapital 7787 11465 11465 96 68 7787 11087 992019 BERWICK RETIREMENT VILLAGE NRSNG HOME I Northeast 2912 3676 3676 33 79 0 000 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

BERWICK RETIREMENT VILLAGE NRSNG HOME II Northeast 5788 8936 8936 81 65 0 000 992019 BETHANY VILLAGE RETIREMENT CENTER BETHLEN HM OF THE HUNGARIAN RFRMD FED

LehighCapitalSouthwest

1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019

BIRCHWOOD NURSING AND REHAB CENTER Northeast 7806 10336 10336 93 76 7806 11114 992019 BONHAM NURSING CENTER Northeast 5393 6480 6480 91 83 5393 7678 992019 BRADFORD ECUMENICAL HOME INC Northwest 5446 8858 8858 96 61 0 000 992019 BRADFORD MANOR Northwest 6114 9303 9303 88 66 6114 8705 992019 BRANDYWINE HALL Southeast 12497 14774 14774 89 85 12497 17792 992019 BRETHREN VILLAGE LehighCapital 3629 10598 10598 96 34 0 000 992019 BRIARLEAF NURSING AND CONVAL CENTER BRIDGEVILLE REHAB AND CARE CENTER BRIGHTON REHABILITATION amp WELLNESS CTR

Southeast Southwest Southwest

13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019

BRINTON MANOR NURSING amp REHAB CENTER Southeast 6131 7570 7570 89 81 6131 8729 992019 BROAD ACRES HEALTH AND REHAB CENTER Northeast 6183 9507 9507 86 65 6183 8803 992019 BROAD MOUNTAIN HEALTH amp REHAB CENTER Northeast 7322 9077 9077 76 81 0 000 992019 BROOKLINE MANOR AND REHABILITATIVE SRVCS Northeast 4639 7430 7430 95 62 0 000 992019 BROOKMONT HEALTHCARE CENTER LLC Northeast 8217 10543 10543 96 78 8217 11699 992019 BROOKSIDE HEALTHCARE AND REHAB CENTER Southeast 8371 10489 10489 95 80 8371 11918 992019 BROOKVIEW HEALTH CARE CENTER LehighCapital 5747 12804 12804 92 45 0 000 992019 BROOMALL MANOR Southeast 5706 6315 6315 56 90 0 000 992019 BROOMALL PRESBYTERIAN VILLAGE Southeast 7084 11539 11539 86 61 0 000 992019 BROOMALL REHAB AND NURSING CENTER Southeast 15966 20984 20984 77 76 0 000 992019 BRYN MAWR EXTENDED CARE CENTER Southeast 10795 12680 12680 86 85 10795 15369 992019 BUCKINGHAM VALLEY NURSING amp REHAB CENTER Southeast 7812 10562 10562 88 74 7812 11122 992019 BUCKTAIL MEDICAL CENTER Northwest 3114 3707 3707 94 84 3114 4434 992019 BUFFALO VALLEY LUTHERAN VILLAGE Northeast 5384 9188 9188 98 59 0 000 992019 CALVARY FELLOWSHIP HOMES INC CAMBRIA CARE CENTER CANTERBURY PLACE

LehighCapitalSouthwest Southwest

1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019

CARBONDALE NURSING AND REHAB CENTER Northeast 8288 10055 10055 95 82 8288 11800 992019 CARE PAVILION NURSING AND REHAB CENTER Southeast 32447 34831 34831 96 93 32447 46196 992019 CARING HEART REHAB AND NURSING CENTER CARING HEIGHTS COMMUNITY CARE amp REHAB

Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019

CARING PLACE THE Northwest 5976 8794 8794 96 68 5976 8508 992019 CARLETON HEALTHCARE amp REHABILITATION CTR Northeast 1332 1946 1946 81 68 0 000 992019 CATHEDRAL VILLAGE Southeast 3758 8576 8576 70 44 0 000 992019 CEDAR HAVEN HEALTHCARE CENTER LehighCapital 23180 26788 26788 90 87 23180 33002 992019 CENTENNIAL HEALTHCARE amp REHAB CENTER Southeast 12269 15656 15656 95 78 12269 17468 992019 CENTRE CREST LehighCapital 16382 20752 20752 94 79 16382 23324 992019 CHAMBERS POINTE HEALTH CARE CENTER LehighCapital 1951 5241 5241 95 37 0 000 992019 CHANDLER HALL HEALTH SERVICES INC Southeast 1722 4171 4171 86 41 0 000 992019 CHAPEL MANOR Southeast 16626 18653 18653 85 89 16626 23671 992019 CHAPEL POINTE AT CARLISLE CHARLES M MORRIS NURSING AND REHAB CTR

LehighCapital Southwest

2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019

CHELTENHAM NURSING AND REHAB CENTER CHERRY TREE NURSING CENTER

Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019

CHESTNUT HILL LODGE HEALTH AND REHAB CTR Southeast 13666 15144 15144 91 90 13666 19457 992019 CHESTNUT NURSING AND REHAB CENTER LLC CHESWICK REHAB amp WELLNESS CTR LLC

Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019

CHRISTS HOME RETIREMENT COMMUNITY Southeast 184 3602 3602 82 5 0 000 992019 CHURCH OF GOD HOME INC CHURCH OF THE BRETHREN HOME


3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019

CLARION HEALTHCARE AND REHAB CENTER Northwest 2939 3616 3616 47 81 0 000 992019 CLARVIEW NURSING AND REHAB CENTER Northwest 5716 7912 7912 72 72 0 000 992019 CLEPPER MANOR Northwest 3713 4448 4448 90 83 3713 5286 992019 CLIVEDEN NSG amp REHAB CTR Southeast 13322 14958 14958 90 89 13322 18967 992019 COLONIAL MANOR NURSING HOME LehighCapital 17872 20500 20500 83 87 0 000 992019 COLONIAL PARK CARE CENTER CONCORDIA AT THE CEDARS CONCORDIA LUTHERAN HEALTH AND HUMAN CARE

LehighCapital Southwest Southwest

1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019

CONESTOGA VIEW LehighCapital 34015 38441 38441 94 88 34015 48428 992019 CONTINUING CARE AT MARIS GROVE Southeast 0 5039 5039 83 0 0 000 992019 CORNWALL MANOR LehighCapital 2268 8712 8712 99 26 0 000 992019 CORRY MANOR Northwest 6525 9647 9647 87 68 6525 9290 992019 COUNTRYSIDE CHRISTIAN COMMUNITY LehighCapital 1609 2834 2834 93 57 0 000 992019 COURTYARD GARDENS NURSING AND REHAB CTR CRANBERRY PLACE


5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019

CREEKSIDE HEALTH AND REHABILITATION CTR Northeast 5427 6487 6487 87 84 5427 7727 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

CRESTVIEW CENTER Southeast 12607 15769 15769 95 80 12607 17949 992019 CROSS KEYS VILLAGE-BRETHREN HM COMM THE LehighCapital 9864 18306 18306 74 54 0 000 992019 CUMBERLAND CROSSINGS RETIREMENT COMM LehighCapital 2574 4871 4871 91 53 0 000 992019 DARWAY HEALTHCARE amp REHABILITATION CTR Northeast 4812 5300 5300 86 91 4812 6851 992019 DEER MEADOWS REHABILITATION CENTER Southeast 13097 18313 18313 97 72 13097 18647 992019 DOCK TERRACE DONAHOE MANOR

Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019

DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER Northwest 3951 7015 7015 85 56 0 000 992019 DRESHER HILL HEALTH amp REHAB CENTER Southeast 7765 8619 8619 79 90 0 000 992019 DUBOIS NURSING HOME Northwest 8466 11437 11437 89 74 8466 12053 992019 DUNMORE HEALTH CARE CENTER Northeast 5769 7509 7509 89 77 5769 8214 992019 EDGEHILL NURSING AND REHAB CENTER Southeast 4876 5284 5284 96 92 4876 6942 992019 EDINBORO MANOR EDISON MANOR NURSING AND REHAB CENTER ELDERCREST NURSING CENTER

Northwest Southwest Southwest

7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019

ELIZABETH MANOR HEALTHCARE amp REHAB CTR LehighCapital 5292 5997 5997 89 88 5292 7534 992019 ELIZABETHTOWN HEALTHCARE amp REHAB CENTER LehighCapital 2476 3903 3903 94 63 0 000 992019 ELK HAVEN NURSING HOME Northwest 5455 9866 9866 89 55 0 000 992019 ELKINS CREST HEALTH amp REHAB CENTER Southeast 10318 11351 11351 82 91 0 000 992019 ELLEN MEMORIAL HEALTH CARE CENTER Northeast 5456 8708 8708 74 63 0 000 992019 ELMWOOD GARDENS OF PRESBY SENIOR CARE Northwest 2170 4407 4407 94 49 0 000 992019 EMMANUEL CENTER FOR NURSING AND REHAB Northeast 5358 7961 7961 96 67 5358 7628 992019 EPHRATA MANOR EPWORTH HEALTHCARE AND REHAB CENTER


6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019

FAIRLANE GARDENS NSG amp REHAB AT READING LehighCapital 7130 8661 8661 76 82 0 000 992019 FAIRMOUNT HOMES LehighCapital 4033 9761 9761 93 41 0 000 992019 FAIRVIEW MANOR Northwest 7569 10454 10454 94 72 7569 10776 992019 FAIRVIEW NURSING AND REHABILITATION CTR Southeast 12945 15140 15140 94 86 12945 18430 992019 FALLING SPRING NURSING AND REHAB CENTER LehighCapital 11479 14969 14969 87 77 11479 16343 992019 FELLOWSHIP MANOR FORBES CENTER FOR REHAB amp HEALTHCARE LLC


4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019

FOREST CITY NURSING AND REHAB CENTER Northeast 6117 9512 9512 78 64 0 000 992019 FOREST PARK HEALTH CENTER LehighCapital 8002 9954 9954 95 80 8002 11393 992019 FORESTVIEW Northwest 2175 7052 7052 96 31 0 000 992019 FOX SUBACUTE AT CLARA BURKE Southeast 3098 3640 3640 66 85 0 000 992019 FOX SUBACUTE AT MECHANICSBURG LehighCapital 3194 4441 4441 86 72 3194 4547 992019 FOX SUBACUTE AT SOUTH PHILADELPHIA Southeast 1821 2357 2357 48 77 0 000 992019 FOX SUBACUTE CENTER Southeast 4184 4986 4986 90 84 4184 5957 992019 FREDERICK LIVING - CEDARWOOD Southeast 1083 4985 4985 89 22 0 000 992019 FREY VILLAGE FRIENDSHIP VILLAGE OF SOUTH HILLS


7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019

FULTON COUNTY MEDICAL CENTER LTCU LehighCapital 4567 5786 5786 94 79 4567 6502 992019 GARDEN SPOT VILLAGE LehighCapital 1570 6435 6435 96 24 0 000 992019 GARDEN SPRING NURSING amp REHAB CENTER GARVEY MANOR

Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019

GETTYSBURG CENTER LehighCapital 6985 9203 9203 85 76 6985 9945 992019 GLENDALE UPTOWN HOME Southeast 16794 19495 19495 88 86 16794 23910 992019 GOOD SHEPHERD HOME RAKER CENTER LehighCapital 8883 9099 9099 100 98 8883 12647 992019 GOOD SHEPHERD HOME-BETHLEHEM LehighCapital 5323 5457 5457 99 98 5323 7579 992019 GRANDVIEW NURSING AND REHABILITATION Northeast 10721 14436 14436 91 74 10721 15264 992019 GREEN HOME INC THE Northeast 7660 10002 10002 91 77 7660 10906 992019 GREEN MEADOWS NURSING amp REHAB CENTER Southeast 11413 13285 13285 78 86 0 000 992019 GREEN RIDGE CARE CENTER Northeast 5979 7954 7954 91 75 5979 8513 992019 GREEN VALLEY SKILLED NSG amp REHAB CENTER GREENERY CENTER FOR REHAB amp NURSING

Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019

GREENLEAF NURSING HOME AND CONVAL CENTER GREENSBURG CARE CENTER

Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019

GROVE MANOR Northwest 2101 5179 5179 95 41 0 000 992019 GUARDIAN HEALTHCARE amp REHAB CENTER Northeast 7549 9514 9514 94 79 7549 10748 992019 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU Northwest 3602 5707 5707 91 63 0 000 992019 GUY AND MARY FELT MANOR INC Northwest 1966 2825 2825 77 70 0 000 992019 GWYNEDD HEALTHCARE amp REHABILITATION CTR HAIDA HEALTHCARE AND REHAB CENTER

Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019

HAMILTON ARMS CENTER LehighCapital 5775 7642 7642 88 76 5775 8222 992019 HAMPTON HOUSE Northeast 6982 7874 7874 82 89 0 000 992019 HANOVER HALL LehighCapital 10513 13051 13051 93 81 10513 14968 992019 HARBORVIEW REHAB amp C C AT DOYLESTOWN Southeast 6636 7453 7453 68 89 0 000 992019 HARBORVIEW REHAB amp CARE CTR AT LANSDALE Southeast 8375 8894 8894 77 94 0 000 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

HARMAR VILLAGE CARE CENTER HARMON HOUSE CARE CENTER

Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019

HARRISON SENIOR LIVING OF CHRISTIANA LehighCapital 8536 10870 10870 85 79 8536 12153 992019 HARSTON HALL HAVEN CONVALESCENT HOME INC

Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019

HAVEN SKILLED REHABILITATION AND NURSING HAVENCREST NURSING CENTER

Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019

HEARTHSIDE REHAB CENTER HEMPFIELD MANOR


10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019

HICKORY HOUSE NURSING HOME Southeast 6017 9060 9060 90 66 6017 8567 992019 HIGHLAND MANOR REHAB amp NURSING CENTER HIGHLAND PARK CARE CENTER

Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019

HIGHLAND VIEW HEALTHCARE amp REHAB CENTER Northwest 2829 3850 3850 84 73 0 000 992019 HIGHLANDS HEALTHCARE amp REHAB CENTER Northeast 9093 10099 10099 91 90 9093 12946 992019 HILLCREST CENTER HILLSDALE PARK REHAB CENTER HILLVIEW HEALTHCARE AND REHAB CENTER


14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019

HOLY FAMILY HOME Southeast 3576 3930 3930 95 91 3576 5091 992019 HOLY FAMILY MANOR LehighCapital 9521 13747 13747 72 69 0 000 992019 HOLY FAMILY RESIDENCE Northeast 4222 4624 4624 93 91 4222 6011 992019 HOMELAND CENTER LehighCapital 4207 8531 8531 98 49 0 000 992019 HOMESTEAD VILLAGE INC LehighCapital 1453 4835 4835 88 30 0 000 992019 HOMETOWN NURSING AND REHAB CENTER HOMEWOOD AT MARTINSBURG PA INC

Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019

HOPKINS CENTER Southeast 8149 9025 9025 93 90 8149 11602 992019 HOSPITALITY CARE CENTER OF HERMITAGE INC Northwest 1909 2475 2475 82 77 0 000 992019 HUNTINGDON PARK REHAB CENTER LehighCapital 4846 7030 7030 82 69 0 000 992019 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE Southeast 19895 25407 25407 93 78 19895 28325 992019 INGLIS HOUSE Southeast 21550 22247 22247 96 97 21550 30681 992019 IVY HILL REHAB CENTER JAMESON CARE CENTER JEFFERSON HILLS HEALTHCARE amp REHAB CTR


9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019

JEFFERSON MANOR HEALTH CENTER Northwest 6703 8926 8926 61 75 0 000 992019 JEWISH HOME OF EASTERN PENNSYLVANIA Northeast 10320 14421 14421 91 72 10320 14693 992019 JEWISH HOME OF GREATER HARRISBURG JULIA POUND CARE CENTER


7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019

JULIA RIBAUDO EXTENDED CARE CENTER Northeast 7168 8810 8810 80 81 0 000 992019 KADIMA REHAB amp NURSING AT CAMPBELLTOWN LehighCapital 3280 4160 4160 85 79 3280 4670 992019 KADIMA REHAB amp NURSING AT LUZERNE Northeast 2511 3053 3053 90 82 2511 3575 992019 KADIMA REHAB amp NURSING AT PALMYRA LehighCapital 2780 3230 3230 90 86 2780 3958 992019 KADIMA REHAB amp NURSING AT POTTSTOWN Southeast 2598 3335 3335 88 78 2598 3699 992019 KADIMA REHAB AND NURSING AT LAKESIDE Northeast 2155 2592 2592 91 83 2155 3068 992019 KADIMA REHAB AND NURSING AT LITITZ LehighCapital 2174 3391 3391 88 64 0 000 992019 KEARSLEY REHAB AND NURSING CENTER Southeast 3993 6928 6928 90 58 0 000 992019 KINGSTON HEALTH CARE CENTER Northeast 4134 5321 5321 89 78 4134 5886 992019 KINKORA PYTHIAN HOME CORPORATION LehighCapital 3062 4921 4921 89 62 0 000 992019 KINZUA HEALTHCARE AND REHAB CENTER KITTANNING CARE CENTER

Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019

KUTZTOWN MANOR LehighCapital 9793 12296 12296 95 80 9793 13943 992019 LACKAWANNA HEALTH AND REHAB CENTER LAFAYETTE MANOR INC

Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019

LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) Southeast 5973 10512 10512 95 57 0 000 992019 LAKEVIEW HEALTHCARE amp REHABILITATION CTR Northwest 1680 2954 2954 94 57 0 000 992019 LANCASHIRE HALL LehighCapital 19285 21007 21007 95 92 19285 27457 992019 LANDIS HOMES LehighCapital 2822 8824 8824 93 32 0 000 992019 LANGHORNE GARDENS HEALTH amp REHAB CENTER Southeast 8866 9874 9874 89 90 8866 12623 992019 LAUREL CENTER LAUREL RIDGE CENTER


8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019

LAUREL SQUARE HEALTHCARE amp REHAB CTR LAUREL VIEW VILLAGE LAUREL WOOD CARE CENTER LAWSON NURSING HOME INC

Southeast Southwest Southwest Southwest

7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019

LEBANON VALLEY BRETHREN HOME LehighCapital 3398 7992 7992 87 43 0 000 992019 LEBANON VALLEY HOME THE LehighCapital 2461 4870 4870 96 51 0 000 992019 LECOM AT PRESQUE ISLE INC Northwest 8931 11062 11062 85 81 8931 12715 992019 LEHIGH CENTER LGAR HEALTH AND REHABILITATION CENTER


7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019

LIBERTY CENTER FOR REHAB AND NURSING Southeast 6277 7325 7325 85 86 6277 8937 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

LIFEQUEST NURSING CENTER Southeast 7867 10284 10284 80 76 0 000 992019 LINWOOD NURSING AND REHABILITATION CTR Northeast 4111 4997 4997 53 82 0 000 992019 LITTLE FLOWER MANOR OF DIOCESE SCRANTON LITTLE SISTERS OF THE POOR

Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019

LOCUST GROVE RETIREMENT VILLAGE LOYALHANNA CARE CENTER

NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019

LOYALSOCK REHAB CENTER Northeast 7743 11143 11143 91 69 7743 11024 992019 LUTHER ACRES MANOR LehighCapital 5366 9435 9435 97 57 0 000 992019 LUTHER CREST NURSING FACILITY LehighCapital 2418 5374 5374 97 45 0 000 992019 LUTHER WOODS NURSING amp REHAB CENTER Southeast 8465 11637 11637 90 73 8465 12052 992019 LUTHERAN COMMUNITY AT TELFORD LUTHERAN HOME AT HOLLIDAYSBURG THE LUTHERAN HOME AT JOHNSTOWN THE


2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019

LUTHERAN HOME AT KANE THE Northwest 5398 7281 7281 88 74 5398 7685 992019 LUTHERAN HOME AT TOPTON LehighCapital 10896 17006 17006 95 64 0 000 992019 MAHONING VALLEY NURSING AND REHAB CENTER Northeast 7746 11697 11697 90 66 7746 11028 992019 MAJESTIC OAKS REHAB amp NURSING CENTER Southeast 12919 14888 14888 90 87 12919 18393 992019 MANATAWNY MANOR INC Southeast 7605 11602 11602 95 66 7605 10828 992019 MANCHESTER COMMONS OF PRESBY SR CARE Northwest 3158 6699 6699 93 47 0 000 992019 MANORCARE HEALTH SERVICES - MONTGOMERY MANORCARE HEALTH SERVICES - NORTHSIDE

Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019

MANORCARE HEALTH SERVICES - WALLINGFORD Southeast 13430 16186 16186 91 83 13430 19121 992019 MANORCARE HEALTH SVCS-ALLENTOWN MANORCARE HEALTH SVCS-BETHEL PARK


12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019

MANORCARE HEALTH SVCS-BETHLEHEM (2021) LehighCapital 17805 19504 19504 93 91 17805 25350 992019 MANORCARE HEALTH SVCS-BETHLEHEM (2029) LehighCapital 17020 18935 18935 95 90 17020 24232 992019 MANORCARE HEALTH SVCS-CAMP HILL LehighCapital 8158 10420 10420 92 78 8158 11615 992019 MANORCARE HEALTH SVCS-CARLISLE LehighCapital 10168 12170 12170 88 84 10168 14477 992019 MANORCARE HEALTH SVCS-CHAMBERSBURG LehighCapital 12767 15719 15719 81 81 0 000 992019 MANORCARE HEALTH SVCS-DALLASTOWN LehighCapital 12940 15905 15905 86 81 12940 18423 992019 MANORCARE HEALTH SVCS-EASTON MANORCARE HEALTH SVCS-GREEN TREE


16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019

MANORCARE HEALTH SVCS-HUNTINGDON VALLEY Southeast 8723 10250 10250 89 85 8723 12419 992019 MANORCARE HEALTH SVCS-JERSEY SHORE Northeast 8686 10193 10193 92 85 8686 12367 992019 MANORCARE HEALTH SVCS-KING OF PRUSSIA Southeast 9723 12240 12240 78 79 0 000 992019 MANORCARE HEALTH SVCS-KINGSTON Northeast 10831 13211 13211 82 82 0 000 992019 MANORCARE HEALTH SVCS-KINGSTON COURT LehighCapital 9836 12236 12236 88 80 9836 14004 992019 MANORCARE HEALTH SVCS-LANCASTER LehighCapital 12588 14828 14828 94 85 12588 17922 992019 MANORCARE HEALTH SVCS-LAURELDALE LehighCapital 13440 16178 16178 89 83 13440 19135 992019 MANORCARE HEALTH SVCS-LEBANON MANORCARE HEALTH SVCS-MONROEVILLEMANORCARE HEALTH SVCS-NORTH HILLS


Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019

MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS TOWNSHIP MANORCARE HEALTH SVCS-PITTSBURGH


8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019

MANORCARE HEALTH SVCS-POTTSTOWN Southeast 9254 10460 10460 76 88 0 000 992019 MANORCARE HEALTH SVCS-POTTSVILLE MANORCARE HEALTH SVCS-SHADYSIDE

Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019

MANORCARE HEALTH SVCS-SINKING SPRING LehighCapital 15378 17798 17798 90 86 15378 21894 992019 MANORCARE HEALTH SVCS-SUNBURY Northeast 9359 10889 10889 94 86 9359 13325 992019 MANORCARE HEALTH SVCS-WEST READING NORTH MANORCARE HEALTH SVCS-WHITEHALL BOROUGH


13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019

MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH Northeast 9014 10657 10657 76 85 0 000 992019 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH Northeast 6673 7792 7792 73 86 0 000 992019 MANORCARE HEALTH SVCS-YEADON Southeast 15559 16853 16853 93 92 15559 22152 992019 MANORCARE HEALTH SVCS-YORK NORTH LehighCapital 10662 13731 13731 93 78 10662 15180 992019 MANORCARE HEALTH SVCS-YORK SOUTH LehighCapital 9316 12837 12837 92 73 9316 13264 992019 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN LehighCapital 12147 12838 12838 96 95 12147 17294 992019 MAPLE FARM MAPLE WINDS HEALTHCARE amp REHAB CTR LLC


1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019

MAPLEWOOD NURSING AND REHABILITATION CTR Southeast 13865 14797 14797 89 94 13865 19740 992019 MARGARET E MOUL HOME MARIAN MANOR CORPORATION


7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019

MASONIC VILLAGE AT ELIZABETHTOWN LehighCapital 24110 39090 39090 94 62 0 000 992019 MASONIC VILLAGE AT LAFAYETTE HILL MASONIC VILLAGE AT SEWICKLEY

Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019

MASONIC VILLAGE AT WARMINSTER MAYBROOK HILLS REHAB amp HEALTHCARE CENTER

Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

MCMURRAY HILLS MANOR Southwest 115 7685 9622 91 80 7685 10941 992019 MEADOW VIEW HEALTHCARE amp REHAB CENTER MEADOW VIEW NURSING CENTER MEADOWCREST NURSING CENTER

Northeast Southwest Southwest

4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019

MEADOWS NURSING AND REHAB CENTER Northeast 8304 10760 10760 90 77 8304 11823 992019 MEADOWVIEW REHAB amp NURSING CENTER Southeast 18708 20726 20726 92 90 18708 26635 992019 MENNONITE HOME THE LehighCapital 6077 15856 15856 92 38 0 000 992019 MERCY CENTER NURSING UNIT INC Northeast 2965 5191 5191 96 57 0 000 992019 MESSIAH LIFEWAYS AT MESSIAH VILLAGEMEYERSDALE HEALTHCARE AND REHAB CTR


3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019

MID VALLEY HEALTH CARE CENTER Northeast 1903 3340 3340 96 57 0 000 992019 MIFFLIN CENTER LehighCapital 8965 12299 12299 98 73 8965 12764 992019 MILFORD HEALTHCARE AND REHAB CENTER Northeast 5578 7177 7177 98 78 5578 7942 992019 MILLCREEK MANOR Northwest 6855 12141 12141 96 56 0 000 992019 MILTON REHABILITATION AND NURSING CENTER Northeast 8269 10490 10490 83 79 0 000 992019 MISERICORDIA NURSING amp REHAB CENTER MON VALLEY CARE CENTER MONROEVILLE REHAB amp WELLNESS CENTER


1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019

MORAVIAN HALL SQ HLTH AND WELLNESS CTR LehighCapital 531 5186 5186 92 10 0 000 992019 MORAVIAN MANOR MORRISONS COVE HOME


3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019

MOSSER NURSING HOME LehighCapital 2956 4400 4400 80 67 0 000 992019 MOUNT CARMEL NURSING AND REHAB CENTER Northeast 8673 10548 10548 95 82 8673 12348 992019 MOUNT HOPE NAZARENE RETIREMENT COMMUNITY MOUNT MACRINA MANOR NURSING HOME


3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019

MOUNTAIN CITY NURSING AND REHAB CENTER Northeast 22071 24569 24569 90 90 22071 31423 992019 MOUNTAIN LAUREL HEALTHCARE amp REHAB CTR Northwest 11861 14300 14300 65 83 0 000 992019 MOUNTAIN TOP HEALTHCARE AND REHAB CTR Northeast 6820 9193 9193 94 74 6820 9710 992019 MOUNTAIN VIEW A NURSING AND REHAB CTR MOUNTAINVIEW SPECIALTY CARE CENTER MT LEBANON REHAB AND WELLNESS CENTER


18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019

MULBERRY HEALTHCARE amp REHAB CTR MURRYSVILLE REHAB amp WELLNESS CENTER

Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019

NAAMANS CREEK COUNTRY MANOR Southeast 5022 7784 7784 94 65 5022 7150 992019 NEW EASTWOOD HEALTHCARE AND REHAB CENTER LehighCapital 3811 7703 7703 86 49 0 000 992019 NORMANDIE RIDGE LehighCapital 1975 5643 5643 96 35 0 000 992019 NORRITON SQUARE NURSING amp REHAB CENTER NORTH HILLS HEALTH AND REHAB CENTER NORTH STRABANE REHAB amp WELLNESS CTR LLC


6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019

NOTTINGHAM VILLAGE Northeast 5130 10097 10097 91 51 0 000 992019 NUGENT CONVALESCENT HOME Northwest 6390 8476 8476 88 75 6390 9098 992019 NURSING amp REHABILITATION AT THE MANSION OAK HILL NURSING AND REHAB CENTER OAKMONT CENTER FOR NURSING AND REHAB


5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019

OAKWOOD HEALTHCARE amp REHABILITATION CTR Southeast 10404 12548 12548 92 83 10404 14813 992019 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE Northwest 6290 9468 9468 97 66 6290 8955 992019 OHESSON MANOR Northeast 8686 11775 11775 96 74 8686 12367 992019 OIL CITY HEALTHCARE AND REHAB CENTER Northwest 5524 8179 8179 94 68 5524 7865 992019 OLD ORCHARD HEALTH CARE CENTER LehighCapital 11737 15416 15416 93 76 11737 16710 992019 ORCHARD MANOR INC Northwest 6660 9914 9914 89 67 6660 9482 992019 ORWIGSBURG NURSING amp REHAB CENTER Northeast 8004 10048 10048 84 80 0 000 992019 OXFORD HEALTH CENTER Southeast 6646 10524 10524 83 63 0 000 992019 PAPERMILL ROAD NURSING amp REHAB CENTER Southeast 7964 10085 10085 85 79 7964 11339 992019 PARAMOUNT NURSING amp REHAB FAYETTEVILLE LehighCapital 4473 7637 7637 90 59 0 000 992019 PARK AVENUE REHAB CENTER Northwest 9263 11248 11248 71 82 0 000 992019 PARKHOUSE REHABILITATION AND NURSING CTR PASSAVANT RETIREMENT AND HEALTH CENTER

Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019

PAULS RUN Southeast 4146 10780 10780 98 38 0 000 992019 PEMBROOKE HEALTH AND REHAB CENTER PENNKNOLL VILLAGE

Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019

PENNSBURG MANOR Southeast 8251 10444 10444 95 79 8251 11747 992019 PENNYPACK NURSING amp REHAB CENTER Southeast 3117 4237 4237 85 74 3117 4438 992019 PETER BECKER COMMUNITY Southeast 2467 6194 6194 94 40 0 000 992019 PHILADELPHIA PROTESTANT HOME Southeast 6039 10998 10998 95 55 0 000 992019 PHOEBE ALLENTOWN HEALTH CARE LehighCapital 14424 20879 20879 57 69 0 000 992019 PHOEBE BERKS HEALTH CARE CENTER INC LehighCapital 2040 8668 8668 79 24 0 000 992019 PHOEBE RICHLAND HCC Southeast 6826 11124 11124 85 61 0 000 992019 PHOEBE WYNCOTE Southeast 2849 4014 4014 75 71 0 000 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

PICKERING MANOR HOME Southeast 1437 3835 3835 89 37 0 000 992019 PINE RUN HEALTH CENTER PLATINUM RIDGE CTR FOR REHAB amp HEALING

Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019

PLEASANT VIEW RETIREMENT COMMUNITY LehighCapital 5361 10337 10337 84 52 0 000 992019 POWERBACK REHABILITATION 1526 Southeast 3880 11662 11662 85 33 0 000 992019 POWERBACK REHABILITATION 3485 PREMIER ARMSTRONG REHAB amp NSG FACILITY

Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019

PREMIER AT PERRY VLG FOR NURSE AND REHAB LehighCapital 7233 8683 8683 77 83 0 000 992019 PREMIER AT SUSQUEHANNA FOR NURSE amp REHAB PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON


11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019

PROSPECT PARK HEALTH AND REHAB CENTER PROVIDENCE CARE CENTER

Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019

PROVIDENCE REHAB amp HCC MERCY FITZGERALD Southeast 7007 10649 10649 90 66 7007 9976 992019 QUAKERTOWN CENTER QUALITY LIFE SERVICES - APOLLO QUALITY LIFE SERVICES - CHICORA


9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019

QUALITY LIFE SERVICES - GROVE CITY QUALITY LIFE SERVICES - HENRY CLAY QUALITY LIFE SERVICES - MARKLEYSBURG


7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019

QUALITY LIFE SERVICES - MERCER QUALITY LIFE SERVICES - NEW CASTLE QUALITY LIFE SERVICES - SARVER QUALITY LIFE SERVICES - SUGAR CREEK QUALITY LIFE SERVICES - WESTMONT

Northwest Southwest Southwest Southwest Southwest

2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019

QUARRYVILLE PRESBYTERIAN RETIREMENT COMM LehighCapital 4142 9551 9551 80 43 0 000 992019 QUINCY RETIREMENT COMMUNITY REDSTONE HIGHLANDS HEALTH CARE CENTER REFORMED PRESBYTERIAN HOME


7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019

REGINA COMMUNITY NURSING CENTER REHAB amp NURSING CTR GREATER PITTSBURGH

Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019

RENAISSANCE HEALTHCARE amp REHAB CENTER Southeast 8734 10518 10518 93 83 8734 12435 992019 REST HAVEN-YORK LehighCapital 8687 12341 12341 84 70 0 000 992019 RICHBORO REHABILITATION amp NURSING CENTER Southeast 4629 6385 6385 85 72 4629 6590 992019 RICHFIELD HEALTHCARE AND REHAB CENTER RICHLAND HEALTHCARE AND REHAB CENTER

Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019

RIDGEVIEW HEALTHCARE amp REHAB CENTER Northeast 6848 7806 7806 76 88 0 000 992019 RIDGEVIEW HEALTHCARE amp REHAB CENTER Northwest 8284 10384 10384 86 80 8284 11794 992019 RIVER RUN REHAB AND NURSING CENTER RIVERSIDE CARE CENTER

Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019

RIVERSIDE REHABILITATION AND NURSING CTR Northeast 10308 13372 13372 90 77 10308 14676 992019 RIVERSTREET MANOR Northeast 7229 10714 10714 95 67 7229 10292 992019 RIVERWOODSROCHESTER MANOR

Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019

ROLLING FIELDS INC Northwest 11310 15400 15400 92 73 11310 16102 992019 ROLLING HILLS HEALTHCARE amp REHAB CENTER ROLLING MEADOWS

Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019

ROSE CITY NURSING AND REHAB AT LANCASTER LehighCapital 9454 10493 10493 92 90 9454 13460 992019 ROSE VIEW NURSING amp REHAB CENTER Northeast 8137 10376 10376 92 78 8137 11585 992019 ROSEMONT CENTER Southeast 5799 5991 5991 86 97 5799 8256 992019 ROSEWOOD REHABILITATION amp NURSING CENTER Northeast 10643 12917 12917 99 82 10643 15153 992019 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES Southeast 2044 8730 8730 83 23 0 000 992019 SAINT ANNES RETIREMENT COMMUNITY LehighCapital 3514 9249 9249 84 38 0 000 992019 SAINT JOHN XXIII HOME Northwest 4619 7182 7182 87 64 0 000 992019 SAINT JOSEPH VILLA Southeast 5714 9027 9027 93 63 0 000 992019 SAINT MARYS AT ASBURY RIDGE Northwest 3168 6219 6219 84 51 0 000 992019 SAINT MARYS EAST Northwest 7480 11810 11810 92 63 0 000 992019 SAINT MARYS VILLA NURSING HOME INC Northeast 6203 9191 9191 89 67 6203 8831 992019 SANATOGA CENTER Southeast 7905 11030 11030 92 72 7905 11255 992019 SARAH A TODD MEMORIAL HOME LehighCapital 7687 10383 10383 96 74 7687 10944 992019 SARAH REED SENIOR LIVING Northwest 5809 9488 9488 97 61 0 000 992019 SAUNDERS HOUSE SAXONY HEALTH CENTER

Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019

SAYRE HEALTH CARE CENTER LLC SCENERY HILL HEALTHCARE amp REHAB CENTER

Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019

SCHUYLKILL CENTER SCOTTDALE HEALTHCARE amp REHAB CENTER

Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019

SCRANTON HEALTH CARE CENTER Northeast 2361 3512 3512 87 67 2361 3361 992019 SENA-KEAN MANOR Northwest 10124 12367 12367 88 82 10124 14414 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

SENECA PLACE Southwest 174 8839 12615 79 70 0 000 992019 SETON MANOR NURSING amp REHABILITATION CTR Northeast 7446 10786 10786 98 69 7446 10601 992019 SHENANDOAH MANOR NURSING CENTER SHENANGO PRESBYTERIAN SENIORCARE SHERWOOD OAKS


7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019

SHIPPENSBURG HEALTH CARE CENTER LehighCapital 8011 10329 10329 90 78 8011 11406 992019 SHIPPENVILLE HEALTHCARE AND REHAB CENTER Northwest 5290 7109 7109 64 74 0 000 992019 SHOOK HOME THE SIEMONS LAKEVIEW MANOR NSG AND REHAB


2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019

SILVER LAKE CENTER Southeast 13306 15326 15326 96 87 13306 18944 992019 SILVER STREAM NURSING amp REHAB CENTER Southeast 7580 8138 8138 74 93 0 000 992019 SIMPSON HOUSE INC Southeast 9933 12439 12439 88 80 9933 14142 992019 SLATE BELT HEALTH AND REHAB CENTER LehighCapital 7194 9196 9196 79 78 0 000 992019 SMITH HEALTH CARE LTD Northeast 1949 3332 3332 98 58 0 000 992019 SNYDER MEMORIAL HEALTH CARE CENTER Northwest 7825 8737 8737 95 90 7825 11141 992019 SOMERTON NURSING amp REHAB CENTER Southeast 15499 17609 17609 85 88 15499 22066 992019 SOUDERTON MENNONITE HOMESSOUTH HILLS REHAB amp WELLNESS CENTER SOUTHMONT OF PRESBYTERIAN SENIORCARE SOUTHWESTERN NURSING CARE CENTER


1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019

SPANG CREST MANOR LehighCapital 5233 8974 8974 93 58 0 000 992019 SPIRITRUST LUTHERAN VLG SHREWSBURY LehighCapital 5101 8393 8393 91 61 0 000 992019 SPIRITRUST LUTHERAN VLG GETTYSBURG LehighCapital 4393 7116 7116 77 62 0 000 992019 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE LehighCapital 5531 9075 9075 95 61 0 000 992019 SPIRITRUST LUTHERAN VLG UTZ TERRACE LehighCapital 2205 3589 3589 98 61 0 000 992019 SPRING CREEK REHAB AND NURSING CENTER LehighCapital 29301 33050 33050 89 89 29301 41717 992019 SPRINGS AT THE WATERMARK THE Southeast 3411 8035 8035 80 42 0 000 992019 SPRUCE MANOR NURSING AND REHAB CENTER SQUIRREL HILL CTR FOR REHAB AND HEALING


14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019

ST FRANCIS CENTER FOR REHAB amp HEALTHCARE Southeast 15397 17124 17124 68 90 0 000 992019 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE ST JOHN SPECIALTY CARE CENTER

Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019

ST JOSEPHS MANOR (DBA ENTITY OF HRHS) Southeast 14731 26497 26497 97 56 0 000 992019 ST LUKES REHABILITATION AND NURSING CTR Northeast 3066 4226 4226 96 73 3066 4365 992019 ST MARTHA CENTER FOR REHAB amp HEALTHCARE Southeast 6746 9864 9864 89 68 6746 9605 992019 ST MARY CENTER FOR REHAB amp HEALTHCARE Southeast 8286 10661 10661 97 78 8286 11797 992019 ST MONICA CENTER FOR REHAB amp HEALTHCARE ST ANNE HOME ST BARNABAS NURSING HOME


10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019

ST IGNATIUS NURSING amp REHAB CENTER Southeast 12060 14520 14520 90 83 12060 17170 992019 ST PAUL HOMES Northwest 10647 16956 16956 96 63 0 000 992019 STATESMAN HEALTH amp REHAB CENTER Southeast 7053 8025 8025 86 88 7053 10042 992019 STERLING HEALTH CARE AND REHAB CENTER Southeast 11461 13655 13655 91 84 11461 16317 992019 STONEBRIDGE HEALTH amp REHAB CENTER LLC LehighCapital 3304 4725 4725 86 70 3304 4704 992019 STONERIDGE POPLAR RUN LehighCapital 2193 5175 5175 94 42 0 000 992019 STONERIDGE TOWNE CENTRE LehighCapital 7023 11118 11118 80 63 0 000 992019 SUBURBAN WOODS HEALTH AND REHAB CENTER Southeast 7279 8430 8430 76 86 0 000 992019 SUGAR CREEK STATION SKILLED NSG amp REHAB Northwest 7813 10258 10258 75 76 0 000 992019 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB Northeast 5050 7836 7836 94 64 0 000 992019 SUNBURY COMMUNITY HEALTH amp REHAB CENTER SUNNYVIEW NURSING AND REHABILITATION CTR

Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019

SUNSET RIDGE HEALTHCARE amp REHAB CENTER Northeast 4229 5812 5812 96 73 4229 6021 992019 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR Northeast 8745 11596 11596 91 75 8745 12451 992019 SUSQUEHANNA VALLEY NURSING AND REHAB CTR LehighCapital 12220 14507 14507 91 84 12220 17398 992019 SWAIM HEALTH CENTER LehighCapital 3873 6490 6490 89 60 0 000 992019 SWEDEN VALLEY MANOR Northwest 7451 8877 8877 80 84 0 000 992019 TEL HAI RETIREMENT COMMUNITY Southeast 4191 10890 10890 85 38 0 000 992019 THE BELVEDERE CENTER GENESIS HEALTHCARE Southeast 10904 12451 12451 90 88 10904 15524 992019 THE COMMUNITY AT ROCKHILL Southeast 1502 5685 5685 69 26 0 000 992019 THE GARDENS AT BLUE RIDGE LehighCapital 7585 8398 8398 96 90 7585 10799 992019 THE GARDENS AT CAMP HILL LehighCapital 7507 8152 8152 93 92 7507 10688 992019 THE GARDENS AT EAST MOUNTAIN Northeast 7363 10193 10193 92 72 7363 10483 992019 THE GARDENS AT EASTON LehighCapital 14320 16013 16013 96 89 14320 20388 992019 THE GARDENS AT GETTYSBURG LehighCapital 7020 8654 8654 92 81 7020 9995 992019 THE GARDENS AT MILLVILLE Northeast 8098 9108 9108 90 89 8098 11529 992019 THE GARDENS AT ORANGEVILLE Northeast 8078 10144 10144 92 80 8078 11501 992019 THE GARDENS AT SCRANTON Northeast 8422 9727 9727 76 87 0 000 992019 THE GARDENS AT STEVENS LehighCapital 5482 7071 7071 94 78 5482 7805 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date

THE GARDENS AT STROUD Northeast 8897 11091 11091 95 80 8897 12667 992019 THE GARDENS AT TUNKHANNOCK Northeast 7735 10369 10369 91 75 7735 11013 992019 THE GARDENS AT WEST SHORE LehighCapital 14606 16503 16503 58 89 0 000 992019 THE GARDENS AT WYOMING VALLEY Northeast 8826 9892 9892 90 89 8826 12566 992019 THE GARDENS AT YORK TERRACE Northeast 5502 6471 6471 88 85 5502 7833 992019 THE GARDENS FOR MEMORY CARE AT EASTON LehighCapital 8999 10231 10231 97 88 8999 12812 992019 THE GROVE AT GREENVILLE THE GROVE AT HARMONY THE GROVE AT IRWIN THE GROVE AT LATROBE THE GROVE AT NEW CASTLE THE GROVE AT NEW WILMINGTON THE GROVE AT WASHINGTON

Northwest Southwest Southwest Southwest Southwest Southwest Southwest

11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019

THE MANOR AT PENN VILLAGE Northeast 10185 13410 13410 92 76 10185 14501 992019 THE MANOR AT ST LUKE VILLAGE THE PATRIOT A CHOICE COMMUNITY

Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019

THE PAVILION AT BRMC Northwest 5567 7547 7547 86 74 5567 7926 992019 THE PAVILION AT ST LUKE VILLAGE Northeast 7081 9284 9284 84 76 0 000 992019 THE PHOENIX CENTER FOR REHAB AND NURSING Southeast 5768 6412 6412 51 90 0 000 992019 THORNWALD HOME LehighCapital 4947 7598 7598 100 65 4947 7043 992019 TIMBER RIDGE HEALTH CENTER Northeast 12939 15842 15842 96 82 12939 18422 992019 TITUSVILLE HEALTHCARE amp REHAB CENTER Northwest 4320 5883 5883 83 73 0 000 992019 TOWNE MANOR EAST Southeast 9492 10332 10332 94 92 9492 13514 992019 TOWNE MANOR WEST TOWNVIEW HEALTH AND REHAB CENTER TRANSITIONS HEALTHCARE AUTUMN GROVE C C


9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019

TRANSITIONS HEALTHCARE GETTYSBURGTRANSITIONS HEALTHCARE NORTH HUNTINGDON TRANSITIONS HEALTHCARE WASHINGTON PA


9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019

TREMONT HEALTH amp REHABILITATION CENTER Northeast 13053 14850 14850 90 88 13053 18584 992019 TUCKER HOUSE NSG amp REHAB CTR Southeast 13482 15129 15129 91 89 13482 19195 992019 TULIP SPECIAL CARE LLC Southeast 249 307 307 6 81 0 000 992019 TWIN PINES HEALTH CARE CENTER Southeast 8575 10491 10491 95 82 8575 12209 992019 TWINBROOK HEALTHCARE amp REHAB CENTER UNIONTOWN HEALTHCARE amp REHAB CENTER

Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019

UNITED ZION RETIREMENT COMMUNITY LehighCapital 2278 4453 4453 82 51 0 000 992019 UPMC COLE SKILLED NURSING amp REHAB UNIT UPMC HERITAGE PLACE VALENCIA WOODS AT ST BARNABAS


2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019

VALLEY MANOR REHAB AND HEALTHCARE CTR Southeast 13511 14659 14659 89 92 13511 19236 992019 VALLEY VIEW HAVEN INC Northeast 8091 13494 13494 91 60 0 000 992019 VALLEY VIEW REHAB AND NURSING CENTER VILLA SAINT JOSEPH OF BADEN INC

Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019

VILLAGE AT LUTHER SQUARE VILLAGE AT PENNWOOD VINCENTIAN DE MARILLAC VINCENTIAN HOME

Northwest Southwest Southwest Southwest

8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019

WALNUT CREEK HEALTHCARE amp REHAB CENTER Northwest 7242 9597 9597 91 75 7242 10311 992019 WARREN MANOR Northwest 5808 9746 9746 88 60 0 000 992019 WATSONTOWN REHABILITATION AND NRSG CTR Northeast 6837 8528 8528 74 80 0 000 992019 WAYNE CENTER Southeast 7030 9334 9334 91 75 7030 10009 992019 WAYNE WOODLANDS MANOR WAYNESBURG HEALTHCARE amp REHAB CENTER

Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019

WEATHERWOOD HEALTHCARE AND REHAB CTR Northeast 14996 17673 17673 96 85 14996 21350 992019 WESLEY ENHANCED LIVING AT STAPELEY Southeast 8692 10747 10747 97 81 8692 12375 992019 WESLEY ENHANCED LIVING MAIN LINE REHAB Southeast 2445 5097 5097 92 48 0 000 992019 WESLEY ENHANCED LIVING PENNYPACK PARK Southeast 8019 10759 10759 97 75 8019 11417 992019 WESLEY ENHANCED LIVING-DOYLESTOWN Southeast 2458 5155 5155 93 48 0 000 992019 WESLEY VILLAGE WEST HILLS HEALTH AND REHAB CENTER

Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019

WESTERN RESERVE HEALTHCARE amp REHAB CTR Northwest 7064 7904 7904 65 89 0 000 992019 WESTGATE HILLS REHAB AND NURSING CENTER Southeast 6896 9578 9578 95 72 6896 9818 992019 WESTMINSTER VILLAGE LehighCapital 7552 9838 9838 96 77 7552 10752 992019 WESTMINSTER WOODS AT HUNTINGDON LehighCapital 2539 5614 5614 95 45 0 000 992019 WESTON REHABILITATION AND NURSING CENTER WEXFORD HEALTHCARE CENTER


2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019

WHITESTONE CARE CENTER WILLIAM PENN CARE CENTER

Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019



WILLIAM PENN HEALTHCARE amp REHAB CENTER Northeast 8308 10765 10765 97 77 8308 11828 992019 WILLIAMSPORT HOME THE Northeast 6968 11606 11606 98 60 0 000 992019 WILLOW TERRACE Southeast 12746 15042 15042 94 85 12746 18147 992019 WILLOWBROOKE CT SCC AT BRITTANY POINTE Southeast 307 8108 8108 96 4 0 000 992019 WILLOWCREST WILLOWS OF PRESBYTERIAN SENIORCARE THE

Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019

WINDY HILL VILLAGE OF PRESBYTERIAN HOMES WOODHAVEN CARE CENTER


8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019

WOODLAND PARK REHAB CENTER LehighCapital 7321 9103 9103 79 80 0 000 992019 WYOMISSING HEALTH AND REHABILITATION CTR LehighCapital 7381 9112 9112 96 81 7381 10509 992019 YORK NURSING AND REHABILITATION CENTER Southeast 17961 20088 20088 91 89 17961 25572 992019 ZERBE SISTERS NURSING CENTER INC LehighCapital 5849 7611 7611 95 77 5849 8327 992019

Payment One



ABINGTON CREST HEALTHCARE amp REHAB CENTER Northwest 80 3281 3739 51 88 0 000 992019 ABINGTON MANOR Northeast 119 7835 9871 91 79 7835 11883 992019 ALLIED SERVICES SKILLED NURSING CENTER Northeast 371 22823 31286 93 73 22823 34616 992019 ALTOONA CENTER FOR NURSING CARE Southwest 120 8040 9641 87 83 8040 12194 992019 AMBLER EXTENDED CARE CENTER Southeast 100 7173 8228 90 87 7173 10879 992019 ANNS CHOICE Southeast 88 971 7841 98 12 0 000 992019 ARBUTUS PARK MANOR Southwest 141 8715 12233 94 71 8715 13218 992019 ARISTACARE AT MEADOW SPRINGS Southeast 153 10714 12736 91 84 10714 16250 992019 ASBURY HEALTH CENTER Southwest 139 5162 12210 95 42 0 000 992019 ATHENS HEALTH AND REHABILITATION CENTER Northwest 90 3547 4817 59 74 0 000 992019 ATTLEBORO NURSING AND REHAB CENTER Southeast 179 9369 15137 93 62 0 000 992019 AVALON PLACE Southwest 84 5540 7267 94 76 5540 8403 992019 AVALON SPRINGS PLACE Northwest 100 6064 8067 89 75 6064 9197 992019 BALA NURSING AND RETIREMENT CENTER Southeast 180 13817 15403 94 90 13817 20956 992019 BALDWIN HEALTH CENTER Southwest 200 13123 17152 93 77 13123 19904 992019 BAPTIST HOMES OF WESTERN PENNSYLVANIA Southwest 126 7722 10302 89 75 7722 11712 992019 BARCLAY FRIENDS Southeast 96 1624 5099 58 32 0 000 992019 BARNES-KASSON COUNTY HOSPITAL SNF Northeast 58 3756 4708 89 80 3756 5697 992019 BEACON RIDGE A CHOICE COMMUNITY Southwest 118 5883 9040 83 65 0 000 992019 BEAVER HEALTHCARE AND REHABILITATION CTR Southwest 67 3950 5443 88 73 3950 5991 992019 BEAVER VALLEY HEALTH AND REHAB CENTER Southwest 120 7447 10146 92 73 7447 11295 992019 BELAIR HEALTH AND REHABILITATION CENTER Southwest 103 5679 7621 80 75 0 000 992019 BELLE HAVEN HEALTHCARE amp REHAB CENTER Southeast 59 4021 4878 91 82 4021 6099 992019 BELLE REVE HEALTH CARE CENTER Northeast 30 869 2445 90 36 0 000 992019 BERKSHIRE CENTER LehighCapital 130 7202 11318 96 64 0 000 992019 BETHANY VILLAGE RETIREMENT CENTER LehighCapital 69 1706 6002 96 28 0 000 992019 BETHLEN HM OF THE HUNGARIAN RFRMD FED Southwest 96 5108 8430 95 61 0 000 992019 BIRCHWOOD NURSING AND REHAB CENTER Northeast 121 7834 10127 92 77 7834 11882 992019 BONHAM NURSING CENTER Northeast 77 5238 6310 90 83 5238 7944 992019 BRADFORD ECUMENICAL HOME INC Northwest 100 5484 8772 96 63 0 000 992019 BRADFORD MANOR Northwest 115 5818 8910 85 65 5818 8824 992019 BRANDYWINE HALL Southeast 180 12504 14446 88 87 12504 18965 992019 BRIARLEAF NURSING AND CONVAL CENTER Southeast 178 13389 15812 98 85 13389 20307 992019 BRIDGEVILLE REHAB AND CARE CENTER Southwest 194 8804 14795 83 60 0 000 992019 BRIGHTON REHABILITATION amp WELLNESS CTR Southwest 589 34883 41149 76 85 0 000 992019 BROAD ACRES HEALTH AND REHAB CENTER Northeast 120 5999 9691 89 62 0 000 992019 BROAD MOUNTAIN HEALTH amp REHAB CENTER Northeast 129 6845 8813 75 78 0 000 992019 BROOKLINE MANOR AND REHABILITATIVE SRVCS Northeast 85 4372 7261 94 60 0 000 992019 BROOKMONT HEALTHCARE CENTER LLC Northeast 119 7706 10092 93 76 7706 11688 992019 BROOKSIDE HEALTHCARE AND REHAB CENTER Southeast 120 8485 10429 96 81 8485 12869 992019 BROOMALL MANOR Southeast 123 5686 6202 55 92 0 000 992019 BROOMALL PRESBYTERIAN VILLAGE Southeast 146 7002 10945 82 64 0 000 992019 BRYN MAWR EXTENDED CARE CENTER Southeast 160 10490 11932 82 88 0 000 992019 BUCKINGHAM VALLEY NURSING amp REHAB CENTER Southeast 130 7518 10110 85 74 7518 11403 992019 BUFFALO VALLEY LUTHERAN VILLAGE Northeast 102 5236 9184 99 57 0 000 992019 CAMBRIA CARE CENTER Southwest 301 18369 20535 74 89 0 000 992019 CANTERBURY PLACE Southwest 115 5441 8641 82 63 0 000 992019 CARBONDALE NURSING AND REHAB CENTER Northeast 115 7502 9891 95 76 7502 11378 992019 CARE PAVILION NURSING AND REHAB CENTER Southeast 396 29070 33746 94 86 29070 44090 992019 CARING HEART REHAB AND NURSING CENTER Southeast 269 15534 21148 86 73 15534 23560 992019 CARING HEIGHTS COMMUNITY CARE amp REHAB Southwest 120 7516 10273 93 73 7516 11399 992019 CARING PLACE THE Northwest 100 5829 8142 89 72 5829 8841 992019 CARLETON HEALTHCARE amp REHABILITATION CTR Northeast 26 1381 1896 80 73 0 000 992019 CATHEDRAL VILLAGE Southeast 133 3148 9293 77 34 0 000 992019 CEDAR HAVEN HEALTHCARE CENTER LehighCapital 324 22464 26647 90 84 22464 34071 992019 CENTENNIAL HEALTHCARE amp REHAB CENTER Southeast 180 12146 15480 95 78 12146 18422 992019 CENTRE CREST LehighCapital 240 15753 20521 94 77 15753 23893 992019 CHAPEL MANOR Southeast 238 17098 18756 87 91 17098 25932 992019 CHARLES M MORRIS NURSING AND REHAB CTR Southwest 159 6583 11626 79 57 0 000 992019 CHELTENHAM NURSING AND REHAB CENTER Southeast 255 19381 20703 89 94 19381 29395 992019 CHERRY TREE NURSING CENTER Southwest 120 6373 7730 70 82 0 000 992019 CHESTNUT HILL LODGE HEALTH AND REHAB CTR Southeast 181 13065 14636 89 89 13065 19816 992019 CHESWICK REHAB amp WELLNESS CTR LLC Southwest 121 7329 8232 74 89 0 000 992019 CHRIST THE KING MANOR Northwest 160 7157 13469 93 53 0 000 992019 CHURCH OF THE BRETHREN HOME Southwest 134 6543 9595 78 68 0 000 992019




















NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019





















NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019


















NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019















NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019












NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019









NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019






NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date




110 126 50

180 115 121 125 112 121 111 200 120 60

120 60

183 150 133 110 111 64

182 90

155 121 129 174 193 120 120 125 103 240

7443666834567429732161047000696955646378

143748336215674862503976174056829680973282894

106263503750880166583

1238189007559809272976957

17549

8212 7920 4395

15757 9875 9461 9123 9074 8023 7824

17414 10672

4618 10310

5073 16147 11744 8048 9560 9628 5673

15320 5130

11326 10643 11231 14636 16887 10149 9799 9189 8908

19996

82 68 96 95 94 86 80 89 73 77 96 98 85 94 93 97 85 66 96 95 97 91 63 79 97 96 92 95 93 89 81 95 92

91 84 79 47 74 65 77 77 69 82 83 78 47 73 49 60 63 85 71 76 51 69 68 66 75 59 85 53 74 83 79 78 88

0 0

3456 0

7321 6104

0 6969

0 0

14374 8336

0 7486

0 0 0 0

6809 7328

0 10626

0 0

8016 0

12381 0

7559 8092

0 6957

17549

000 000

5242 000

11104 9258 000

10570 000 000

21801 12643

000 11354

000 000 000 000

10327 11114

000 16116

000 000

12158 000

18778 000

11465 12273

000 10552 26617

992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019 992019

Payment Two


Northeast Southwest

22896 120

31505 8317

31505 9767

92 88

73 85

22896 8317

32598 11841

992019 992019


Southeast Southwest

1133 141

7636 8137

763612042

94 93

15 68

0 8137

000 11585

992019 992019


Southeast Southwest

1485 139

53284804

5328 11714

95 92

28 41

0 0

000 000

992019 992019


Southeast Southwest

9911 84

15747 5370

15747 7110

96 92

63 76

0 5370

000 7645

992019 992019


Southeast Southwest

13576 200

15349 13691

15349 16912

93 92

88 81

13576 13691

19329 19492

992019 992019


Northwest Southwest

4018 126

68028039

6802 10393

87 90

59 77

0 8039

000 11445

992019 992019



3480 118

67 120 103

4872 8314 3995 7064 5939

4872 11766

5520 9604 7594

91 108

908780

71 71 72 74 78

3480 8314 3995 7064

0

4955 11837 5688

10057 000

992019 992019 992019 992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



1890 96

5887 4981

5887 8172

93 93

32 61

0 0

000 000

992019 992019



13943 194 589

16001 8442

34598

16001 14916 40985

98 8476

87 57 84

13943 0 0

19851 000 000

992019 992019 992019



1900 301 115

3774 18676

5348

3774 21250

8559

91 7781

50 88 62

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

15235 120

20970 7404

20970 10097

85 91

73 73

15235 7404

21691 10541

992019 992019



2357 159

5400 6437

5400 11016

99 75

44 58

0 0

000 000

992019 992019


Southeast Southwest

18732 120

19891 6169

198917446

85 67

94 83

18732 0

26669 000

992019 992019


Southeast Southwest

7203 121

9375 7901

9375 8729

82 78

77 91

0 0

000 000

992019 992019



3415 134

8436 6645

8436 9461

84 77

40 70

0 0

000 000

992019 992019



1257859

142

16104 2900 6725

16104 4913

12850

88 9198

78 59 52

12578 0 0

17908 000 000

992019 992019 992019



5069 150

7705 6811

7705 10627

82 77

66 64

0 0

000 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

2264 72

6343 3826

63436185

96 93

36 62

0 0

000 000

992019 992019



7494 118 48

102257802 3380

10225 9108 4162

92 8494

73 86 81

7494 0

3380

10669 000

4812

992019 992019 992019



6008 102

10546 6742

10546 8887

96 95

57 76

0 6742

000 9599

992019 992019



4297 187

108039108

10803 10544

97 61

40 86

0 0

000 000

992019 992019



7483 89

11807 237

11807 7632

94 93

63 3

0 0

000 000

992019 992019


Southeast Southwest

12090 132

14658 7976

14658 11910

92 98

82 67

12090 7976

17213 11356

992019 992019


Northeast Southwest

2830 140

3436 7705

3436 9137

78 71

82 84

0 0

000 000

992019 992019


Southeast Southwest

9678 120

10731 7461

10731 9488

90 86

90 79

9678 7461

13779 10622

992019 992019


Southeast Southwest

13843 98

16143 6244

161438354

97 93

86 75

13843 6244

19709 8890

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southwest Southwest

130 109

7786 6480

10916 8948

9189

71 72

7786 6480

11085 9226

992019 992019


Southeast Southwest

8124 91

9654 6835

96548318

87 99

84 82

8124 6835

11566 9731

992019 992019


Northwest Southwest

4800 48

7223 2634

7223 3834

87 87

66 69

4800 2634

6834 3750

992019 992019



10587 120

12543 6494

12543 10356

87 94

84 63

10587 0

15073 000

992019 992019


Northeast Southwest

8413 144

10240 10165

10240 11564

93 87

82 88

8413 10165

11978 14472

992019 992019



14409 74

133

158444511 8557

15844 5947

11048

96 8790

91 76 77

14409 4511 8557

20515 6422

12183

992019 992019 992019


Northeast Southwest

9005 129

12083 4433

12083 11078

88 93

75 40

9005 0

12821 000

992019 992019



9974 78 83

117853668 4751

11785 6419 6108

88 8980

85 57 78

9974 0 0

14200 000 000

992019 992019 992019



7930 131

12206 7290

12206 11091

96 92

65 66

7930 7290

11290 10379

992019 992019


Northwest Southwest

6562 120

7983 7920

79839219

82 84

82 86

0 0

000 000

992019 992019


Northeast Southwest

13503 98

16710 6075

16710 8059

67 89

81 75

0 6075

000 8649

992019 992019



8708 61

10949 4040

10949 5023

92 90

80 80

8708 4040

12398 5752

992019 992019



7315 60

120 50

7794 2440 7520 2049

7794 5305 9309 3399

97 968474

94 46 81 60

7315 0 0 0

10415 000 000 000

992019 992019 992019 992019



7168 120

10959 8157

10959 9628

93 87

65 85

7168 8157

10205 11613

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Northeast Southwest

8592 48

11553 4041

11553 4209

94 95

74 96

8592 4041

12233 5753

992019 992019


NortheastSouthwest

6017 120

8113 6847

8113 9943

85 90

74 69

6017 6847

8567 9748

992019 992019



2053 89 63

6407 3943 2915

6407 7638 5370

93 9393

32 52 54

0 0 0

000 000 000

992019 992019 992019


Southeast Southwest

9666 100

11778 7599

11778 8296

83 90

82 92

0 7599

000 10819

992019 992019



12127 160

13870 9719

13870 12585

91 85

87 77

12127 9719

17266 13837

992019 992019



16764180

19895 9997

19895 13632

95 82

84 73

16764 0

23867 000

992019 992019



Southwest

11412131 200

13605 6698

12754

13605 10465 16037

93 8787

84 64 80

11412 0

12754

16248 000

18158

992019 992019 992019



8215 140 197

12596 8202

12613

12596 10829 14260

81 8479

65 76 88

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

10852150

12253 10715

12253 11983

74 87

89 89

0 10715

000 15255

992019 992019



13585 166

14434 7644

14434 13645

89 89

94 56

13585 0

19341 000

992019 992019



1761 50

3980 2468

39804116

94 89

44 60

0 0

000 000

992019 992019



7525 154

7525 6015

7525 10418

100 74

100 58

7525 0

10714 000

992019 992019


Southeast Southwest

3413 128

5332 3001

5332 11167

97 95

64 27

0 0

000 000

992019 992019


Southeast Southwest

2966 240

3910 15720

3910 19044

99 86

76 83

2966 15720

4223 22381

992019 992019


NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



4115 150 50

5362 9598 3363

5362 12613

3987

93 9187

77 76 84

4115 9598 3363

5859 13665 4788

992019 992019 992019



3792 99

14104 5642

141046542

83 72

27 86

0 0

000 000

992019 992019



1394 60

120

4442 2625 7974

4442 5048

10444

97 9195

31 52 76

0 0

7974

000 000

11353

992019 992019 992019



3911 124

103797651

10379 10741

95 94

38 71

0 7651

000 10893

992019 992019



3976 139

4477 6547

4477 11761

97 92

89 56

3976 0

5661 000

992019 992019



18341 137 121

21356 7128 8671

21356 9159

10032

86 7390

86 78 86

18341 0

8671

26113 000

12345

992019 992019 992019


Northwest Southwest

4827 120

6219 8630

6219 10019

90 91

78 86

4827 8630

6872 12287

992019 992019



6616 55 62

8442 3120 3506

8442 4319 4430

93 8578

78 72 79

6616 3120

0

9419 4442

000

992019 992019 992019



5105 48 85

5958 2608 5541

5958 2934 7102

93 6691

86 89 78

5105 0

5541

7268 000

7889

992019 992019 992019


Southeast Southwest

26969 102

32345 5500

32345 9115

75 97

83 60

0 0

000 000

992019 992019


Southeast Southwest

11524133

12822 9265

12822 11351

77 93

90 82

0 9265

000 13191

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date


Southeast Southwest

1909 97

7513 6527

7513 7950

91 89

25 82

0 6527

000 9293

992019 992019


Southeast Southwest

2082 115

8140 6745

8140 8426

81 80

26 80

0 0

000 000

992019 992019



11983 67

14717 2745

14717 5771

82 94

81 48

0 0

000 000

992019 992019


Southeast Southwest

10663 180

11970 12687

11970 15305

72 92

89 83

0 12687

000 18063

992019 992019



9666 177 114

1141810421

7445

11418 13504

9808

90 8394

85 77 76

9666 0

7445

13762 000

10600

992019 992019 992019



7286 74 60

8738 5559 5011

8738 6408 5342

87 9497

83 87

94

7286 5559 5011

10373 7915 7134

992019 992019 992019



2847 204 66

114 41

4087 12778 2752 8540 2276

4087 16530 3699 9384 3458

93 88618992

70 77 74 91 66

2847 12778

0 8540 2276

4053 18192

000 12159 3240

992019 992019 992019 992019 992019



7672 77 58

11287 2913 2261

11287 6590 3279

92 9361

68 44 69

7672 0 0

10923 000 000

992019 992019 992019


Southeast Southwest

8681 120

10731 4614

10731 8286

96 75

81 56

8681 0

12359 000

992019 992019


Northeast Southwest

2570 97

3482 5591

3482 8485

95 95

74 66

2570 5591

3659 7960

992019 992019


Northeast Southwest

5616 120

7417 8521

7417 9932

60 90

76 86

0 8521

000 12132

992019 992019


Northeast Southwest

7193 122

11768 6491

117688409

57 75

61 77

0 0

000 000

992019 992019


Northeast Southwest

4331 121

5151 7080

5151 8800

98 79

84 80

4331 0

6166 000

992019 992019


Southeast Southwest

8893 68

14794 3232

14794 4510

89 72

60 72

0 0

000 000

992019 992019


Northwest Southwest

3829 56

7269 3324

7269 4110

88 80

53 81

0 0

000 000

992019 992019


Northeast Southwest

13078 35

16951 1235

16951 2858

97 89

77 43

13078 0

18620 000

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



7932 32 43

9847 554 92

9847 2485 3428

86 8487

81 22 3

7932 0 0

11293 000 000

992019 992019 992019



2949 120

53687188

5368 8918

90 81

55 81

0 0

000 000

992019 992019



1745 104 155 118

5869 7057 6970 7109

5869 8277

13132 10035

90879292

30 85 53 71

0 7057

0 7109

000 10047

000 10121

992019 992019 992019 992019



14457 178

15810 9701

15810 11263

93 69

91 86

14457 0

20583 000

992019 992019


Southeast Southwest

15887 300

19937 12501

19937 16468

96 60

80 76

15887 0

22619 000

992019 992019



10892 155 172

15992 4784 5148

15992 9731 8061

97 6851

68 49 64

10892 0 0

15507 000 000

992019 992019 992019


Northeast Southwest

1417 220

2270 15953

2270 19788

85 98

62 81

0 15953

000 22713

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019



NIS Total PA MA

Days

Total Resident

Days Overall

MA

Qualifying Days

Nonpublic MDOI

Payments RA Date



11424 115 120 107 62

115 74

129357731 7090 8204 4530 7540 5783

12935 9421 8593 9158 5306 8678 6269

91 897893938292

88 82 83 90 85 87 92

11424 7731

0 8204 4530

0 5783

16265 11007

000 11680 6450

000 8233

992019 992019 992019 992019 992019 992019 992019


Northeast Southwest

6778 100

8719 5392

8719 8080

91 88

78 67

6778 5392

9650 7677

992019 992019



9365 118 103

102976929 8147

10297 8915 8886

94 8294

91 78 92

9365 0

8147

13333 000

11599

992019 992019 992019



9749 120 120

11970 7141 7248

11970 10003 10007

96 9191

81 71 72

9749 7141 7248

13880 10167 10319

992019 992019 992019


Northwest Southwest

8398 120

9664 7474

9664 9745

88 88

87 77

8398 7474

11957 10641

992019 992019



2253 143 47

3705 6844 1392

3705 10384

2888

92 7967

61 66 48

0 0 0

000 000 000

992019 992019 992019


Northeast Southwest

7569 120

13683 5476

13683 10717

91 97

55 51

0 0

000 000

992019 992019



8002 126 50

180

8464 6758 3460 7248

8464 7832 4222

15780

84 689295

95 86 82 46

0 0

3460 0

000 000

4926 000

992019 992019 992019 992019


Northeast Southwest

5502 111

84846230

8484 8032

76 79

65 78

0 0

000 000

992019 992019


Northeast Southwest

10127 150

161107421

16110 12083

96 88

63 61

0 0

000 000

992019 992019



2229 182

2947 9844

2947 14946

73 89

76 66

0 9844

000 14015

992019 992019


Northeast Southwest

3816 155

57097387

5709 11159

69 78

67 66

0 0

000 000

992019 992019




Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019





Southeast Southwest

237 193

3259 8642

325916929

81 95

7 51

0 0

000 000

992019 992019



8029 120

10449 7414

10449 9417

95 85

77 79

8029 7414

11431 10556

992019 992019


Documents

FY 2018-2019 Adjusted Nonpublic Medical Assistance Day …...80 153 90 200 126 96 120 59 30 130 121 77 194 85 146 160 102 115 120 240 255