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| | |
 | Issue Date FY: 2009 ( Subtotal = $2,840,322 ) |
| | 2009 | 2009 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | - | | USA | AS20092 | MEDICAID ENTITLEMENT FOR AMER. SAMOA - FY 2009 QUARTER 2 - T19 | 0 | 1 | CMS | 3/13/2009 | $67,161 |
| | 2009 | 2009 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | - | | USA | AS20092 | MEDICAID ENTITLEMENT FOR AMER. SAMOA - FY 2009 QUARTER 2 - T19 | 1 | 1 | CMS | 3/3/2009 | $2,706,000 |
| | 2009 | 2005 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | - | | USA | AS20092-T21 | MEDICAID ENTITLEMENT FOR AMER. SAMOA - FY 2009 QUARTER 2 - T21 | 0 | 1 | CMS | 3/13/2009 | $67,161 |
|
| Issue Date FY: 2008 ( Subtotal = $9,395,975 ) |
| | 2008 | 2008 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20084-T21 | MEDICAID ENTITLEMENT FOR AMER. SAMOA - FY 2008 QUARTER 4 - T21 | 1 | 1 | CMS | 7/18/2008 | $145,975 |
| | 2008 | 2008 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20081 | Medicaid entitlement for AMERICAN SAMOA -FY 2008 1 Quarter - T19 | 0 | 1 | CMS | 10/1/2007 | $8,530,000 |
| | 2008 | 2008 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20084-T21 | MEDICAID ENTITLEMENT FOR AMER. SAMOA - FY 2008 QUARTER 4 - T21 | 0 | 1 | CMS | 7/24/2008 | $630,000 |
| | 2008 | 2008 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20081 | Medicaid entitlement for AMERICAN SAMOA -FY 2008 1 Quarter - T19 | 0 | 1 | CMS | 10/1/2007 | $90,000 |
|
| Issue Date FY: 2007 ( Subtotal = $8,920,000 ) |
| | 2007 | 2007 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20071 | Medicaid entitlement for AMERICAN SAMOA -FY 2007 1 Quarter - T19 | 0 | 1 | CMS | 10/1/2006 | $8,250,000 |
| | 2007 | 2007 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20071 | Medicaid entitlement for AMERICAN SAMOA -FY 2007 1 Quarter - T19 | 0 | 1 | CMS | 10/1/2006 | $40,000 |
| | 2007 | 2007 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20074-T21 | Medicaid entitlement for AMERICAN SAMOA -FY 2007 4 Quarter - T21 | 0 | 1 | CMS | 7/10/2007 | $630,000 |
| | 2007 | 2007 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20072 | Medicaid entitlement for AMERICAN SAMOA -FY 2007 2 Quarter - T19 | 0 | 1 | CMS | 6/28/2007 | -$50,000 |
| | 2007 | 2007 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20072 | Medicaid entitlement for AMERICAN SAMOA -FY 2007 2 Quarter - T19 | 0 | 1 | CMS | 6/28/2007 | $50,000 |
|
| Issue Date FY: 2006 ( Subtotal = $6,191,316 ) |
| | 2006 | 2006 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20061 | Medicaid entitlement for AMERICAN SAMOA -FY 2006 1 Quarter - T19 | 1 | 1 | CMS | 3/7/2006 | $1,900,000 |
| | 2006 | 2006 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20061 | Medicaid entitlement for AMERICAN SAMOA -FY 2006 1 Quarter - T19 | 1 | 1 | CMS | 3/7/2006 | $100,000 |
| | 2006 | 2006 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20061 | Medicaid entitlement for AMERICAN SAMOA -FY 2006 1 Quarter - T19 | 0 | 1 | CMS | 10/1/2005 | $4,120,000 |
| | 2006 | 2006 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20063-T21 | Medicaid entitlement for AMERICAN SAMOA -FY 2006 3 Quarter - T21 | 0 | 1 | CMS | 4/19/2006 | $35,658 |
| | 2006 | 2006 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20061-T21 | Medicaid entitlement for AMERICAN SAMOA -FY 2006 1 Quarter - T21 | 0 | 1 | CMS | 4/19/2006 | $35,658 |
| | 2006 | | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20063 | Medicaid entitlement for AMERICAN SAMOA -FY 2006 3 Quarter - T19 | 0 | 1 | CMS | 4/19/2006 | $0 |
|
| Issue Date FY: 2005 ( Subtotal = $4,460,300 ) |
| | 2005 | 2005 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20053-T21 | Medicaid entitlement for AMERICAN SAMOA -FY 2005 3 Quarter - T21 | 0 | 1 | CMS | 6/16/2005 | $510,300 |
| | 2005 | 2005 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20051 | Medicaid entitlement for AMERICAN SAMOA -FY 2005 1 Quarter - T19 | 0 | 1 | CMS | 10/1/2004 | $3,950,000 |
|
| Issue Date FY: 2004 ( Subtotal = $4,167,377 ) |
| | 2004 | 2004 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20042-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2004 2nd quarter -T21 | 0 | 1 | CMS | 2/25/2004 | $220,377 |
| | 2004 | 2004 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20041 | Medicaid entitlement for AMERICAN SAMOA- FY 2004 1st quarter -T19 | 0 | 1 | CMS | 10/1/2003 | $3,947,000 |
|
| Issue Date FY: 2003 ( Subtotal = $4,508,911 ) |
| | 2003 | 2003 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20032-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2003 2nd quarter -T21 | 1 | 1 | CMS | 3/28/2003 | $278,011 |
| | 2003 | 2003 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20033 | Medicaid entitlement for AMERICAN SAMOA- FY 2003 3rd quarter -T19 | 0 | 1 | CMS | 6/16/2003 | $107,000 |
| | 2003 | 2003 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20031-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2003 1st quarter -T21 | 0 | 1 | CMS | 3/24/2003 | $396,900 |
| | 2003 | 2003 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20031 | Medicaid entitlement for AMERICAN SAMOA- FY 2003 1st quarter -T19 | 1 | 1 | CMS | 6/16/2003 | $107,000 |
| | 2003 | 2003 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20031 | Medicaid entitlement for AMERICAN SAMOA- FY 2003 1st quarter -T19 | 0 | 1 | CMS | 10/1/2002 | $3,620,000 |
| | 2003 | 2000 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20032-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2003 2nd quarter -T21 | 0 | 1 | CMS | 3/26/2003 | $0 |
|
| Issue Date FY: 2002 ( Subtotal = $3,825,147 ) |
| | 2002 | 2002 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20022-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2002 2nd quarter -T21 | 0 | 1 | CMS | 2/27/2002 | $355,147 |
| | 2002 | 2002 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20021 | Medicaid entitlement for AMERICAN SAMOA- FY 2002 1st quarter -T19 | 0 | 1 | CMS | 10/1/2001 | $3,470,000 |
|
| Issue Date FY: 2001 ( Subtotal = $2,636,022 ) |
| | 2001 | 2001 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20014-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2001 4th quarter -T21 | 0 | 1 | CMS | 4/27/2001 | $538,650 |
| | 2001 | 2001 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20013 | Medicaid entitlement for AMERICAN SAMOA- FY 2001 3rd quarter -T19 | 0 | 1 | CMS | 4/1/2001 | $470,000 |
| | 2001 | 2001 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20011 | Medicaid entitlement for AMERICAN SAMOA- FY 2001 1st quarter -T19 | 0 | 1 | CMS | 10/1/2000 | $1,500,000 |
| | 2001 | 2001 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20012-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2001 2nd quarter -T21 | 1 | 1 | CMS | 12/22/2001 | $256,222 |
| | 2001 | 1998 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20012-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2001 2nd quarter -T21 | 0 | 1 | CMS | 2/12/2001 | -$128,850 |
|
| Issue Date FY: 2000 ( Subtotal = $4,277,300 ) (Continued on the next page) |
| | 2000 | 2000 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20001 | Medicaid entitlement for AMERICAN SAMOA- FY 2000 1st quarter -T19 | 1 | 1 | CMS | 10/20/1999 | $800,000 |
| | 2000 | 2000 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20001 | Medicaid entitlement for AMERICAN SAMOA- FY 2000 1st quarter -T19 | 0 | 1 | CMS | 10/1/1999 | $800,000 |
| | 2000 | 2000 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20002 | Medicaid entitlement for AMERICAN SAMOA- FY 2000 2nd quarter -T19 | 0 | 1 | CMS | 1/1/2000 | $530,000 |
| | 2000 | 2000 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20003 | Medicaid entitlement for AMERICAN SAMOA- FY 2000 3rd quarter -T19 | 0 | 1 | CMS | 4/1/2000 | $535,000 |
| | 2000 | 2000 | AS DEPARTMENT OF HEALTH | LBJ TROPICAL MEDICAL CENTER | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | AS20004-T21 | Child Health Insurance Program for AMERICAN SAMOA- FY 2000 4th quarter -T21 | 0 | 1 | CMS | 8/31/2000 | $538,650 |
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