Freestanding DTC and Ambulatory Surgery Center Existing Payment for Blend and Capital Add‐on Rates at APG

Peer Group Entity Name Entity ID Provider Region

Effective Date

Existing Payment for Blend

Capital Add‐on

Academic Dental COLUMBIA UNIV HLTH CARE E0124323 Downstate 9/1/2009 $109.84 $31.10 Academic Dental DANIEL SQUIRE ORAL D & T CTR E0128749 Upstate 9/1/2009 $112.38 $10.29 Academic Dental EASTMAN DENTAL CENTER E0263662 Upstate 9/1/2009 $109.37 $6.96 Academic Dental NEW YORK UNIV DENTAL CTR E0166474 Downstate 9/1/2009 $108.81 $13.45 Academic Dental SUNY AT STONY BROOK E0252020 Downstate 9/1/2009 $110.51 $33.90 Amb. Surg. ADVANCED ENDOSCOPY CENTER E0001662 Downstate 9/1/2009 $409.71 $81.37 Amb. Surg. ALBANY REGIONAL EYE SURG CTR E0078589 Upstate 9/1/2009 $1,299.02 $109.90 Amb. Surg. ALL CITY FAMILY HLTHCARE CTR E0048395 Downstate 9/1/2009 $466.57 $81.37 Amb. Surg. AMB SURG CTR WESTERN NY LLC E0094851 Upstate 9/1/2009 $1,041.84 $109.90 Amb. Surg. AMBULATORY SURGERY CTR BKLYN E0263460 Downstate 9/1/2009 $464.92 $81.37 Amb. Surg. AMBULATORY SURGERY CTR OF GNY E0191002 Downstate 9/1/2009 $1,000.39 $81.37 Amb. Surg. BETH ISRAEL AMB SURG CTR B.D. E0133964 Downstate 9/1/2009 $1,788.34 $81.37 Amb. Surg. BKLYN ENDO & AMB SURG CTR LLC E0043418 Downstate 9/1/2009 $404.21 $81.37 Amb. Surg. BOULEVARD SURGICAL CENTER E0182071 Downstate 9/1/2009 $574.17 $81.37 Amb. Surg. BRIGHTON SURGERY CENTER LLC E0050792 Upstate 9/1/2009 $948.90 $109.90 Amb. Surg. BROOK PLAZA AMB SURG CTR,INC E0182069 Downstate 9/1/2009 $1,015.25 $81.37 Amb. Surg. BROOKLYN EYE SURGERY CTR E0137888 Downstate 9/1/2009 $1,396.32 $81.37 Amb. Surg. BUFFALO AMBULATORY SURG CTR E0178446 Upstate 9/1/2009 $1,265.35 $109.90 Amb. Surg. BUFFALO SURGERY CENTER LLC E0033845 Upstate 9/1/2009 $663.89 $109.90 Amb. Surg. CAPITAL REG AMB SURG CTR LLC E0086360 Upstate 9/1/2009 $823.89 $109.90 Amb. Surg. CATARACT CARE AMB SURGERY CTR E0091875 Upstate 9/1/2009 $1,405.46 $109.90 Amb. Surg. CATARACT CTR ADIRONDACKS E0095535 Upstate 9/1/2009 $1,206.77 $109.90 Amb. Surg. CENTER FOR AMBULATORY SURGERY E0081753 Upstate 9/1/2009 $522.84 $109.90 Amb. Surg. CENTER FOR SPECIALTY CARE,INC E0187114 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. CENTRAL NEW YORK EYE CTR E0131290 Downstate 9/1/2009 $1,378.45 $81.37 Amb Surg Amb. Surg. CENTURY SAME DAY SURGERY CENTURY SAME DAY SURGERY E0176054E0176054 UpstateUpstate 9/1/20099/1/2009 $666 69 $666.69 $109 90 $109.90 Amb. Surg. CHOICES WOMENS MED CTR E0273096 Downstate 9/1/2009 $467.87 $81.37 Amb. Surg. DAY‐OP CTR OF LONG ISLAND,INC E0182087 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. DIGESTIVE DISEASE CTR CNTRL NY LLC E0004996 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. DUTCHESS AMBULATORY SUR CTR E0109779 Downstate 9/1/2009 $936.62 $81.37 Amb. Surg. EASTERN ORANGE AMB SURGERY CTR LLC E0292370 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. ELMIRA ASC LLC E0099802 Upstate 9/1/2009 $1,315.25 $109.90 Amb. Surg. ENDO GROUP LLC E0190974 Downstate 9/1/2009 $1,429.23 $81.37 Amb. Surg. ENDOSCOPIC D AND T CTR LLC E0025332 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. ENDOSCOPIC PROCEDURE CENTER E0022964 Upstate 9/1/2009 $408.78 $109.90 Amb. Surg. ENDOSCOPY CENTER/LI LLC E0049972 Downstate 9/1/2009 $359.58 $81.37 Amb. Surg. ENDOSCOPY CTR WESTERN NY LLC E0042259 Upstate 9/1/2009 $348.81 $109.90 Amb. Surg. EXECUTIVE WOODS AMB SURG CTR E0089347 Upstate 9/1/2009 $764.31 $109.90 Amb. Surg. EYE HEALTH ASSOCIATES INC E0093469 Upstate 9/1/2009 $1,176.10 $109.90 Amb. Surg. EYE SURGERY CTR/WESTCHESTER E0091287 Downstate 9/1/2009 $1,196.78 $81.37 Amb. Surg. FIFTH AVENUE SURGERY CTR E0176076 Downstate 9/1/2009 $1,244.27 $81.37 Amb. Surg. FOXHALL AMBULATORY SURGERY CTR E0293729 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. GRAMERCY PARK DIGESTIVE DISEASE CTR E0006707 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. GRAMERCY SURGERY CENTER E0013170 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. GRAND ST GASTROENTEROLOGY INC E0047781 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. GREATER NY ENDOSCOPY SURGICAL CTR E0299686 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. GREATER ROCH DIGEST AND LIVER DISEA E0000459 Upstate 9/1/2009 $344.98 $109.90 Amb. Surg. GUTHRIE ENDOSCOPY CENTER E0077720 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. GUTHRIE SAME DAY SURG CTR INC E0066911 Upstate 9/1/2009 $563.74 $109.90 Amb. Surg. HARRISON CENTER OTPT SURGERY E0189663 Upstate 9/1/2009 $759.04 $109.90

                                                                                                                                                                                                                                                                                                                                                                                                                                        

Amb. Surg. HILLSIDE DIAG & TRT CTR LLC E0089983 Downstate 9/1/2009 $1,452.37 $81.37 Amb. Surg. HUDSON VALLEY AMB SURG LLC E0010416 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. HUDSON VALLEY CTR ST FRANCIS E0013166 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. HUDSON VALLEY ENDOSCOPIC CTR E0099801 Downstate 9/1/2009 $380.53 $81.37 Amb. Surg. ISLAND EYE SURGICENTER LLC E0093655 Downstate 9/1/2009 $1,336.63 $81.37 Amb. Surg. KINGSTON AMBULATORY SURGICAL CENTER E0182049 Upstate 9/1/2009 $667.49 $109.90 Amb. Surg. KIPS BAY ENDOSCOPY CTR LLC E0031355 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. LATTIMORE COMM SURGICENTER E0176002 Upstate 9/1/2009 $688.50 $109.90 Amb. Surg. LINDEN OAKS SURGERY CTR INC E0288854 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. LINDSEY HOUSE SURGERY CENTER LLC E0288670 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. LONG ISLAND EYE SURG CTR LLC E0181792 Downstate 9/1/2009 $730.20 $81.37 Amb. Surg. LONG ISLAND HAND AND ORTHOPEDIC SUR E0300070 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. MACKOOL EYE INSTITUTE,LLC E0147261 Downstate 9/1/2009 $1,427.31 $81.37 Amb. Surg. MELVILLE SURGERY CENTER, LLC E0171203 Downstate 9/1/2009 $844.58 $81.37 Amb. Surg. MID MANHATTAN SURGI CTR INC E0094849 Downstate 9/1/2009 $1,271.80 $81.37 Amb. Surg. MILLARD FILLMORE SURGERY CTR LLC E0290160 Upstate 9/1/2009 $746.38 $109.90 Amb. Surg. NEW ENGLAND LASER COSMETIC LL E0103792 Upstate 9/1/2009 $527.85 $109.90 Amb. Surg. NEW YORK GI CENTER LLC E0285666 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. NEW YORK INST SAME DAY SURG E0175712 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. NEW YORK NEURO AND REHAB CTR E0132718 Downstate 9/1/2009 $624.44 $81.37 Amb. Surg. NORTH CNTRY ORTHO AMB SURG E0061568 Upstate 9/1/2009 $667.83 $109.90 Amb. Surg. NORTH SHORE SURGI‐CENTER E0182056 Downstate 9/1/2009 $345.68 $81.37 Amb. Surg. PARKMED E0100508 Downstate 9/1/2009 $514.64 $81.37 Amb. Surg. PHYSICIANS CHOICE SURGICENTER E0291261 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. PHYSICIANS CHOICE SURGICENTER E0291261 Downstate 1/1/2010 $257.95 $79.32 Amb. Surg. PROGRESSIVE SURGERY CTR LLC E0051107 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. QUEENS SURGI‐CENTER E0162601 Downstate 9/1/2009 $1,370.18 $81.37 Amb. Surg. RETINAL AMB SURG CTR OF NY INC E0003293 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. SARATOGA‐SCHENECTADY ENDOSCPY, LLC E0041618 Upstate 9/1/2009 $377.97 $109.90 Amb. Surg. Amb. Surg. SHEEPSHEAD BAY SURGERY CTR SHEEPSHEAD BAY SURGERY CTR E0102771E0102771 DownstateDownstate 9/1/20099/1/2009 $608.07$608.07 $81.37$81.37 Amb. Surg. SOUTH SHORE AMB SURGERY CTR E0048266 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. SPECIALISTS ONE‐DAY SURG CTR E0073642 Upstate 9/1/2009 $740.34 $109.90 Amb. Surg. SPECIALTY SURG CTR/CENTRAL NY E0094830 Upstate 9/1/2009 $1,267.81 $109.90 Amb. Surg. ST PETERS SURGERY & ENDOSCOPY E0072448 Upstate 9/1/2009 $395.63 $109.90 Amb. Surg. STERLING SURGICAL CENTER LLC E0070965 Upstate 9/1/2009 $939.90 $109.90 Amb. Surg. SUFFOLK SURGERY CENTER LLC E0044829 Downstate 9/1/2009 $550.88 $81.37 Amb. Surg. SURGICARE AMB SURG CTR OF NY E0108888 Downstate 9/1/2009 $783.48 $81.37 Amb. Surg. SYRACUSE ENDOSCOPY ASSOC LLC E0031028 Upstate 9/1/2009 $412.32 $109.90 Amb. Surg. WESTFALL SURGERY CENTER, LLP E0194016 Upstate 9/1/2009 $647.63 $109.90 General Clinic ABILITY BEYOND DISABILITY E0117243 Downstate 9/1/2009 $122.99 $23.37 General Clinic ACLD DT E0084402 Downstate 9/1/2009 $101.33 $14.66 General Clinic ADDICTION RESEARCH & TRTMNT C E0273967 Downstate 9/1/2009 $109.48 $4.76 General Clinic ADVANTAGE CARE D AND T CTR E0033989 Downstate 9/1/2009 $136.49 $86.64 General Clinic AHAVA MEDICAL AND REHAB CENTER LLC E0288379 Downstate 9/1/2009 $124.95 $19.92 General Clinic AHRC HEALTH CARE INC E0107194 Downstate 9/1/2009 $101.38 $51.21 General Clinic AIDS COMMUNITY SER WNY E0128886 Upstate 9/1/2009 $156.04 $14.84 General Clinic ALBANY COUNTY HEALTH DEPT E0252155 Upstate 9/1/2009 $107.96 $9.53 General Clinic ALBERT EINSTEIN COLLEGE MED E0273871 Downstate 9/1/2009 $141.48 $14.48 General Clinic ALL MED & REHAB OF NEW YORK E0089987 Downstate 9/1/2009 $137.70 $16.04 General Clinic ALLEGANY COUNTY DEPT OF HLTH E0263581 Upstate 9/1/2009 $80.21 $0.97 General Clinic ALLHEALTH DIAG & TRT CTR E0135649 Downstate 9/1/2009 $104.07 $5.30 General Clinic AMBULATORY SURGERY CTR BKLYN E0263460 Downstate 9/1/2009 $134.50 $60.63 General Clinic AMUMC/AMERICAN MEDICAL CTRS E0082229 Downstate 9/1/2009 $86.68 $38.65 General Clinic ANTHONY L JORDAN HEALTH CTR E0260739 Upstate 9/1/2009 $103.09 $4.26

                                                                                                                                                                                                                                                                                                                                                                                                                               

General Clinic ARC HEALTHRESOURCES OF ROCKLAND E0015957 Downstate 9/1/2009 $101.68 $40.16 General Clinic ASIAN & PACIFIC I C HIV/AIDS E0025906 Downstate 9/1/2009 $124.95 $54.33 General Clinic ASPIRE OF WESTERN NEW YORK IN E0252034 Upstate 9/1/2009 $68.56 $29.75 General Clinic ASTROCARE INC E0035358 Downstate 9/1/2009 $40.23 $71.76 General Clinic AURORA CONCEPT INC E0213356 Downstate 9/1/2009 $124.95 $19.92 General Clinic BAKER VICTORY HEALTHCARE CTR E0110096 Upstate 9/1/2009 $84.92 $5.94 General Clinic BAPTIST HLTH FAMILY MED CARE E0099822 Upstate 9/1/2009 $74.24 $18.33 General Clinic BARNES‐KASSON HEALTH CENTER E0147289 Upstate 9/1/2009 $98.00 $14.25 General Clinic BASICS INC E0052240 Downstate 9/1/2009 $118.75 $22.74 General Clinic BE WELL PRIMARY HLTH CARE CTR E0047252 Downstate 9/1/2009 $101.69 $21.35 General Clinic BEDFORD MED FAM HEALTH CTR E0219460 Downstate 9/1/2009 $82.18 $0.76 General Clinic BEST HEALTHCARE INC E0049089 Downstate 9/1/2009 $78.41 $8.64 General Clinic BETANCES HEALTH CENTER E0274103 Downstate 9/1/2009 $149.62 $31.07 General Clinic BIO‐MED APPLICATIONS BAYAMON E0211422 Upstate 9/1/2009 $98.00 $14.25 General Clinic BORO MEDICAL NEW YORK E0120529 Downstate 9/1/2009 $90.55 $20.23 General Clinic BORO MEDICAL WESTCHESTER E0121921 Downstate 9/1/2009 $80.25 $67.81 General Clinic BROOKDALE FAMILY CARE CTR INC E0131897 Downstate 9/1/2009 $115.51 $121.06 General Clinic BROOKDALE HSP MED CTR MMTP E0273531 Downstate 9/1/2009 $124.95 $19.92 General Clinic BROOKLYN BIRTHING CENTER E0090767 Downstate 9/1/2009 $430.75 $46.04 General Clinic BROOKLYN COMP CARE CTR INC E0042372 Downstate 9/1/2009 $107.74 $16.94 General Clinic BROOKLYN MEDCARE E0067826 Downstate 9/1/2009 $123.61 $17.84 General Clinic BROOME CNTY HEALTH DEPT E0252064 Upstate 9/1/2009 $59.78 $5.45 General Clinic BROWNSVILLE MULTI‐SRV FAM BRISTOL E0286718 Upstate 9/1/2009 $98.00 $14.25 General Clinic BROWNSVILLE MULTI‐SRV FAM H C E0227382 Downstate 9/1/2009 $162.56 $18.07 General Clinic BROWNSVILLE MULTI‐SRV SNEDIKER E0286714 Downstate 9/1/2009 $124.95 $19.92 General Clinic BUFFALO HEARING & SPEECH CTR E0252045 Upstate 9/1/2009 $55.53 $5.36 General Clinic BUFFALO WOMENS SERVICES, LLC E0171766 Upstate 9/1/2009 $224.91 $23.63 General Clinic CAH REHABILITATION PROGRAM E0148201 Downstate 9/1/2009 $61.52 $6.61 General Clinic CALEDONIAN COMM HLTH CTR INC E0053990 Downstate 9/1/2009 $132.00 $29.22 General Clinic General Clinic CAPITAL AREA SPEECH CENTER CAPITAL AREA SPEECH CENTER E0244990E0244990 UpstateUpstate 9/1/20099/1/2009 $54.04$54.04 $0.61$0.61 General Clinic CARE FOR THE HOMELESS E0288864 Downstate 9/1/2009 $124.95 $19.92 General Clinic CARNEGIE HILL INSTITUTE INC E0080232 Downstate 9/1/2009 $124.95 $19.92 General Clinic CASTLE HILL MED CTR OF NY E0013432 Downstate 9/1/2009 $111.32 $7.26 General Clinic CATHOLIC CHARITIES HLTH AADC E0136480 Downstate 9/1/2009 $108.57 $39.65 General Clinic CATTARAUGUS COUNTY DOH E0252048 Upstate 9/1/2009 $63.48 $5.66 General Clinic CATTARAUGUS INDIAN RESER E0134163 Upstate 9/1/2009 $98.00 $14.25 General Clinic CAYUGA CNTY DEPT OF HEALTH E0263579 Upstate 9/1/2009 $42.33 $0.86 General Clinic CENTER FOR COMP HLTH PRACTICE E0185010 Downstate 9/1/2009 $109.88 $12.14 General Clinic CENTER FOR REHABILITATION E0101296 Downstate 9/1/2009 $97.60 $46.89 General Clinic CENTRO DE NEFROLOGIA DEL CAR E0231188 Upstate 9/1/2009 $98.00 $14.25 General Clinic CENTURY MED & DENTAL CTR E0048140 Downstate 9/1/2009 $115.58 $20.00 General Clinic CHAUTAUQUA CO D O H PSSHSP E0156931 Upstate 9/1/2009 $61.42 General Clinic CHENANGO CTY DEPT OF PUB HLTH E0252061 Upstate 9/1/2009 $98.00 $14.25 General Clinic CHILDRENS AID SOC‐LORD MEM CL E0273891 Downstate 9/1/2009 $88.06 $1.53 General Clinic CHOICES WOMENS MED CTR E0273096 Downstate 9/1/2009 $39.89 $59.11 General Clinic CIRCLE ADOL PREG PROG TS E0193583 Upstate 9/1/2009 $95.02 $6.94 General Clinic CITICARE INC E0198034 Downstate 9/1/2009 $100.13 $14.00 General Clinic CITY OF BUFFALO DIV OF SUB AB E0224432 Upstate 9/1/2009 $98.00 $14.25 General Clinic CITY WIDE HEALTH FACILITY INC E0072104 Downstate 9/1/2009 $113.04 $13.39 General Clinic CLINTON CNTY HEALTH DEPT E0241304 Upstate 9/1/2009 $113.43 $2.88 General Clinic CLOVE LAKES HLTH CARE & REHAB E0112434 Downstate 9/1/2009 $45.11 $20.41 General Clinic COLUMBIA CNTY HEALTH DEPT E0252199 Upstate 9/1/2009 $98.00 $14.25 General Clinic COLUMBIA UNIV HLTH CARE E0124323 Downstate 9/1/2009 $109.84 $31.10 General Clinic COLUMBUS CTR FOR MED REHAB E0031360 Downstate 9/1/2009 $115.10 $78.52

                                                                                                                                                                                                                                                                                                                                                                                                                

General Clinic COMM HLTH CTRS /F RUTLAND REGION E0002177 Upstate 9/1/2009 $98.00 $14.25 General Clinic COMM HLTH CTRS/F RUTLAND REGION E0286540 Upstate 9/1/2009 $98.00 $14.25 General Clinic COMM HLTH CTRS/F RUTLAND REGION E0286541 Upstate 9/1/2009 $98.00 $14.25 General Clinic COMMUNITY HEALTH NETWORK INC E0176804 Upstate 9/1/2009 $110.73 $10.87 General Clinic COMPREHENSIVE CARE MGT D&T CT E0164623 Downstate 9/1/2009 $124.95 $19.92 General Clinic COMPREHENSIVE HLTH CARE REHAB E0042724 Downstate 9/1/2009 $124.50 $38.83 General Clinic CONCOURSE MEDICAL CENTER INC E0075788 Downstate 9/1/2009 $84.93 $13.78 General Clinic CORTLAND CTY DEPT OF HEALTH E0262676 Upstate 9/1/2009 $71.08 $0.81 General Clinic CUMBERLAND D & T CTR E0199271 Downstate 9/1/2009 $132.22 $32.21 General Clinic DANBURY HEAR SPEECH LEARN CTR E0214234 Downstate 9/1/2009 $124.95 $19.92 General Clinic DAYTOP VILLAGE,INC E0233722 Downstate 9/1/2009 $122.21 $17.51 General Clinic DAYTOP VILLAGE,INC E0233722 Upstate 9/1/2009 $120.50 $17.57 General Clinic DELAWARE CTY PUBLIC HLTH NURS E0252198 Upstate 9/1/2009 $98.00 $14.25 General Clinic DENTAL CLINIC BOYS CLUB,INC E0269995 Downstate 9/1/2009 $124.95 $19.92 General Clinic DOCTORS UNITED E0095154 Downstate 9/1/2009 $109.39 $13.03 General Clinic DOOR,THE‐CTR OF ALTERNATIVES E0273533 Downstate 9/1/2009 $90.39 $38.73 General Clinic DUTCHESS COUNTY DOH E0252218 Downstate 9/1/2009 $114.03 $4.17 General Clinic E JOHN GAVRAS CENTER E0263576 Upstate 9/1/2009 $64.18 $1.04 General Clinic EAST NY D & T CTR E0151885 Downstate 9/1/2009 $138.02 $6.05 General Clinic EASTER SEALS COMP PRIMARY DT E0067662 Upstate 9/1/2009 $63.36 $25.41 General Clinic ELMWOOD HEALTH CENTER E0153468 Upstate 9/1/2009 $89.53 $8.33 General Clinic ERIE COUNTY HEALTH DEPT E0252042 Upstate 9/1/2009 $123.97 $2.35 General Clinic ESSEX CO PUBLIC HLTH PSSHSP E0156924 Upstate 9/1/2009 $98.00 $14.25 General Clinic FAMILY HLTH NETWRK CENTRAL NY E0252106 Upstate 9/1/2009 $87.08 $7.05 General Clinic FAMILY RESIDENCES & ESSTL ENT E0083279 Downstate 9/1/2009 $113.84 $15.42 General Clinic FINGER LAKES UCP INC E0136454 Upstate 9/1/2009 $89.28 $28.58 General Clinic FIRST MEDCARE PRIMARY CARE E0119258 Downstate 9/1/2009 $110.35 $15.19 General Clinic FOOT CLINICS OF NY E0273852 Downstate 9/1/2009 $75.09 $6.51 General Clinic FORME REHABILITATION INC E0091286 Downstate 9/1/2009 $93.71 $7.93 General Clinic General Clinic FRANKLIN CNTY PUBLIC HLTH SVC FRANKLIN CNTY PUBLIC HLTH SVC E0241306E0241306 UpstateUpstate 9/1/20099/1/2009 $98.00$98.00 $14.25$14.25 General Clinic FRANKLIN MEDICAL REHAB INC E0027912 Downstate 9/1/2009 $107.53 $4.73 General Clinic FRANZISKA RACKER CENTERS E0263570 Upstate 9/1/2009 $78.03 $5.79 General Clinic FULTON CO PHNS PSSHSP E0156915 Upstate 9/1/2009 $113.17 $27.44 General Clinic GAMBRO HEALTHCARE ORANGEBURG E0119206 Upstate 9/1/2009 $98.00 $14.25 General Clinic GENESEE COUNTY HEALTH DEPT E0263591 Upstate 9/1/2009 $98.00 $14.25 General Clinic GENESEE VALLEY GROUP HEALTH E0285885 Upstate 9/1/2009 $73.15 $5.70 General Clinic GHI FAMILY DENTAL PRACTICE E0252156 Upstate 9/1/2009 $62.03 $12.62 General Clinic GOUVERNEUR DIAGNOSTIC&TRT CTR E0274075 Downstate 9/1/2009 $141.70 $10.58 General Clinic GREENE CNTY PUB HLTH NURS SER E0252197 Upstate 9/1/2009 $91.24 $9.32 General Clinic GREENWICH HOUSE INC AI E0155208 Downstate 9/1/2009 $155.99 $9.31 General Clinic GUIDANCE CTR OF BROOKLYN,THE E0273925 Downstate 9/1/2009 $124.95 $19.92 General Clinic HARLEM EAST LIFE PLAN E0102156 Downstate 9/1/2009 $95.04 $17.45 General Clinic HASC DIAGNOSTIC & TREAT CTR E0081471 Downstate 9/1/2009 $101.56 $88.66 General Clinic HEARING AND SPEECH CTR ROCHES E0263658 Upstate 9/1/2009 $62.04 $5.66 General Clinic HEARTSHARE WELLNESS LTD E0091367 Downstate 9/1/2009 $101.47 $76.93 General Clinic HELEN KELLER SVC FOR BLIND E0274106 Downstate 9/1/2009 $110.84 $5.12 General Clinic HELP/PROJECT SAMARITAN SVCS CORP E0003512 Downstate 9/1/2009 $124.95 $77.80 General Clinic HEMOPHILIA CTR OF WEST NY INC E0252040 Upstate 9/1/2009 $42.37 $3.14 General Clinic HEMPSTEAD HEALTH CTR E0263793 Downstate 9/1/2009 $124.95 $19.92 General Clinic HENRY ST SETTLEMENT HLTH CORP E0273854 Downstate 9/1/2009 $109.67 $9.64 General Clinic HERKIMER COUNTY PHNS E0284886 Upstate 9/1/2009 $98.00 $14.25 General Clinic HERKIMER CTY PHNS E0252165 Upstate 9/1/2009 $125.20 $4.17 General Clinic HILLSIDE DIAG & TRT CTR LLC E0089983 Downstate 9/1/2009 $103.41 $64.73 General Clinic HILLSIDE POLYMEDIC D ANT T CTR E0009850 Downstate 9/1/2009 $115.83 $17.85

                                                                                                                                                                                                                                                                                                                                                                                                                                          

General Clinic HORIZON HEALTH SERVICES MH E0079490 Upstate 9/1/2009 $100.49 $2.98 General Clinic HOUSING WORKS E NY HIV 3 AADC E0117429 Downstate 9/1/2009 $115.21 $62.27 General Clinic HOUSING WORKS SER,INC AADC E0124799 Downstate 9/1/2009 $112.96 $61.67 General Clinic HOUSING WORKS SVC II AADC E0136483 Downstate 9/1/2009 $117.54 $45.22 General Clinic HUDSON RIVER HEALTHCARE INC E0252206 Downstate 9/1/2009 $160.15 $10.00 General Clinic HUDSON VALLEY HTH SPECIALTIES E0091285 Upstate 9/1/2009 $97.02 $27.66 General Clinic HUNTINGTON HOSP DOLAN FHC E0125670 Downstate 9/1/2009 $138.20 $7.84 General Clinic HUNTS POINT MULTISRV CTR CORP E0274013 Downstate 9/1/2009 $120.10 $4.35 General Clinic ICD INTERNATL CTR FOR DISABL E0273982 Downstate 9/1/2009 $119.07 $9.61 General Clinic ICL HEALTHCARE CHOICES INC E0081441 Downstate 9/1/2009 $113.72 $50.04 General Clinic INSTITUTE FOR FAMILY HLTH E0209381 Downstate 9/1/2009 $154.43 $24.95 General Clinic INSTITUTE FOR URBAN FAMILY HEALTH E0226322 Upstate 9/1/2009 $123.77 $17.47 General Clinic INSTITUTE FOR URBAN FAMILY HEALTH E0226322 Downstate 9/1/2009 $154.43 $24.95 General Clinic INWOOD DIAGNOOSTIC & TRTNT CTR, INC E0288360 Downstate 9/1/2009 $124.95 $19.92 General Clinic JAWONIO INC E0260037 Downstate 9/1/2009 $136.66 $46.27 General Clinic JEFFERSON CNTY PUBLIC HLTH SV E0241308 Upstate 9/1/2009 $98.00 $14.25 General Clinic JGB REHABILITATION CORP E0193757 Downstate 9/1/2009 $115.83 $188.22 General Clinic JUST KIDS DIAGNOSTIC &TRT CTR E0186603 Downstate 9/1/2009 $101.51 $4.98 General Clinic KENNEDY CHILD STUDY CTR E0273945 Downstate 9/1/2009 $124.95 $19.92 General Clinic LA CASA DE SALUD INC E0026256 Downstate 9/1/2009 $132.04 $27.38 General Clinic LEAGUE FOR THE HARD OF HEARIN E0266808 Downstate 9/1/2009 $111.24 $26.03 General Clinic LEWIS CNTY PUBLIC HLTH AGENCY E0241310 Upstate 9/1/2009 $98.00 $14.25 General Clinic LEXINGTON HEARING AND SPEECH E0232916 Downstate 9/1/2009 $65.51 $12.86 General Clinic LIFETIME HEALTH MEDICAL GROUP E0263659 Upstate 9/1/2009 $73.15 $5.70 General Clinic LIONEL R JOHN HEALTH CENTER E0135068 Upstate 9/1/2009 $98.00 $14.25 General Clinic LIVINGSTON CNTY HLTH DEPT E0263661 Upstate 9/1/2009 $90.67 $16.83 General Clinic LORETTO GERIATRIC CENTER E0212201 Upstate 9/1/2009 $94.64 $4.76 General Clinic LOWER EASTSIDE SERVICE CENTER E0273867 Downstate 9/1/2009 $93.87 $7.44 General Clinic MADISON CNTY PUBLIC HLTH DEPT E0252105 Upstate 9/1/2009 $114.11 $4.17 General Clinic General Clinic MAITRI CENTER INC AADC MAITRI CENTER INC AADC E0120680E0120680 DownstateDownstate 9/1/20099/1/2009 $124.95$124.95 $19.92$19.92 General Clinic MARGARET SANGER CTR E0273963 Downstate 9/1/2009 $206.04 $31.22 General Clinic MARTIN LUTHER KING HLTH CTR E0273970 Downstate 1/1/2010 $153.79 $21.25 General Clinic MARY M.GOOLEY HEMOPHILIA CTR. E0263657 Upstate 9/1/2009 $99.80 $95.86 General Clinic MATERNAL AND FAMILY HEALTH SERVICES E0301134 Downstate 9/1/2009 $124.95 $19.92 General Clinic MEDALLIANCE MEDICAL HLTH SVC E0038238 Downstate 9/1/2009 $140.43 $15.58 General Clinic MEDCARE, LLC E0081219 Downstate 9/1/2009 $107.03 $24.31 General Clinic MEDEX D & T CTR E0090763 Upstate 9/1/2009 $122.16 $29.15 General Clinic MEDICAL HLTH RESEARCH ASC NYC E0273882 Downstate 9/1/2009 $133.97 $6.34 General Clinic MEDISYS FAMILY CARE E0113372 Downstate 9/1/2009 $131.68 $29.68 General Clinic MERCY CENTER FOR HLTH SVC E0177245 Upstate 9/1/2009 $62.17 $5.11 General Clinic MERMAID HEALTH CENTER E0027362 Downstate 9/1/2009 $109.46 $19.68 General Clinic MIDWOOD CHAYIM ARUCHIM DIALYS E0099796 Downstate 9/1/2009 $117.25 $22.27 General Clinic MOBILE HEALTH CARE, LLC E0082874 Downstate 9/1/2009 $94.52 $5.68 General Clinic MONROE CNTY DEPT HLTH CLINIC E0263656 Upstate 9/1/2009 $104.81 $0.73 General Clinic MONTGOMERY CTY PUBLIC HLTH DE E0252160 Upstate 9/1/2009 $98.00 $14.25 General Clinic MORRISANIA D & T CTR E0273824 Downstate 9/1/2009 $134.65 $13.99 General Clinic MOUNT CARMEL GUILD E0229165 Downstate 9/1/2009 $124.95 $19.92 General Clinic MOUNT SINAI D&T CENTER E0045090 Downstate 9/1/2009 $133.13 $30.82 General Clinic MOUNT ST URSULA SPEECH CTR E0273850 Downstate 9/1/2009 $53.61 $2.35 General Clinic MT VERNON NEIGHBORHOOD HC INC E0136196 Downstate 9/1/2009 $127.11 $4.67 General Clinic NARCO FREEDOM INC E0273921 Downstate 9/1/2009 $95.30 $5.27 General Clinic NASSAU UNIVERSITY MEDICAL CEN E0103841 Downstate 9/1/2009 $132.84 $5.23 General Clinic NEW ALTERNATIVES F CHILDREN E0015130 Downstate 9/1/2009 $120.33 $27.27 General Clinic NEW BERLIN FAMILY PRACT INC. E0083982 Upstate 9/1/2009 $43.16 $3.58

                                                                                                                                                                                                                                                                                                                                                                

General Clinic NEW DIMENSIONS IN HEALTH CARE E0133303 Upstate 9/1/2009 $103.64 $24.50 General Clinic NEW DIMENSIONS IN HEALTH CARE E0133303 Downstate 9/1/2009 $103.64 $24.50 General Clinic NEW YORK MED & DIAGNOSTIC CTR E0118844 Downstate 9/1/2009 $79.39 $20.08 General Clinic NEW YORK NEURO AND REHAB CTR E0132718 Downstate 9/1/2009 $96.60 $4.90 General Clinic NIAGARA COUNTY HEALTH DEPT E0252031 Upstate 9/1/2009 $98.00 $14.25 General Clinic NORTH COUNTRY CHILDRENS CLIN E0241309 Upstate 9/1/2009 $84.05 $4.63 General Clinic NORTH GENERAL D&T CENTER INC E0042354 Downstate 9/1/2009 $138.49 $25.35 General Clinic NORTHERN ADIRONDACK PP INC E0241305 Upstate 9/1/2009 $107.24 $3.79 General Clinic NORTHERN LITHO INC E0110687 Upstate 9/1/2009 $98.00 $14.25 General Clinic NORTHERN NY CP ASSOC E0197237 Upstate 9/1/2009 $87.84 $87.27 General Clinic NORTHWEST BUFFALO COMM H C E0196370 Upstate 9/1/2009 $95.52 $4.09 General Clinic NYCDOH‐ASTORIA/CORONA E0273684 Downstate 9/1/2009 $47.40 $0.98 General Clinic NYCDOH‐BEDFORD E0273679 Downstate 9/1/2009 $46.92 $0.98 General Clinic NYCDOH‐BROWNSVILLE E0273680 Downstate 9/1/2009 $48.36 $0.98 General Clinic NYCDOH‐BUSHWICK E0273681 Downstate 9/1/2009 $47.49 $0.98 General Clinic NYCDOH‐FT GREEN E0273683 Downstate 9/1/2009 $47.42 $0.98 General Clinic NYCDOH‐HARLEM E0273675 Downstate 9/1/2009 $48.39 $0.98 General Clinic NYCDOH‐HOMECREST E0273682 Downstate 9/1/2009 $48.37 $0.98 General Clinic NYCDOH‐JAMAICA E0273685 Downstate 9/1/2009 $47.37 $0.98 General Clinic NYCDOH‐LOWER MANHATTAN E0273605 Downstate 9/1/2009 $47.19 $0.98 General Clinic NYCDOH‐NORTH BRONX‐TREMONT E0273678 Downstate 9/1/2009 $48.22 $0.98 General Clinic NYCDOH‐RICHMOND E0273687 Downstate 9/1/2009 $46.19 $0.96 General Clinic NYCDOH‐SOUTH BRONX‐MORRISANIA E0273677 Downstate 9/1/2009 $46.94 $0.98 General Clinic NYCDOH‐UPPER WESTSIDE‐WASHING E0273676 Downstate 9/1/2009 $47.78 $0.98 General Clinic NYS ARC (CHAUTAUQUA CNTY) E0235739 Upstate 9/1/2009 $86.52 $10.50 General Clinic ODA PRIMARY HLTH CARE CTR,INC E0263462 Downstate 9/1/2009 $118.68 $5.98 General Clinic ODYSSEY HOUSE OF NEW YORK E0159987 Downstate 9/1/2009 $87.24 $5.20 General Clinic OLM AMBULATORY CARE CTR INC E0044774 Downstate 9/1/2009 $112.11 $25.75 General Clinic ONEIDA COUNTY DEPT OF HEALTH E0252103 Upstate 9/1/2009 $27.58 $5.35 General Clinic General Clinic ONEIDA INDIAN NATION HTH DEPT ONEIDA INDIAN NATION HTH DEPT E0129454E0129454 UpstateUpstate 9/1/20099/1/2009 $98.00$98.00 $14.25$14.25 General Clinic ONONDAGA COUNTY DOH E0252101 Upstate 9/1/2009 $103.66 $6.28 General Clinic ONONDAGA COUNTY DOH E0284894 Upstate 9/1/2009 $103.66 $6.28 General Clinic ONTARIO BD SUPRV PHNS CO E0263651 Upstate 9/1/2009 $98.00 $14.25 General Clinic OPTI‐HEALTHCARE E0153531 Downstate 9/1/2009 $119.44 $67.34 General Clinic ORANGE COUNTY HEALTH DEPT E0252217 Downstate 9/1/2009 $124.95 $19.92 General Clinic ORLEANS CO HLTH DEPT PSSHSP E0156899 Upstate 9/1/2009 $98.00 $14.25 General Clinic OSWEGO CO OPPORTUNITIES INC E0169432 Upstate 9/1/2009 $84.69 $10.94 General Clinic OSWEGO DEPT HLTH DIV OF NU CO EICM E0004414 Upstate 9/1/2009 $98.00 $14.25 General Clinic OTSEGO CNTY BD OF SUPVRS PHNS E0252163 Upstate 9/1/2009 $98.00 $14.25 General Clinic PAN AMERICAN MEDICAL CTR INC E0135038 Downstate 9/1/2009 $124.95 $19.92 General Clinic PARKMED E0100508 Downstate 9/1/2009 $514.64 $37.81 General Clinic PAUL BULGER VISION REHAB CLN E0011242 Upstate 9/1/2009 $98.00 $14.25 General Clinic PERRY AVE FAMILY MEDICAL CTR E0055678 Downstate 9/1/2009 $106.24 $4.54 General Clinic PHASE PIGGY BACK INC E0100775 Downstate 9/1/2009 $117.65 $31.11 General Clinic PHOENIX HOUSE FOUNDATION INC E0262066 Downstate 9/1/2009 $109.99 $3.79 General Clinic PHOENIX HOUSE FOUNDATION INC E0262066 Upstate 9/1/2009 $109.54 $3.79 General Clinic PHOENIX HSES OF LONG ISLAND E0148088 Downstate 9/1/2009 $88.72 $11.35 General Clinic PHOENIX MEDICAL CENTER INC E0144692 Downstate 9/1/2009 $130.59 $4.68 General Clinic PHYSICARE MULTI‐SERVICES, LTD E0043020 Downstate 9/1/2009 $123.01 $12.51 General Clinic PLANNED PARENTHOOD OF NASSAU E0260722 Downstate 9/1/2009 $134.73 $8.32 General Clinic PLANNED PARENTHOOD OF NIAG CO E0252030 Upstate 9/1/2009 $98.63 $17.43 General Clinic PLANNED PARENTHOOD SCHTDY E0271352 Upstate 9/1/2009 $98.00 $14.25 General Clinic PLANNED PARENTHOOD SO FINGER LAKES E0262944 Upstate 9/1/2009 $115.40 $5.14 General Clinic PLANNED PRTD HUDSON‐PECONIC I E0259769 Downstate 9/1/2009 $143.43 $11.69

                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

General Clinic PLANNED PRTHD BUFFALO & ERIE E0252036 Upstate 9/1/2009 $98.63 $17.43 General Clinic PLANNED PRTHD ROCHSTR/SYRACUS E0260994 Upstate 9/1/2009 $125.58 $10.64 General Clinic PLANNED PRTHD SO CENTRAL NY E0252630 Upstate 9/1/2009 $99.85 $8.77 General Clinic PLANNED PTHD MOHAWK HUDSON E0252152 Upstate 9/1/2009 $110.50 $15.37 General Clinic PLUTA FAMILY CANCER CTR E0077718 Upstate 9/1/2009 $210.79 $72.16 General Clinic PP OF MID‐HUDSON VALLEY INC E0273908 Downstate 9/1/2009 $124.79 $8.66 General Clinic PP OF MID‐HUDSON VALLEY INC E0273908 Upstate 9/1/2009 $93.48 $7.51 General Clinic PRASAD CHILDS DENTAL HLTH PGR E0094834 Upstate 9/1/2009 $111.38 $10.74 General Clinic PREMIER HEALTHCARE D & T CTR E0124927 Downstate 9/1/2009 $124.31 $60.77 General Clinic PRIMARY HEALTH CARE PLUS INC E0047663 Downstate 9/1/2009 $111.23 $16.62 General Clinic PRIME CARE ON THE BAY LLC E0057465 Downstate 9/1/2009 $78.02 $74.97 General Clinic PRIVILEGE CARE DIAG TRTMNT E0025171 Downstate 9/1/2009 $132.12 $62.32 General Clinic PROJECT SAMARITAN HLTH SVCS I E0130956 Downstate 9/1/2009 $165.29 $14.02 General Clinic PROSPECT CHILD & FAMILY CTR E0224469 Upstate 9/1/2009 $90.01 $14.03 General Clinic QUALITY MOBILE CARE E0139080 Downstate 9/1/2009 $93.19 $23.78 General Clinic QUEENS SURGI‐CENTER E0162601 Downstate 9/1/2009 $105.34 $85.81 General Clinic QUEENS VLG COM FOR MH/J CAP E0190872 Downstate 9/1/2009 $115.76 $5.49 General Clinic RALPH LAUREN CTR F/CANCR CARE E0057667 Downstate 9/1/2009 $265.27 $220.56 General Clinic RAYMOND NAFTALI AMB CTR F/ REHAB E0001764 Downstate 9/1/2009 $127.20 $38.92 General Clinic RENAISSANCE HLTH CARE NETWORK E0178852 Downstate 9/1/2009 $129.45 $10.77 General Clinic RENSSELAER COUNTY DOH E0252151 Upstate 9/1/2009 $98.00 $14.25 General Clinic ROCHESTER REHABILITATION CTR E0263655 Upstate 9/1/2009 $95.67 $13.76 General Clinic ROCKLAND COUNTY HEALTH DEPT E0266611 Downstate 9/1/2009 $146.97 $5.45 General Clinic ROSE F KENNEDY CTR E0273872 Downstate 9/1/2009 $170.16 $5.19 General Clinic RUSHVILLE HEALTH CENTER INC E0308694 Upstate 9/1/2009 $103.32 $4.36 General Clinic SAMARITAN VILLAGE INC E0273903 Downstate 9/1/2009 $107.83 $6.52 General Clinic SARATOGA CARE FAMILY HEALTH CENTERS E0229974 Upstate 9/1/2009 $63.85 $3.37 General Clinic SARATOGA CNTY BD SUPVRS PHNS E0252149 Upstate 9/1/2009 $98.00 $14.25 General Clinic SCHENECTADY CNTY PUBLIC HLTH E0178023 Upstate 9/1/2009 $85.29 $3.24 General Clinic General Clinic SCHENECTADY FAMILY HEALTH SER SCHENECTADY FAMILY HEALTH SER E0187414E0187414 UpstateUpstate 9/1/20099/1/2009 $99.26$99.26 $11.59$11.59 General Clinic SCHOHARIE CO D O H PSSHSP E0156881 Upstate 9/1/2009 $98.00 $14.25 General Clinic SCHUYLER COUNTY LEGISLATURE E0263649 Upstate 9/1/2009 $98.00 $14.25 General Clinic SDTC THE CENTER FOR DISCOVERY E0077730 Upstate 9/1/2009 $92.79 $120.04 General Clinic SEGUNDO RUIZ BELVIS D & T CTR E0179413 Downstate 9/1/2009 $137.25 $10.71 General Clinic SENECA CO BD OF SUPVRS PSSHSP E0156879 Upstate 9/1/2009 $98.00 $14.25 General Clinic SITRIN MEDICAL REHAB CTR E0118493 Upstate 9/1/2009 $109.42 $78.65 General Clinic SL QUALITY CARE D&T CTR INC E0092415 Downstate 9/1/2009 $98.77 $19.34 General Clinic SMITHTOWN REHAB CENTER E0271085 Downstate 9/1/2009 $124.95 $19.92 General Clinic SO BROOKLYN MED ADMIN SVCS E0026459 Downstate 9/1/2009 $81.11 $16.02 General Clinic SOUNDVIEW HEALTH CENTER E0233163 Downstate 9/1/2009 $110.23 $12.80 General Clinic SOUTH BROOKLYN HEALTH CTR INC E0273974 Downstate 9/1/2009 $107.93 $4.79 General Clinic SOUTH OCEAN CARE LLC E0071121 Downstate 9/1/2009 $109.18 $14.63 General Clinic ST CAMILLUS RHCF D&TC E0212613 Upstate 9/1/2009 $95.56 $6.57 General Clinic ST CHRISTOPHERS INN INC E0136176 Downstate 9/1/2009 $123.28 $3.17 General Clinic ST LAWRENCE CTY PUB HLTH DEPT E0241311 Upstate 9/1/2009 $112.43 $4.18 General Clinic ST REGIS MOHAWK HEALTH SRVS E0234511 Upstate 9/1/2009 $98.00 $14.25 General Clinic STATEN IS AID RETARDED CHI DT E0263459 Downstate 9/1/2009 $124.95 $19.92 General Clinic STEUBEN BOARD OF SUPERVISO CO E0263648 Upstate 9/1/2009 $98.00 $14.25 General Clinic SUFFOLK CNTY DOH CLINIC SERV E0252192 Downstate 9/1/2009 $135.20 $5.61 General Clinic SUFFOLK HEARING & SPEECH CTR E0273906 Downstate 9/1/2009 $64.24 $5.23 General Clinic SULLIVAN CY BD OF SUPV CY PHN E0252211 Upstate 9/1/2009 $98.00 $14.25 General Clinic TERENCE CARDINAL COOKE HCC E0263665 Downstate 9/1/2009 $79.67 $6.16 General Clinic THE LIGHTHOUSE, INC. E0217090 Downstate 9/1/2009 $118.12 $112.03 General Clinic THRESHOLD CTR FOR ALT YOUTH E0234834 Upstate 9/1/2009 $100.15 $9.14

                                                                                                                                                                                                                                                                                                                                                                             

        

                  

           

General Clinic TIOGA COUNTY FAMILY PLANNING E0263567 Upstate 9/1/2009 $63.62 $1.01 General Clinic TIOGA COUNTY HEALTH DEPT E0263566 Upstate 9/1/2009 $73.15 $0.11 General Clinic TOMPKINS CNTY HLTH DEPT CLINI E0263569 Upstate 9/1/2009 $98.00 $14.25 General Clinic TRI‐COUNTY FAMILY MEDICINE E0263660 Upstate 9/1/2009 $69.41 $1.98 General Clinic UCP & HANDI CHILD SYRACUSE E0252099 Upstate 9/1/2009 $83.54 $26.31 General Clinic UCP ASSN OF THE CAPITAL DIST E0252157 Upstate 9/1/2009 $95.32 $13.24 General Clinic UCP ASSO OF GREATER SUFFOLK E0263689 Downstate 9/1/2009 $96.36 $78.68 General Clinic UCP ASSO OF NYS STATEN IS E0205030 Downstate 9/1/2009 $104.43 $16.62 General Clinic UCP ASSO OF NYS STATEN IS E0205030 Upstate 9/1/2009 $104.02 $16.62 General Clinic UCP ASSOC OF NIAGARA CNTY E0252029 Upstate 9/1/2009 $98.00 $14.25 General Clinic UCP DIAGNOSTIC AND TRT CTR E0160154 Upstate 9/1/2009 $111.12 $55.23 General Clinic UCP HANDI PER OF UTICA AREA E0252102 Upstate 9/1/2009 $67.23 $4.98 General Clinic UCP OF ULSTER COUNTY E0252209 Upstate 9/1/2009 $88.28 $9.66 General Clinic UCPA OF NASSAU COUNTY INC E0199171 Downstate 9/1/2009 $110.43 $18.32 General Clinic UCPA OF PUTNAM & SO DUTCHESS E0068790 Downstate 9/1/2009 $108.16 $8.57 General Clinic ULSTER CNTY DOH NURS DIV E0252191 Upstate 9/1/2009 $5.60 General Clinic ULTIMATE HEALTH OUTCOMES INC E0055979 Downstate 9/1/2009 $114.10 $23.36 General Clinic UNION HEALTH CENTER ILGWU E0118207 Downstate 9/1/2009 $132.71 $30.18 General Clinic UNITED CEREBRAL PALSY ASSN OF NYS E0285756 Downstate 9/1/2009 $104.43 $16.62 General Clinic UNITED CEREBRAL PALSY OF NYC E0273930 Downstate 9/1/2009 $100.16 $12.76 General Clinic UNITED CEREBRAL PALSY ROCH E0263653 Upstate 9/1/2009 $83.99 $18.25 General Clinic UNITED COMPREHENSIVE CARE LTD E0074472 Downstate 9/1/2009 $109.83 $19.56 General Clinic UNIVERSITY OPTOMETRIC CTR E0273975 Downstate 9/1/2009 $109.62 $44.64 General Clinic UPG HEALTHCARE INC E0006831 Downstate 9/1/2009 $124.95 $19.92 General Clinic UPPER HUDSON PLANNED PARENT E0268970 Upstate 9/1/2009 $114.84 $5.83 General Clinic URBAN STRATEGIES/B F C C E0126588 Downstate 9/1/2009 $107.69 $103.81 General Clinic VALENTINE LANE FAMILY PRACTIC E0252203 Downstate 9/1/2009 $81.23 $15.12 General Clinic VILLAGE CARE HEALTH CLINIC E0025833 Downstate 9/1/2009 $116.84 $15.16 General Clinic VOCATIONAL INST PROJ COMM SVC E0216844 Downstate 9/1/2009 $79.35 $7.47 General Clinic General Clinic WARREN CNTY HEALTH SERVICES WARREN CNTY HEALTH SERVICES E0252148E0252148 UpstateUpstate 9/1/20099/1/2009 $98.00$98.00 $14.25$14.25 General Clinic WARRENSBURG HEALTH CENTER E0236680 Upstate 9/1/2009 $96.14 $5.13 General Clinic WASHINGTON CO BOARD OF SUPERV E0198717 Upstate 9/1/2009 $98.00 $14.25 General Clinic WAYNE CTY PUBLIC HLTH SERVICE E0263647 Upstate 9/1/2009 $2.20 General Clinic WEST MIDTOWN MEDICAL GROUP E0108910 Downstate 9/1/2009 $125.24 $19.74 General Clinic WESTCHESTER CNTY DOH E0252202 Downstate 9/1/2009 $112.88 $1.10 General Clinic WESTERN QUEENS HEALTH ASSOC E0112674 Downstate 9/1/2009 $116.03 $27.60 General Clinic WESTSIDE HLTH SVCS/WOODWARD E0263652 Upstate 1/1/2010 $84.14 $7.22 General Clinic WHITNEY M YOUNG HEALTH CENTER E0252159 Upstate 9/1/2009 $104.53 $5.67 General Clinic WIHD INC E0035717 Downstate 9/1/2009 $130.14 $44.26 General Clinic WILLIAM F RYAN COMM HLTH CTR E0273983 Downstate 9/1/2009 $170.62 $8.73 General Clinic WILLIAMSBURGH MEDICAL CLINIC E0273895 Downstate 9/1/2009 $124.95 $19.92 General Clinic WOMANS OUTREACH NETWORK E0170649 Downstate 9/1/2009 $72.33 $7.29 General Clinic WYOMING CO HEALTH DEPT E0263585 Upstate 9/1/2009 $44.53 $0.77 General Clinic YATES BD SUPV CO PHNS CO E0263646 Upstate 9/1/2009 $98.00 $14.25 General Clinic YATES FAMILY PLANNING SVC CO E0263645 Upstate 9/1/2009 $65.72 $33.59 Renal ARA‐BOCA RATON DIALYSIS LLC FL E0004093 Upstate 9/1/2009 $117.61 $24.16 Renal ATLANTIC HEMODIALYSIS E0114452 Downstate 9/1/2009 $126.14 $10.99 Renal BAY RIDGE SUNSET PK DIALYSIS E0136465 Downstate 9/1/2009 $139.50 $31.37 Renal BAYSIDE DIALYSIS CENTER E0216298 Upstate 9/1/2009 $108.77 $19.32 Renal BAYSIDE DIALYSIS CENTER,INC E0219781 Downstate 9/1/2009 $115.08 $10.14 Renal BEDFORD PARK DIALYSIS CENTER E0288390 Upstate 9/1/2009 $117.61 $18.46 Renal BRONX DIALYSIS CTR E0130707 Downstate 9/1/2009 $134.06 $21.44 Renal BRONX DIALYSIS CTR E0130707 Upstate 9/1/2009 $134.20 $21.44 Renal BRONX RIVER NEPHRO‐CARE INC E0118831 Downstate 9/1/2009 $135.57 $39.05

             

                  

           

          

              

        

                        

        

        

                     

        

                

                 

        

          

           

                                

Renal BROOKDALE PHYSICIANS DIALYSIS E0113108 Downstate 9/1/2009 $135.08 $7.03 Renal BROOKLYN HM DIALYSIS TRNG CTR E0203860 Downstate 9/1/2009 $130.52 $22.68 Renal BROOKLYN KIDNEY CTR E0114451 Downstate 9/1/2009 $135.62 $12.98 Renal CELIA DILL DIALYSIS CENTER E0027060 Downstate 9/1/2009 $135.38 $48.53 Renal CENTRAL BROOKLYN DIALYSIS E0035423 Downstate 9/1/2009 $137.20 $49.99 Renal CENTRAL NEW YORK DC, LLC E0070021 Upstate 9/1/2009 $121.29 $14.25 Renal CHINATOWN DIALYSIS LLC E0061137 Downstate 9/1/2009 $134.47 $36.20 Renal CITY DIALYSIS CENTER,INC E0215587 Downstate 9/1/2009 $112.22 $10.65 Renal CLEVE HILL DIALYSIS CTR E0026899 Upstate 9/1/2009 $135.24 $19.61 Renal CLIFFSIDE RENAL DIALYSIS E0026258 Downstate 9/1/2009 $128.98 $24.23 Renal COLUMBIA‐GREENE DIALYSIS CENTERS E0131310 Upstate 9/1/2009 $86.43 $63.91 Renal COMP DIALYSIS CTR WESTERN NY E0149690 Upstate 9/1/2009 $135.55 $78.20 Renal DCI‐WESTCHESTER E0083514 Downstate 9/1/2009 $136.31 $41.37 Renal DELAWARE VALLEY DIALYSIS CTR PA E0098889 Downstate 9/1/2009 $117.61 $24.16 Renal DIALYSIS SVCS OF PA WELLSBORO E0104550 Upstate 9/1/2009 $117.61 $24.16 Renal DOJ DIALYSIS CENTER CORP E0031772 Downstate 9/1/2009 $134.69 $60.34 Renal DUTCHESS DIALYSIS CENTER E0054152 Downstate 9/1/2009 $110.53 $14.21 Renal EAST END DIALYSIS E0003411 Downstate 9/1/2009 $137.59 $43.98 Renal EASTVIEW DIALYSIS INC E0110018 Upstate 9/1/2009 $134.36 $106.19 Renal FLUSHING MANOR DIALYSIS CTR LLC E0007654 Downstate 9/1/2009 $130.52 $22.68 Renal GAMBRO HEALTHCARE, INC ‐STAMFORD E0078502 Downstate 9/1/2009 $117.61 $24.16 Renal GAMBRO HEALTHCARE, INC‐PLANTATION E0123974 Upstate 9/1/2009 $117.61 $24.16 Renal GAMBRO HLTHCARE BRADFORD INC E0083567 Upstate 9/1/2009 $117.61 $24.16 Renal GATES CIRCLE DIALYSIS CENTER E0101559 Upstate 9/1/2009 $134.26 $29.44 Renal GATEWAY DIALYSIS CENTER E0038076 Downstate 9/1/2009 $135.10 $59.76 Renal GRAND CONCOURSE DIALYSIS FACILITY E0007186 Downstate 9/1/2009 $130.52 $22.68 Renal HARLEM DIALYSIS CTR E0126614 Downstate 9/1/2009 $114.63 $21.15 Renal HORTENSE&LOUIS RUBIN DIALYSIS E0203338 Upstate 9/1/2009 $107.81 $7.17 Renal HUNTINGTON ARTIFICIAL KIDNEY E0229453 Downstate 9/1/2009 $128.96 $11.79 RenalRenal HUNTINGTON ARTIFICIAL KIDNEY FRPORT HUNTINGTON ARTIFICIAL KIDNEY FRPORT E0289579E0289579 DownstateDownstate 9/1/20099/1/2009 $130.52$130.52 $22.68$22.68 Renal HUNTINGTON ARTIFICIAL KIDNEY MEDFRD E0289481 Downstate 9/1/2009 $130.52 $22.68 Renal HUNTINGTON ARTIFICIAL KIDNEY SYSSET E0289577 Upstate 9/1/2009 $117.61 $24.16 Renal ISLAND REHAB SVCS KINGS E0247684 Downstate 9/1/2009 $124.90 $15.05 Renal ITHACA DIALYSIS CTR E0109082 Upstate 9/1/2009 $136.15 $15.29 Renal KEW GARDENS DIALYSIS CTR E0028385 Downstate 9/1/2009 $128.99 $15.05 Renal KINGS HARBOR DIALYSIS CTR E0040638 Downstate 9/1/2009 $128.23 $35.71 Renal LIBERTY RC INC E0003190 Downstate 9/1/2009 $117.61 $24.16 Renal LIBERTY RC, INC E0121911 Downstate 9/1/2009 $136.28 $49.20 Renal LIFE CARE DIALYSIS CENTER INC E0164073 Downstate 9/1/2009 $117.69 $13.79 Renal LOWER MANHATTAN DIALYSIS CTR E0208964 Downstate 9/1/2009 $132.00 $25.81 Renal LOWER MANHATTAN DIALYSIS CTR2 E0136332 Downstate 9/1/2009 $127.35 $28.78 Renal MELBOURNE KIDNEY CENTER INC E0140470 Upstate 9/1/2009 $117.61 $24.16 Renal MIDDLETOWN DIALYSIS CTR,INC E0187588 Downstate 9/1/2009 $122.92 $7.67 Renal MIDWOOD CHAYIM ARUCHIM DIALYS E0099796 Downstate 9/1/2009 $121.59 $16.95 Renal MONTEFIORE DIALYSIS CTR III E0090366 Downstate 9/1/2009 $132.07 $15.65 Renal MOUNT VERNON DIALYSIS CENTER E0289048 Downstate 9/1/2009 $130.52 $25.90 Renal NASSAU DIALYSIS, LLC E0219340 Downstate 9/1/2009 $135.59 $6.69 Renal NEPHRO CARE INC E0193839 Downstate 9/1/2009 $101.63 $8.63 Renal NEPHROLOGY FOUNDATION OF BKYN E0253740 Downstate 9/1/2009 $118.83 $27.02 Renal NEW HYDE PARK DIALYSIS CTR E0082383 Downstate 9/1/2009 $137.59 $31.04 Renal NEW YORK ARTIFICIAL KIDNEY E0074177 Downstate 9/1/2009 $135.83 $52.47 Renal NEW YORK DIALYSIS/ALBANY DIAL E0158729 Upstate 9/1/2009 $102.12 $15.70 Renal NEW YORK DIALYSIS/ALBANY REG E0121922 Upstate 9/1/2009 $134.99 $16.39 Renal NEW YORK DIALYSIS/CENTRAL SUF E0230881 Downstate 9/1/2009 $129.44 $14.12

               

                                  

      

                       

        

                 

                       

                         

               

          

              

            

            

            

              

                   

            

            

              

     

Renal NEW YORK RENAL ASSOCIATES INC E0114460 Downstate 9/1/2009 $129.37 $46.91 Renal NEWTOWN DIALYSIS CTR INC E0122635 Downstate 9/1/2009 $133.78 $38.47 Renal NIAGARA RENAL CENTER E0060720 Upstate 9/1/2009 $134.60 $31.69 Renal POLA TENENBAUM CTR RENAL CARE E0101603 Downstate 9/1/2009 $140.84 $14.19 Renal PORT CHESTER DIALYSIS/RENAL E0139312 Downstate 9/1/2009 $135.68 $43.09 Renal QUEENS ARTIFICIAL KIDNEY CTR E0273916 Downstate 9/1/2009 $133.53 $12.27 Renal RENAL CARE NORTHERN NY LLC E0010415 Upstate 9/1/2009 $134.20 $23.71 Renal RENAL CARE OF BUFFALO E0159888 Upstate 9/1/2009 $120.48 $46.12 Renal RENAL CARE OF ROCKLAND INC E0120122 Downstate 9/1/2009 $135.03 $32.69 Renal RIDGEWOOD DIALYSIS CENTER E0171891 Downstate 9/1/2009 $137.59 $27.05 Renal ROGOSIN KIDNEY CENTER E0219339 Downstate 9/1/2009 $120.05 $19.05 Renal SO MANHATTAN DIALYSIS E0206870 Downstate 9/1/2009 $100.66 $11.66 Renal SOUND SHORE DIALYSIS CTR INC E0092683 Downstate 9/1/2009 $142.61 $5.30 Renal SOUTH BROOKLYN NEPHROLOGY CTR E0229895 Downstate 9/1/2009 $111.88 $9.51 Renal SOUTH QUEENS DIALYSIS CENTER E0204374 Downstate 9/1/2009 $135.00 $12.07 Renal SOUTHERN WESTCHESTER DIALYSIS E0181651 Downstate 9/1/2009 $116.31 $13.83 Renal STATEN ISLAND ARTIFICIAL KIDN E0124373 Downstate 9/1/2009 $131.34 $39.79 Renal STONYBROOK DIALYSIS CLINIC E0120105 Downstate 9/1/2009 $120.86 $25.79 Renal STRONG HLTH DIALYSIS AMB CARE E0067141 Upstate 9/1/2009 $92.90 $26.34 Renal STRONG HLTH DIALYSIS CLINTON E0067144 Upstate 9/1/2009 $125.83 $16.66 Renal TERENCE CARDINAL COOKE HCC E0263665 Downstate 9/1/2009 $166.91 $14.37 Renal TRC FLAMINGO PARK KIDNEY CTR E0098891 Upstate 9/1/2009 $117.61 $24.16 Renal TRC NEW PORT RICHEY KIDNEY FL E0090033 Upstate 9/1/2009 $117.61 $24.16 Renal TRC PINE ISLAND DIALYSIS FL E0090030 Upstate 9/1/2009 $117.61 $24.16 Renal UNIVERSITY DIALYSIS CENTER E0163229 Upstate 9/1/2009 $133.88 $12.73 Renal UPPER EAST SIDE DIALYSIS CTR E0028386 Downstate 9/1/2009 $128.73 $15.05 Renal UTICA AVENUE DIALYSIS CLINIC E0144496 Downstate 9/1/2009 $116.94 $17.80 Renal VESTAL HEALTHCARE LLC E0009325 Upstate 9/1/2009 $137.20 $115.80 Renal WEST NASSAU DIALYSIS CTR INC E0089752 Downstate 9/1/2009 $137.16 $60.00 RenalRenal WESTCHESTER ARTIFICIAL KIDNEY WESTCHESTER ARTIFICIAL KIDNEY E0069966E0069966 DownstateDownstate 9/1/20099/1/2009 $113.72$113.72 $32.79$32.79 Renal WESTERN NY ARTI KIDNY CTR INC E0252032 Upstate 9/1/2009 $123.31 $11.18 Renal WOODMERE DIALYSIS LLC E0014101 Downstate 9/1/2009 $137.03 $11.56 SBHC BAKER VICTORY HEALTHCARE CTR E0110096 Upstate 9/1/2009 $84.92 $5.94 SBHC BROOME CNTY HEALTH DEPT E0252064 Upstate 9/1/2009 $59.78 $5.45 SBHC BROWNSVILLE MULTI‐SRV FAM H C E0227382 Downstate 9/1/2009 $162.56 $18.07 SBHC BROWNSVILLE MULTI‐SRV FAM HC SIB E0286711 Downstate 9/1/2009 $124.95 $19.92 SBHC CHILDRENS AID SOC‐LORD MEM CL E0273891 Downstate 9/1/2009 $88.06 $1.53 SBHC COLUMBIA UNIV HLTH CARE E0124323 Downstate 9/1/2009 $109.84 $31.10 SBHC EAST NY D & T CTR E0151885 Downstate 9/1/2009 $138.02 $6.05 SBHC EASTMAN DENTAL CENTER E0263662 Upstate 9/1/2009 $109.37 $6.96 SBHC FAMILY HLTH NETWRK CENTRAL NY E0252106 Upstate 9/1/2009 $87.08 $7.05 SBHC INSTITUTE FOR FAMILY HLTH E0209381 Downstate 9/1/2009 $154.43 $24.95 SBHC JUST KIDS DIAGNOSTIC &TRT CTR E0186603 Downstate 9/1/2009 $101.51 $4.98 SBHC MARTIN LUTHER KING HLTH CTR E0273970 Downstate 1/1/2010 $153.79 $21.25 SBHC MORRISANIA D & T CTR E0273824 Downstate 9/1/2009 $134.65 $13.99 SBHC NORTH COUNTRY CHILDRENS CLIN E0241309 Upstate 9/1/2009 $84.05 $4.63 SBHC NORTH GENERAL D&T CENTER INC E0042354 Downstate 9/1/2009 $138.49 $25.35 SBHC NYS ARC (CHAUTAUQUA CNTY) E0235739 Upstate 9/1/2009 $86.52 $10.50 SBHC PRASAD CHILDS DENTAL HLTH PGR E0094834 Upstate 9/1/2009 $111.38 $10.74 SBHC RENAISSANCE HLTH CARE NETWORK E0178852 Downstate 9/1/2009 $129.45 $10.77 SBHC ST REGIS MOHAWK HEALTH SRVS E0234511 Upstate 9/1/2009 $98.00 $14.25 SBHC SUFFOLK CNTY DOH CLINIC SERV E0252192 Downstate 9/1/2009 $135.20 $5.61 SBHC THRESHOLD CTR FOR ALT YOUTH E0234834 Upstate 9/1/2009 $100.15 $9.14 SBHC TIOGA COUNTY HEALTH DEPT E0263566 Upstate 9/1/2009 $73.15 $0.11

            

                                                                      

                  

SBHC UCP HANDI PER OF UTICA AREA E0252102 Upstate 9/1/2009 $67.23 $4.98 SBHC WESTCHESTER CNTY DOH E0252202 Downstate 9/1/2009 $112.88 $1.10 Note: The existing payment for blend and capital add‐on are the same for both the General Clinics and General Clinics ‐OMRDD/TBI peer groups. However, the APG base rates differ the General Clinics and General Clinics ‐ OMRDD/TBI peer groups. Please refer to the DTC APG Base Rates Summary.