Request For Proposal | Genesis Anesthesia

Facility name*

Address*

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Contact name*

Position*

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Annual Cardiac Cases

Number of CABG OP Cases

Number of CABG IP Cases

Number of Valve Replacement OP Cases

Number of Valve Replacement IP Cases

Number of Pacemaker OP Cases

Number of Pacemaker IP Cases

Ear Nose Throat (ENT) Cases

Number of ENT OP Cases

Number of ENT IP Cases

Endoscopies/Gastro (Colonoscopy & EGD) Cases

Number of Endoscopy/Gastro OP Cases

Number of Endoscopy/Gastro IP Cases

General Surgery (All types not listed elsewhere) Cases

General OP Surgery (Not listed elsewhere)

General IP Surgery (Not listed elsewhere)

Neuro Cases

Number of General Neuro OP Cases

Number of General Neuro IP Cases

Number of Craniotomy OP Cases

Number of Craniotomy IP Cases

Number of Spinal Instrumentation OP Cases

Number of Spinal Instrumentation IP Cases

OB/GYN Cases

Number of C-SECTION deliveries each year

Number of Total Annual Deliveries

Number of OB/GYN Cases (Not Delivery)

Ophthalmology (All Eyes) Cases

Number of Ophthalmology OP Cases

Number of Ophthalmology IP Cases

Orthopedic Cases

Number of General (Scopes, etc.) OP Cases

Number of General (Scopes, etc.) IP Cases

Number of Total Joint Replacement OP Cases

Number of Total Joint Replacement IP Cases

Oral Surgery/Peds Dental Cases

Number of Oral Surgery/Peds Dental OP Cases

Number of Oral Surgery/Peds Dental IP Cases

Plastic Surgery Cases

Number of Plastic Surgery OP Cases

Number of Plastic Surgery IP Cases

Podiatry Cases

Number of Podiatry OP Cases

Number of Podiatry IP Cases

Urology Cases

Number of Urology OP Cases

Number of Urology IP Cases

Vascular Cases

Number of Vascular General OP Cases

Number of Vascular General IP Cases

Number of Vascular AAA OP Cases

Number of Vascular AAA IP Cases

Percentage of Medicare Cases (include Other Medicare Advantage Plans)

Percentage of Medicaid Cases (include Medicaid HMO products as well)

Percentage of BXBS Cases Texas

Percentage of United Cases (only HMO/PPO products – NOT Medicare products)

Percentage of Cigna Cases (only HMO/PPO products – NOT Medicare products)

Percentage of Aetna Cases (only HMO/PPO products – NOT Medicare products)

Percentage of Humana Cases (only HMO/PPO products – NOT Medicare products)

Percentage of Other Commercial Carriers including Scott & White

Percentage of Tricare / Champus / Military

Percentage of Worker’s Comp

Percentage of Private/Self Pay

Percentage of Charity – Free Care (Indigent Program)

Other – please identify (Self – Funded Plans, etc)

Annual Cardiac Cases

Ear Nose Throat (ENT) Cases

Endoscopies/Gastro (Colonoscopy & EGD) Cases

General Surgery (All types not listed elsewhere) Cases

Neuro Cases

OB/GYN Cases

Ophthalmology (All Eyes) Cases

Orthopedic Cases

Oral Surgery/Peds Dental Cases

Plastic Surgery Cases

Podiatry Cases

Urology Cases

Vascular Cases

Why Choose Genesis

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Facility Details

contact details

Case Numbers

Annual Cardiac Cases

Ear Nose Throat (ENT) Cases

Endoscopies/Gastro (Colonoscopy & EGD) Cases

General Surgery (All types not listed elsewhere) Cases

Neuro Cases

OB/GYN Cases

Ophthalmology (All Eyes) Cases

Orthopedic Cases

Oral Surgery/Peds Dental Cases

Plastic Surgery Cases

Podiatry Cases

Urology Cases

Vascular Cases

Payer Percentages

Why Choose Genesis

About

Contact