REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
JANUARY 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

01/05/2022 C2 1126 REYNALDO SANCHEZ JR. 4,480.00 3,170.00 - 7,650.00 5079369

01/10/2022 C2 1117 ARIES ALFONSO 6,180.00 1,670.00 170.00 8,020.00 5079371
01/12/2022 1074 SANNY JALMAANI 5,000.00 5,000.00 5079372
01/20/2022 DDE 002 JOSEPH DAHANG (GNPOWER) 1,000.00 1,000.00 5079375
-
-
-
15,660.00 4,840.00 - - 170.00 - 1,000.00 - - 21,670.00
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
FEBRUARY 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

02/14/2022 C3 1123 NINO SESE 2,000.00 2,000.00 5079377

02/14/2022 C3 1123 NINO SESE 37.50 37.50 5189084
02/14/2022 C2 1126 REYNALDO SANCHEZ JR. 4,586.67 4,586.67 5079378
02/14/2022 C2 1126 REYNALDO SANCHEZ JR. 28.00 28.00 5189085
02/16/2022 P3 446 RHETT RUSSEL TORRES 48,479.39 150.00 48,629.39 5079382
02/16/2022 P3 446-A RHETT RUSSEL TORRES 1,370.61 1,370.61 5079383
02/17/2022 003 JHONSEN CAPATI 1,000.00 250.00 1,250.00 5079385
02/17/2022 C3 1112 NORMAN GUILA 2,100.00 2,100.00 5079386
-
58,536.67 150.00 - 65.50 - - 1,000.00 250.00 - 60,002.17
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
MARCH 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

03/02/2022 DDE 004 ARVIN DELA PENA 1,000.00 250.00 1,250.00 5079391
03/04/2022 C4 1131 ALBERT MARERO 1,522.58 974.42 2,497.00 5079392
03/04/2022 C4 1131 ALBERT MARERO 613.00 613.00 5189086
03/16/2022 C3 1127 VAL CAGUMBAY 2,200.00 2,200.00 5079393
03/23/2022 C3 1103 ALEXANDER CAYANAN 1,941.00 1,740.00 3,681.00 5079395
03/23/2022 C3 1103 ALEXANDER CAYANAN 2,217.50 2,217.50 5189087
03/24/2022 C3 1117 ARIES ALFONSO 7,900.00 7,900.00 5079396
03/24/2022 C3 1117 ARIES ALFONSO 592.00 592.00 5189088
03/24/2022 C3 1123 NINO SESE 2,000.00 2,000.00 509397
03/24/2022 C3 1123 NINO SESE 87.50 87.50 5189089
03/29/2022 C2 1092 JOSE DELA VEGA 5,804.40 1,290.00 7,094.40 5079398
03/29/2022 C2 1092 JOSE DELA VEGA 925.60 925.60 5189090
-
21,367.98 4,004.42 - 4,435.60 - - 1,000.00 250.00 - 31,058.00
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
APRIL 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

04/04/2022 DDE 005 M.L. ALAMANI 1,000.00 250.00 1,250.00 5079401

04/07/2022 DDE 006 MELVIN ITALIA 1,000.00 250.00 1,250.00 5079403
04/13/2022 C3 1103 ALEXANDER CAYANAN 2,000.00 2,000.00 5079406
04/13/2022 C3 1103 ALEXANDER CAYANAN 156.00 156.00 5189091
04/20/2022 C2 1126 REYNALDO SANCHEZ JR 8,000.00 8,000.00 5079410
04/26/2022 C3 1123 NINO SESE 3,733.33 3,733.33 5079411
04/26/2022 C3 1123 NINO SESE 466.50 466.50 5189092
04/28/2022 C3 40-A CHARLONCABANTOG 2,969.00 2,969.00 5079413
04/28/2022 C3 40-A CHARLONCABANTOG 121.00 121.00 5189093
-
-
-
-
16,702.33 - - 743.50 - - 2,000.00 500.00 - 19,945.83
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
MAY 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

05/02/2022 C3 1103 ALEXANDER CAYANAN 1,133.33 1,133.33 5079414

05/02/2022 C3 1127 VAL CAGUMBAY 3,000.00 3,000.00 5079415
05/05/2022 C3 1144 JUAN SIOSON 3,290.32 3,290.32 5079419
05/05/2022 C3 1144 JUAN SIOSON 168.00 168.00 5189094
05/05/2022 A 1143 EDWIN NCARA 5,936.09 4,250.00 170.00 10,356.09 5079420
05/05/2022 A 1143 EDWIN NCARA 1,096.91 1,096.91 5189095
05/11/2022 C2 1092 JOSE ALLAN DELA VEGA 11,714.95 950.00 12,664.95 5079421
05/11/2022 C2 1092 JOSE ALLAN DELA VEGA 1,021.63 1,021.63 5189096
05/11/2022 C4 1131 ALBERT MARERO 695.28 835.58 350.00 1,880.86 5079422
05/11/2022 C4 1131 ALBERT MARERO 489.14 489.14 5189097
05/13/2022 C3 1059 HERBERT MANRIQUE 5,000.00 5,000.00 5079424
05/13/2022 007 TEDDY RAMOS 1,000.00 250.00 1,250.00 5079425
05/17/2022 008 JEFFREY VILLASANTA 1,000.00 250.00 1,250.00 5079428
-
30,769.97 6,035.58 - 2,775.68 520.00 - 2,000.00 500.00 - 42,601.23
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
JUNE 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

06/03/2022 DDE 009 JOHN ARMORDADO 1,000.00 250.00 1,250.00 5079431

06/03/2022 C4 919-A MARK ANTHONY DELA CRUZ 1,120.00 1,120.00 5079432
06/03/2022 C4 919-A MARK ANTHONY DELA CRUZ 122.50 122.50 5189098
06/10/2022 C2 1117 ARIES ALFONSO 8,320.00 200.00 8,520.00 5079433
06/13/2022 C4 40-A CHARLON CABANTOG 798.74 798.74 5079434
06/13/2022 C4 40-A CHARLON CABANTOG 403.26 403.26 5189099
06/27/2022 c3 1127 VAL CAGUIMBAY 964.80 170.00 1,134.80 5079438
06/27/2022 c3 1127 VAL CAGUIMBAY 1,865.20 1,865.20 5189100
06/27/2022 C3 1059 HERBERT MANRIQUE 6,539.23 6,539.23 5079437
-
-
17,742.77 - - 2,390.96 370.00 - 1,000.00 250.00 - 21,753.73
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
JULY 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

07/05/2022 C2 1126 REYNALDO SANCHEZ JR 8,049.00 8,049.00 5079439

07/05/2022 C4 919 MARK ANTHONY DELA CRUZ 800.00 800.00 5079440
07/05/2022 C4 919 MARK ANTHONY DELA CRUZ 71.75 71.75 5189101
07/07/2022 DDE 10 LORETA DE LEON 500.00 125.00 625.00 5079447
07/07/2022 DDE 11 JOSELITO DAVID 500.00 125.00 625.00 5079448
07/07/2022 A 1143 EDWIN CARA 23,999.99 1,650.00 25,649.99 5079449
07/07/2022 A 1143 EDWIN CARA 3,865.66 3,865.66 5189102
07/12/2022 C4 1109 ANGELO BADJAO CRUZ 2,853.33 2,853.33 5079450
07/12/2022 C4 1109 ANGELO BADJAO CRUZ 6.00 6.00 5189103
07/12/2022 C4 1131 ALBERT MARERO 1,365.20 1,365.20 5079451
07/14/2022 C3 1144 JUAN MIGUEL SIOSON 4,000.00 670.00 4,670.00 5079452
07/14/2022 C3 1144 JUAN MIGUEL SIOSON 36.69 36.69 5189104
07/15/2022 C2 1117 ARIES ALFONSO 8,000.00 8,000.00 5079454
07/15/2022 DDE 12 CARLO GLORIA 1,000.00 250.00 1,250.00 5079455
07/26/2022 DDE 13 BENJAMIN FRANCISCO 300.00 300.00 5079459
07/26/2022 DDE 14 ALVIN JOSON 300.00 300.00 5079457
07/26/2022 DDE 15 JAKE SORIANO 1,000.00 250.00 1,250.00 5079458
07/26/2022 DDE 16 JHON JHON BAUTISTA 250.00 65.00 315.00 5079461
07/26/2022 DDE 17 RICKY PEREZ 500.00 125.00 625.00 5079460
07/27/2022 DDE 18 GREENESS LOLITA 1,000.00 250.00 1,250.00 5079462
-
-
49,067.52 2,320.00 - 3,980.10 - - 5,350.00 1,190.00 - 61,907.62
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
TREATMENT AND REHABILITATION CENTER
BRGY. LIYANG, PILAR, BATAAN

BILLING DEPARTMENT
AUGUST 2022- COLLECTION

DATE OF AMOUNT PD MED TOTAL

PAYMENT CLASSIFICATION CASE # NAME HOSPITAL FEE LABORATORY DENTAL MEDICINES X-RAY OTHERS DDE DT SUPPLIES AMOUNT OR #

08/01/2022 C3 19 EDWIN CANLAS 250.00 187.50 437.50 5079467

08/01/2022 C2 20 ORLY ISIDRO 500.00 125.00 625.00 5079468
08/02/2022 A 21 RICARDO OCAMPO 1,000.00 250.00 1,250.00 5079469
08/10/2022 A 22 RAYMOND DELA CRUZ 1,000.00 250.00 1,250.00 5079474
08/11/2022 A 23 PAUL JOSHUA SANCHEZ 1,000.00 250.00 1,250.00 5079479
08/12/2022 A 24 GOMER CRISOSTOMO 1,000.00 250.00 1,250.00 5079480
08/15/2022 C2 25 FEDERICO CABONIAS 500.00 625.00 1,125.00 5079481
08/17/2022 A 1218 CARLO GLORIA 4,129.03 4,129.03 5079482
08/18/2022 C3 26 EMMANUEL ARIZAPA 250.00 187.50 437.50 5079484
08/19/2022 F 27 CHARLES ROMMEL CARLOS 1,000.00 250.00 1,250.00 5079485
08/22/2022 C4 28 KLOYD IVAN OLAIS 100.00 25.00 125.00 5079486
08/26/2022 F 29 ALFREDO PILAPIL 1,000.00 250.00 1,250.00 5079487
08/31/2022 C4 1133 MARK EDWARD DANQUE 1,600.00 1,600.00 5079488
-
5,729.03 - - - - - 7,600.00 2,650.00 - 15,979.03
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pialr, Bataan

COLLECTION FOR THE YEAR 2022

BILLING SECTION

MONTHLY HOSPITAL FEE MEDICINES X-RAY LABORATORY DENTAL DRUG TEST DDE MED. SUPPLIES ANTIGEN SWAB TEST OTHERS TOTAL

JANUARY 15,660.00 - 170.00 4,840.00 - 1,000.00 - - 21,670.00

FEBRUARY 58,536.67 65.50 150.00 250.00 1,000.00 60,002.17
MARCH 21,367.98 4,435.60 4,004.42 250.00 1,000.00 31,058.00
APRIL 16,702.33 743.50 500.00 2,000.00 19,945.83
MAY 30,769.97 2,775.68 520.00 6,035.58 500.00 2,000.00 42,601.23
JUNE 17,742.77 2,390.96 370.00 250.00 1,000.00 21,753.73
JULY 49,067.52 3,980.10 2,320.00 5,350.00 1,190.00 61,907.62
AUGUST 5,729.03 2,650.00 7,600.00 15,979.03
SEPTEMBER -
OCTOBER -
NOVEMBER -
DECEMBER -
215,576.27 14,391.34 1,060.00 17,350.00 - 9,750.00 16,790.00 - - - - 274,917.61

PREPARED By:

=
JAIME ROBLES Noted By:
Admn. Asst. ii
JELA MARIE D. PIZARRO
Admn. Officer III