Payor Age Gender Race Admission Date Discharge Date LOS Weight

Payor Age Gender Race Admission Date Discharge Date LOS Weight (KG) Discharge Level Of care BCBS 59 Female Black or African American 3/18/2020 3/24/2020 6 102 Home Self Pay 39 Female Black or African American 3/19/2020 4/10/2020 22 116.6 Home Cigna 56 Male White 3/20/2020 4/27/2020 38 96 Home Ambetter 59 Male Black or African American 3/23/2020 3/31/2020 8 75.5 Home MCR Humana 67 Male White 3/23/2020 3/29/2020 6 112.7 Home MCR 65 Male White 3/24/2020 4/1/2020 8 95 Home MCR United Health 66 Female Black or African American 3/24/2020 3/31/2020 7 114.7 Home BCBS 44 Female Black or African American 3/25/2020 5/11/2020 47 116.2 SNF MCR/MCD 68 Female Black or African American 3/25/2020 5/7/2020 43 105.2 SNF BCBS 62 Female Black or African American 3/25/2020 5/5/2020 41 81 Home Health MCD Caresource 35 Female Black or African American 3/25/2020 3/30/2020 5 94.5 Home BCBS 47 Female Black or African American 3/25/2020 3/30/2020 5 104.4 Home Ambetter 52 Female Black or African American 3/26/2020 4/10/2020 15 152.5 Home Health Commercial 45 Male Black or African American 3/26/2020 4/2/2020 7 126.8 Home MCR Aetna 74 Female Black or African American 3/27/2020 5/13/2020 47 98 SNF MCR/MCD 72 Male Black or African American 3/27/2020 4/1/2020 5 71.6 Home Health MCR Aetna 80 Male Black or African American 3/28/2020 5/8/2020 41 101 SNF MCR United Health 61 Female Black or African American 3/28/2020 5/7/2020 40 118.9 LTAC United Healthcare Dual Care 72 Female Black or African American 3/28/2020 3/31/2020 3 114.3 Home MCD Peach State 34 Female Black or African American 3/28/2020 3/31/2020 3 103 Home Commercial 64 Female Black or African American 3/29/2020 5/21/2020 53 87 LTAC MCR United Health 64 Male Black or African American 3/31/2020 5/5/2020 35 114.9 SNF BCBS 53 Male Black or African American 3/31/2020 4/30/2020 30 194.3 STH MCR United Health 63 Female Black or African American 3/31/2020 4/6/2020 6 116.1 Home Commercial 53 Male Black or African American 3/31/2020 4/3/2020 3 95 Home MCR United Health 77 Male Black or African American 3/31/2020 4/1/2020 1 63.5 Home MCR United Health 70 Female Black or African American 4/1/2020 4/4/2020 3 78 Home BCBS 52 Female Black or African American 4/2/2020 5/7/2020 35 123.6 SNF MCR 57 Male Black or African American 4/4/2020 5/1/2020 27 91.4 EXPIRED BCBS 55 Female White 4/4/2020 4/30/2020 26 97 Home Health Commercial 48 Female Black or African American 4/5/2020 4/12/2020 7 90 Home MCR 70 Male Black or African American 4/6/2020 4/17/2020 11 80 EXPIRED MCR 39 Male Black or African American 4/6/2020 4/15/2020 9 178 Home MCR 72 Female Black or African American 4/7/2020 5/28/2020 51 102 LTAC MCR 68 Female White 4/7/2020 4/15/2020 8 72 Home MCR 66 Female White 4/7/2020 4/15/2020 8 96 Home MCD 63 Female Black or African American 4/7/2020 4/15/2020 8 91 Home Ambetter 63 Female Black or African American 4/7/2020 4/9/2020 2 113.1 Home MCR United Health 67 Female Black or African American 4/8/2020 5/12/2020 34 122.7 SNF MCD 71 Female Black or African American 4/8/2020 4/27/2020 19 184 EXPIRED MCD 66 Female White 4/8/2020 4/17/2020 9 94 SNF MCD 70 Male White 4/8/2020 4/16/2020 8 85 SNF MCR 93 Male Black or African American 4/9/2020 4/25/2020 16 88 EXPIRED Commercial 63 Female Black or African American 4/9/2020 4/20/2020 11 118 Home MCR 63 Male Black or African American 4/9/2020 4/16/2020 7 85 EXPIRED MCR 60 Female Black or African American 4/10/2020 5/18/2020 38 74 Home Secure Health 52 Female Black or African American 4/10/2020 4/20/2020 10 136.2 Home MCR United Health 65 Female Black or African American 4/10/2020 4/17/2020 7 96.7 EXPIRED MCR 79 Male White 4/11/2020 4/22/2020 11 70 EXPIRED MCR 80 Male White 4/11/2020 4/20/2020 9 117 SNF MCR 77 Male Black or African American 4/11/2020 4/18/2020 7 54.43 EXPIRED MCR 54 Female Black or African American 4/11/2020 4/12/2020 1 52.16 EXPIRED MCR 81 Male Black or African American 4/12/2020 6/15/2020 64 108.5 SNF BCBS 59 Male Black or African American 4/13/2020 5/19/2020 36 126.2 STH MCR ADV AETNA 67 Female Black or African American 4/13/2020 4/24/2020 11 108 Home MCR 85 Female White 4/13/2020 4/17/2020 4 73.1 EXPIRED United Healthcare 60 Female Black or African American 4/14/2020 4/21/2020 7 143.3 Home MCD 35 Female Black or African American 4/15/2020 4/21/2020 6 143 STH Commericial 86 Male White 4/16/2020 5/20/2020 34 103 EXPIRED MCR AdV Humana 82 Male Black or African American 4/16/2020 5/9/2020 23 68 EXPIRED Ambetter 64 Female White 4/18/2020 6/16/2020 59 149 EXPIRED MCR 93 Female Black or African American 4/18/2020 5/4/2020 16 71 Home Augusta Correctional 65 Male White 4/20/2020 5/11/2020 21 84 Home MCR 83 Female Black or African American 4/20/2020 5/7/2020 17 88.9 EXPIRED Carl Vinson VA 73 Male White 4/21/2020 4/23/2020 2 77.4 Home Commercial 69 Male Black or African American 4/22/2020 5/9/2020 17 76.8 Home BCBS 50 Male Black or African American 4/22/2020 4/27/2020 5 84.6 Home MCR 73 Male Black or African American 4/26/2020 5/1/2020 5 116.1 EXPIRED MCD 55 Male Black or African American 4/28/2020 5/8/2020 10 116.8 Home BCBS 63 Male Black or African American 5/1/2020 5/3/2020 2 74.7 Home Augusta Correctional 49 Male White 5/3/2020 5/13/2020 10 93.9 Home MCR 96 Male Black or African American 5/4/2020 5/19/2020 15 56.4 SNF MCR United Health 70 Male White 5/6/2020 6/17/2020 42 142.1 LTAC Medicare COVID Uninsured 52 Female Black or African American 5/10/2020 6/11/2020 32 84.9 Home MCR AdV Humana 66 Female Black or African American 5/11/2020 6/12/2020 32 81.9 STH Medicare 54 Female Black or African American 5/13/2020 6/15/2020 33 132.9 Home Health BCBS 53 Female Black or African American 5/14/2020 6/2/2020 19 88 STH MCR Aetna 80 Male Black or African American 5/17/2020 6/3/2020 17 106.9 EXPIRED MCD 35 Female Black or African American 5/20/2020 6/2/2020 12 153 Home SP 28 Female Black or African American 5/25/2020 5/31/2020 6 180.1 AMA Augusta Correctional 59 Male Black or African American 5/27/2020 7/16/2020 50 137.8 EXPIRED MCR ADV 80 Male Black or African American 5/27/2020 5/31/2020 4 104 EXPIRED Augusta Correctional 42 Male White 6/5/2020 7/9/2020 34 71.6 Home MCR 41 Female Black or African American 6/6/2020 6/15/2020 9 113 Home MCR 77 Male White 6/10/2020 7/10/2020 30 54.2 EXPIRED- Inpt Hospice Commercial 29 Male Black or African American 6/10/2020 6/15/2020 5 240 Home MCR 61 Female Black or African American 6/11/2020 6/15/2020 4 106 Home Augusta Correctional 46 Male Hispanic 6/20/2020 7/10/2020 20 83 Home SP 41 Male Hispanic 6/24/2020 6/30/2020 6 127 Home MCR 76 Male White 6/29/2020 7/9/2020 10 72.3 EXPIRED MCR Adv United Health 84 Male White 7/4/2020 7/13/2020 9 106 EXPIRED SP 62 Male Hispanic 7/4/2020 7/9/2020 5 78 Home MCR Adv United Health 75 Female White 7/4/2020 7/8/2020 4 90.72 Home SP 34 Female Hispanic 7/5/2020 7/25/2020 20 69 STH MCR 65 Male White 7/9/2020 8/2/2020 24 91 EXPIRED Commercial 44 Female Black or African American 7/10/2020 7/27/2020 17 99.3 Home Commercial 64 Female White 7/13/2020 7/17/2020 4 83.2 Home MCR 73 Female White 7/13/2020 7/15/2020 2 64.1 Home MCR 65 Male White 7/14/2020 8/14/2020 31 42.6 SNF MCR ADV 77 Female White 7/14/2020 7/17/2020 3 120 Home Commercial – Ambetter 50 Male Black or African American 7/15/2020 7/28/2020 13 150 Home Commercial – BCBS 53 Female White 7/15/2020 7/16/2020 1 72 Home MCR Humana 72 Female White 7/18/2020 7/21/2020 3 65.1 Home Commercial 38 Female White 7/21/2020 7/27/2020 6 170 Home Ambetter 37 Male Black or African American 7/26/2020 7/28/2020 2 165.56 Home MCR 89 Female White 7/27/2020 8/10/2020 14 50.5 SNF Augusta Correctional 35 Male White 7/29/2020 8/14/2020 16 135.7 Home BCBS 50 Female Black or African American 7/29/2020 8/6/2020 8 81.7 Home Augusta Correctional 51 Male Black or African American 7/30/2020 8/12/2020 13 97.6 Home MCR 75 Female White 7/31/2020 8/3/2020 3 60.6 Home BCBS 54 Male Black or African American 8/3/2020 9/3/2020 31 86 Home MCR United Health 74 Female Black or African American 8/4/2020 9/1/2020 28 113.2 SNF BCBS 60 Female Black or African American 8/5/2020 8/7/2020 2 117.93 Home Augusta Correctional 61 Female White 8/7/2020 10/2/2020 56 97 STH MCD Caresource 29 Female Black or African American 8/7/2020 8/17/2020 10 89.7 Home MCR 75 Female White 8/7/2020 8/11/2020 4 60.6 Home BCBS 50 Female Black or African American 8/8/2020 8/16/2020 8 101.7 Home Self Pay 48 Female Black or African American 8/9/2020 8/17/2020 8 164 Home MCR United Health 61 Female Black or African American 8/10/2020 8/30/2020 20 147.1 STH MCR United Health 70 Male White 8/10/2020 8/12/2020 2 127 Home MCR United Health 68 Female White 8/10/2020 8/12/2020 2 76.3 Home MCR United Health 65 Female Black or African American 8/12/2020 8/19/2020 7 93.5 Home MCR Humana 74 Male White 8/12/2020 8/18/2020 6 107.1 Home Commercial 58 Female White 8/14/2020 8/17/2020 3 103.2 Home Commercial 58 Male White 8/14/2020 8/17/2020 3 111 Home MCR United Health 84 #REF! Black or African American 8/15/2020 8/25/2020 10 37.4 Home MCR 77 #REF! Black or African American 8/16/2020 9/15/2020 30 68.6 SNF MCR United Health 89 #REF! White 8/17/2020 9/5/2020 19 110.3 EXPIRED MCR United Health 73 #REF! White 8/18/2020 9/3/2020 16 78.9 SNF MCR 74 Female White 8/18/2020 8/28/2020 10 78.2 SNF MCR Aetna 60 Male White 8/19/2020 9/10/2020 22 87.6 Home MCR United Health 80 Male White 8/20/2020 8/31/2020 11 98.7 Home Health Commercial 58 Female White 8/20/2020 8/26/2020 6 103.2 Home Commercial 58 Female White 8/20/2020 8/26/2020 6 103.2 Home MCR HMO BCBS 68 Female Black or African American 8/20/2020 8/25/2020 5 81.3 Home Health Commercial 72 Male Black or African American 8/22/2020 9/1/2020 10 91.6 Home MCR 71 Female White 8/23/2020 9/29/2020 37 44.5 Home Health MCR 46 Female White 8/23/2020 9/1/2020 9 63 Home MCR 67 Female White 8/23/2020 8/28/2020 5 88.4 SNF MCR 83 Female White 8/24/2020 9/11/2020 18 53.2 SNF BCBS 64 Female White 8/24/2020 8/27/2020 3 82.4 Home MCD 59 Male Black or African American 8/25/2020 9/9/2020 15 70 Home MCR 67 Male White 8/25/2020 8/30/2020 5 122.1 STH MCR 73 Female Black or African American 8/26/2020 9/29/2020 34 63.4 LTAC MCR United Health 61 Female Black or African American 8/26/2020 8/28/2020 2 102.4 SNF MCR United Health 70 Female White 8/26/2020 8/28/2020 2 103.7 Home MCR 54 Male Black or African American 8/27/2020 9/8/2020 12 69.7 Home Health BCBS 46 Female Black or African American 8/29/2020 9/3/2020 5 133.8 Home MCR United Health 63 Female Black or African American 8/29/2020 9/2/2020 4 75.1 Home SP 56 Female White 8/30/2020 9/1/2020 2 99.9 Home SP 50 Female Black or African American 8/31/2020 9/7/2020 7 145.7 Home MCR United Health 88 Female Black or African American 9/1/2020 9/15/2020 14 94.2 EXPIRED MCR 64 Female Black or African American 9/1/2020 9/7/2020 6 90 Home MCR United Health 61 Female Black or African American 9/1/2020 9/6/2020 5 102.4 EXPIRED MCR United Health 84 Female Black or African American 9/2/2020 9/9/2020 7 73.2 SNF-Hospice Commercial 69 Male Black or African American 9/3/2020 10/4/2020 31 98 STH MCR United Health 63 Female Black or African American 9/3/2020 9/4/2020 1 75.1 EXPIRED MCR 85 Male White 9/4/2020 9/8/2020 4 97.7 SNF MCR 68 Male White 9/5/2020 9/12/2020 7 79.9 SNF MCR 79 Female Black or African American 9/5/2020 9/11/2020 6 93.2 SNF SP 60 Female Black or African American 9/7/2020 9/21/2020 14 137.1 Home Health MCR United Health 81 Female Black or African American 9/7/2020 9/12/2020 5 63.8 EXPIRED MCR 85 Male White 9/8/2020 9/22/2020 14 81.8 EXPIRED BCBS 68 Female Black or African American 9/8/2020 9/11/2020 3 86.9 Home MCR Aetna 67 Male Black or African American 9/10/2020 10/8/2020 28 106 SNF MCR United Health 73 Male White 9/10/2020 9/15/2020 5 78.2 SNF SP 48 Male Black or African American 9/13/2020 9/16/2020 3 77.6 STH MCR 30 Female Black or African American 9/13/2020 9/16/2020 3 57 Home MCR 64 Male Black or African American 9/14/2020 9/21/2020 7 93.6 EXPIRED MCD 67 Male White 9/15/2020 10/8/2020 23 82.3 EXPIRED Commercial 43 Female White 9/15/2020 9/23/2020 8 115.4 STH MCR 70 Male Black or African American 9/15/2020 9/22/2020 7 70 SNF Secure Health 59 Female Black or African American 9/15/2020 9/21/2020 6 131.9 Home MCR 85 Male White 9/16/2020 9/24/2020 8 90.9 EXPIRED Commercial 74 Male White 9/18/2020 9/22/2020 4 67.5 Home MCR Humana 65 Female Black or African American 9/19/2020 10/7/2020 18 145.8 EXPIRED MCR United Health 70 Female White 9/19/2020 9/25/2020 6 81.6 Home BCBS 58 Female White 9/21/2020 9/25/2020 4 64.9 Home MCR 94 Male White 9/22/2020 9/30/2020 8 63.3 Home- Hospice Carl Vinson VA 73 Male Black or African American 9/22/2020 9/25/2020 3 101.3 SNF BCBS 50 Male Black or African American 9/22/2020 9/24/2020 2 103.5 Home MCR Humana 65 Male White 9/23/2020 10/7/2020 14 122.5 EXPIRED MCR 68 Female Black or African American 9/25/2020 11/18/2020 54 94.1 EXPIRED MCR 87 Male Black or African American 9/25/2020 10/31/2020 36 79.9 EXPIRED MCR 49 Female Black or African American 9/25/2020 10/26/2020 31 76.5 EXPIRED MCR 86 Female White 9/25/2020 10/7/2020 12 59.6 SNF-Hospice MCD 40 Male Black or African American 9/26/2020 10/23/2020 27 90.9 Home Health MCR 73 Female Black or African American 9/26/2020 10/1/2020 5 63.1 Home Health MCR 48 Female Black or African American 9/26/2020 10/1/2020 5 97.5 Home MCR 89 Female White 9/26/2020 9/29/2020 3 57.51 Home MCD 38 Female White 9/27/2020 9/30/2020 3 85.6 SNF BCBS 63 Male White 9/28/2020 10/16/2020 18 100.9 Home Health MCR United Health 85 Female Black or African American 9/29/2020 10/19/2020 20 70.7 EXPIRED Commercial 64 Male White 9/29/2020 10/9/2020 10 127.5 EXPIRED SP 37 Male White 9/29/2020 10/7/2020 8 122.7 Home SP 57 Male White 9/29/2020 10/6/2020 7 86.8 EXPIRED BCBS 61 Female Black or African American 9/30/2020 10/15/2020 15 125.7 Home SP 23 Male Black or African American 9/30/2020 10/5/2020 5 73.2 Home Carl Vinson VA 66 Male White 9/30/2020 10/1/2020 1 104.33 Home Health Commercial 51 Female White 10/3/2020 10/8/2020 5 106 Home BCBS 43 Female Black or African American 10/3/2020 10/6/2020 3 138.9 Home BCBS 37 Female Black or African American 10/3/2020 10/6/2020 3 136.7 Home MCR BCBS 66 Female White 10/4/2020 10/15/2020 11 89.2 Home Ambetter 54 Female White 10/4/2020 10/13/2020 9 84.5 Home MCR 79 Female – 10/5/2020 10/9/2020 4 97.07 Home Health MCR Humana 85 Male White 10/5/2020 10/9/2020 4 74 SNF MCR United Health 80 Female Black or African American 10/6/2020 10/22/2020 16 85.3 EXPIRED MCR 73 Female Black or African American 10/7/2020 10/14/2020 7 63.1 Home Health MCR United Health 91 Female White 10/7/2020 10/14/2020 7 74.1 Inpt Hospice MCR AETNA 69 Female White 10/8/2020 10/15/2020 7 106.9 Home MCR BCBS 70 Male White 10/9/2020 10/15/2020 6 83.8 Home Secure Health 45 Female Black or African American 10/9/2020 10/14/2020 5 118.8 Home MCR Aetna 54 Female Black or African American 10/10/2020 11/3/2020 24 109.1 EXPIRED MCR United Health 67 Female Black or African American 10/11/2020 10/21/2020 10 92.6 Home Health MCR 66 Male White 10/12/2020 10/22/2020 10 84.1 EXPIRED SP 50 Male White 10/13/2020 10/15/2020 2 135.9 STH SP 34 Male Black or African American 10/14/2020 10/20/2020 6 124.7 Home Carl Vinson VA 69 Male White 10/14/2020 10/17/2020 3 86.9 Home Health BCBS 48 Female White 10/15/2020 10/19/2020 4 90.6 Home MCR Humana 70 Female White 10/16/2020 10/29/2020 13 102 Home Health Secure Health 51 Male White 10/16/2020 10/20/2020 4 107.5 Home MCD 83 Female Black or African American 10/19/2020 10/29/2020 10 83.5 SNF Augusta Correctional 49 Female Black or African American 10/20/2020 10/30/2020 10 129.5 Home MCR United Health 68 Female Black or African American 10/21/2020 10/30/2020 9 81 SNF MCR Aetna 71 Male White 10/21/2020 10/26/2020 5 87.9 Home MCR 65 Female Black or African American 10/23/2020 11/1/2020 9 117.4 EXPIRED Ambetter 63 Female White 10/23/2020 10/29/2020 6 94.2 Home MCR Humana 89 Female Black or African American 10/24/2020 10/29/2020 5 74.7 SNF MCR Humana 73 Male White 10/27/2020 11/10/2020 14 94.2 EXPIRED SP 49 Male Black or African American 10/27/2020 11/10/2020 14 134.5 Home MCD 62 Male White 10/31/2020 11/14/2020 14 101.1 EXPIRED MCR 72 Male White 11/3/2020 11/6/2020 3 75.46 Home MCR Aetna 69 Male White 11/4/2020 11/5/2020 1 87.6 Home BCBS 52 Male Black or African American 11/5/2020 12/21/2020 46 110.4 LTAC MCR United Health 67 Female Black or African American 11/6/2020 12/3/2020 27 96.2 EXPIRED MCD 40 Female White 11/6/2020 11/10/2020 4 74.1 Home MCR United Health 72 Female White 11/8/2020 11/13/2020 5 76.7 Home MCR 67 Male Black or African American 11/8/2020 11/10/2020 2 108.1 Home MCR 78 Male Black or African American 11/9/2020 11/13/2020 4 180 Home MCD 78 Male Asian 11/11/2020 12/10/2020 29 97.1 Home MCD 66 Female Black or African American 11/12/2020 11/24/2020 12 98.2 Home Health MCR 67 Male Black or African American 11/12/2020 11/18/2020 6 102.7 SNF MCR 31 Male Black or African American 11/12/2020 11/13/2020 1 106 AMA BCBS 54 Male White 11/13/2020 11/15/2020 2 89 Home BCBS 62 Female Black or African American 11/15/2020 11/30/2020 15 67.7 Home MCR United Health 69 Female Black or African American 11/15/2020 11/23/2020 8 114.3 Home MCR Aetna 80 Female White 11/16/2020 12/1/2020 15 142 SNF BCBS 50 Female White 11/16/2020 11/22/2020 6 105.8 Home MCR 31 Male Black or African American 11/17/2020 11/19/2020 2 106 AMA BCBS 64 Male White 11/19/2020 12/16/2020 27 68.1 Home Health MCR United Health 75 Female White 11/20/2020 12/11/2020 21 66.6 SNF MCR 71 Female White 11/21/2020 1/2/2021 42 82.7 EXPIRED MCR United Health 78 Female Black or African American 11/21/2020 11/26/2020 5 89.2 Home Health MCR 81 Male White 11/21/2020 11/25/2020 4 75.6 EXPIRED MCR 82 Female White 11/22/2020 11/27/2020 5 78.8 Home MCR 65 Female White 11/23/2020 11/28/2020 5 102.06 Home MCR United Health 70 Male Black or African American 11/23/2020 11/26/2020 3 93 Home MCR United Health 70 Female Black or African American 11/23/2020 11/26/2020 3 114 Home MCR 67 Female Black or African American 11/23/2020 11/25/2020 2 67.1 Home SP 55 Male White 11/25/2020 12/3/2020 8 113.3 Home MCD 66 Female Black or African American 11/25/2020 12/3/2020 8 84.1 Home Health MCR 75 Female White 11/26/2020 12/1/2020 5 83.1 Home Health Commercial 66 Male White 11/27/2020 12/30/2020 33 116.6 EXPIRED MCR 60 Female Black or African American 11/27/2020 12/6/2020 9 84 Home MCR United Health 66 Female Black or African American 11/28/2020 12/8/2020 10 50.8 Home Health MCR 82 Male White 11/29/2020 12/1/2020 2 78.02 STH MCR 52 Female Black or African American 11/30/2020 12/4/2020 4 103.2 Home BCBS 56 Female Black or African American 12/1/2020 12/6/2020 5 88.8 AMA MCR United Health 59 Male White 12/3/2020 12/18/2020 15 121.4 SNF MCR United Health 58 Female Black or African American 12/3/2020 12/8/2020 5 138.8 Home MCR 59 Male Black or African American 12/5/2020 12/11/2020 6 100.6 Home Health MCR United Health 84 Female Black or African American 12/5/2020 12/9/2020 4 99.8 Home MCR United Health 69 Male White 12/5/2020 12/9/2020 4 113.2 Home MCR 80 Female White 12/6/2020 12/8/2020 2 49.1 Inpt Hospice MCR United Health 50 Female Black or African American 12/7/2020 12/22/2020 15 107 Home Health SP 48 Male Black or African American 12/7/2020 12/14/2020 7 81.7 Home MCR United Health 56 Female Black or African American 12/7/2020 12/13/2020 6 140.2 Home SP 70 Female White 12/7/2020 12/12/2020 5 83.4 Home MCR 73 Female Black or African American 12/7/2020 12/10/2020 3 87.7 Home MCR 57 Male Black or African American 12/8/2020 12/28/2020 20 122 EXPIRED MCR Aetna 83 Male White 12/9/2020 12/25/2020 16 101.6 EXPIRED Augusta Correctional 60 Male Black or African American 12/9/2020 12/22/2020 13 68.1 Home MCR 65 Male White 12/9/2020 12/20/2020 11 92.6 STH Carl Vinson VA 73 Male White 12/9/2020 12/16/2020 7 63 SNF MCD 55 Female White 12/11/2020 12/17/2020 6 100.7 Home Health SP 40 Male White 12/13/2020 12/21/2020 8 125.7 Home MCR United Health 83 Female Black or African American 12/13/2020 12/20/2020 7 73.6 Home MCR United Health 78 Female Black or African American 12/14/2020 12/21/2020 7 60.6 SNF Augusta Correctional 26 Male White 12/14/2020 12/21/2020 7 63 Home BCBS 52 Female Black or African American 12/14/2020 12/19/2020 5 68 Home MCD 29 Male Black or African American 12/14/2020 12/17/2020 3 83 SNF MCR 68 Male White 12/15/2020 12/25/2020 10 115.67 EXPIRED Secure Health 62 Female White 12/15/2020 12/20/2020 5 75.1 Home SP 58 Female Black or African American 12/16/2020 12/23/2020 7 130 Home MCR 51 Female White 12/16/2020 12/22/2020 6 91.7 Home BCBS 55 Female Black or African American 12/16/2020 12/21/2020 5 91 Home MCR United Health 90 Female White 12/16/2020 12/17/2020 1 48.3 Inpt Hospice MCR United Health 71 Male White 12/17/2020 12/28/2020 11 101 EXPIRED MCR 73 Male White 12/17/2020 12/23/2020 6 113.4 Home MCR United Health 71 Female White 12/17/2020 12/22/2020 5 68.49 Home SP 53 Female Black or African American 12/17/2020 12/22/2020 5 94.9 Home SP 90 Female White 12/17/2020 12/20/2020 3 48.3 EXPIRED Carl Vinson VA 72 Male Black or African American 12/18/2020 1/6/2021 19 76.3 SNF Ambetter 64 Female White 12/18/2020 12/28/2020 10 55 Home Peach State Health Plan 41 Female Black or African American 12/18/2020 12/23/2020 5 134 Home MCR 64 Female White 12/19/2020 1/8/2021 20 68.08 EXPIRED BCBS 56 Female White 12/19/2020 12/22/2020 3 85.5 Home Commercial 60 Female Black or African American 12/20/2020 12/30/2020 10 85.2 SNF Carl Vinson VA 53 Male Black or African American 12/20/2020 12/27/2020 7 96.6 Home Secure Health 67 Female White 12/20/2020 12/24/2020 4 86.2 Home MCR Humana 67 Female Black or African American 12/21/2020 12/29/2020 8 59.87 Home SP 34 Female Black or African American 12/21/2020 12/27/2020 6 124.4 Home MCR United Health 68 Female White 12/22/2020 1/14/2021 23 127.3 EXPIRED MCR Humana 62 Male White 12/22/2020 12/30/2020 8 152.5 Home MCR United Health 73 Female White 12/22/2020 12/29/2020 7 88.4 Home MCR United Health 66 Female Black or African American 12/22/2020 12/28/2020 6 100.3 Home- Hospice SP 50 Female White 12/22/2020 12/25/2020 3 60.8 Home BCBS 48 Male White 12/23/2020 12/29/2020 6 118.3 Home Commercial 33 Female Black or African American 12/23/2020 12/28/2020 5 117 Home BCBS 63 Female White 12/23/2020 12/28/2020 5 112.2 Home SP 47 Male White 12/23/2020 12/28/2020 5 121.6 Home MCR Aetna 65 Male White 12/24/2020 1/5/2021 12 57.2 SNF MCR United Health 67 Male White 12/25/2020 1/3/2021 9 114.6 EXPIRED Cigna 58 Female White 12/25/2020 12/29/2020 4 73.6 EXPIRED MCR United Health 75 Female White 12/26/2020 1/8/2021 13 102.7 EXPIRED Ambetter 55 Male White 12/26/2020 1/3/2021 8 139.8 Home MCR 78 Female White 12/26/2020 12/31/2020 5 83.46 SNF MCR Aetna 72 Female White 12/26/2020 12/30/2020 4 91.1 Home MCR United Health 72 Male White 12/26/2020 12/30/2020 4 142.2 Home MCR 69 Male Black or African American 12/27/2020 1/25/2021 29 86.4 STH MCR 72 Male Black or African American 12/27/2020 1/15/2021 19 86.6 EXPIRED MCR United Health 66 Female White 12/27/2020 12/31/2020 4 72 SNF SP 57 Male White 12/28/2020 1/4/2021 7 81.65 Home SP 31 Female Black or African American 12/28/2020 12/29/2020 1 146 Home MCR 65 Female White 12/29/2020 1/8/2021 10 50.9 EXPIRED Secure Health 57 Female Black or African American 12/29/2020 1/5/2021 7 103.6 Home MCR United Health 66 Female Black or African American 12/30/2020 1/14/2021 15 45 Inpt Hospice MCR 50 Female Black or African American 12/30/2020 1/5/2021 6 115 Home MCR United Health 75 Female White 12/30/2020 1/5/2021 6 68.3 Home MCR 69 Male White 12/30/2020 1/4/2021 5 85 Home MCR Aetna 91 Female White 12/30/2020 1/4/2021 5 45.36 Home Health MCR Aetna 72 Female White 12/31/2020 2/12/2021 43 60.4 EXPIRED MCR 61 Female White 12/31/2020 1/8/2021 8 67.9 Home Health MCR Humana 61 Female Black or African American 12/31/2020 1/7/2021 7 122.7 Home Health SP 45 Male Black or African American 12/31/2020 1/5/2021 5 121.5 Home MCR United Health 74 Male White 1/1/2021 2/23/2021 53 147.4 LTAC Carl Vinson VA 97 Male White 1/1/2021 1/8/2021 7 69.4 Home Health MCR United Health 70 Female White 1/1/2021 1/6/2021 5 108.4 Home MCR 78 Male White 1/2/2021 2/7/2021 36 87.2 EXPIRED MCR United Health 67 Female Black or African American 1/2/2021 1/7/2021 5 124 Home Health Commercial 60 Male White 1/2/2021 1/4/2021 2 93.3 Home MCR United Health 66 Female White 1/3/2021 1/4/2021 1 78.81 SNF MCR United Health 71 Female White 1/4/2021 1/15/2021 11 67.1 Home BCBS 60 Female White 1/4/2021 1/10/2021 6 124 Home Augusta Correctional 58 Male Black or African American 1/4/2021 1/7/2021 3 89.7 EXPIRED MCR United Health 57 Female Black or African American 1/5/2021 1/28/2021 23 113 EXPIRED MCR 75 Female Black or African American 1/5/2021 1/28/2021 23 70.5 EXPIRED MCR United Health 88 Male Black or African American 1/5/2021 1/22/2021 17 68.5 EXPIRED MCR 86 Female White 1/5/2021 1/11/2021 6 71 Home MCR United Health 59 Male Black or African American 1/5/2021 1/8/2021 3 139.8 Home MCD 48 Male Black or African American 1/6/2021 2/15/2021 40 82.6 EXPIRED Carl Vinson VA 44 Male Black or African American 1/6/2021 1/13/2021 7 87.9 Home Commercial 41 Female White 1/6/2021 1/11/2021 5 98 Home BCBS 61 Female White 1/6/2021 1/11/2021 5 67.4 Home MCR Aetna 74 Male White 1/7/2021 3/1/2021 53 71.9 EXPIRED SP 45 Female Black or African American 1/7/2021 1/12/2021 5 68.7 Home MCR Aetna 78 Male White 1/7/2021 1/11/2021 4 101.8 Home SP 34 Male Black or African American 1/7/2021 1/11/2021 4 76.9 Home MCR 72 Male Black or African American 1/8/2021 2/10/2021 33 105.6 EXPIRED BCBS 58 Female Black or African American 1/8/2021 2/2/2021 25 84.9 EXPIRED MCD 72 Female Black or African American 1/8/2021 2/2/2021 25 62 EXPIRED MCR United Health 76 Female Black or African American 1/8/2021 1/23/2021 15 74.3 EXPIRED Ambetter 58 Female White 1/8/2021 1/20/2021 12 105 Home Health MCR Humana 77 Male Black or African American 1/8/2021 1/13/2021 5 54.9 Home SP 53 Male Black or African American 1/8/2021 1/11/2021 3 129 Home SP 59 Male White 1/9/2021 1/21/2021 12 115.7 EXPIRED MCD 47 Female Black or African American 1/9/2021 1/18/2021 9 150 AMA MCR United Health 75 Male Black or African American 1/9/2021 1/15/2021 6 95 Home MCR 71 Female Black or African American 1/10/2021 1/26/2021 16 83 Inpt Hospice MCR 39 Male Black or African American 1/10/2021 1/13/2021 3 89.18 AMA MCR 86 Female Black or African American 1/10/2021 1/13/2021 3 47 Home- Hospice MCR United Health 80 Male White 1/11/2021 1/31/2021 20 78.9 EXPIRED MCR Humana 77 Female Black or African American 1/11/2021 1/16/2021 5 99.8 Home MCR 58 Male Black or African American 1/11/2021 1/15/2021 4 98.8 Home MCR United Health 67 Female Black or African American 1/12/2021 1/26/2021 14 136 Home Health MCR Humana 71 Female White 1/12/2021 1/19/2021 7 111.9 Home MCR 86 Male White 1/13/2021 1/22/2021 9 83 Home MCR 53 Male Black or African American 1/13/2021 1/21/2021 8 192.78 Home MCD 57 Female Black or African American 1/13/2021 1/20/2021 7 63.9 Home MCR Humana 85 Male White 1/13/2021 1/18/2021 5 96 Home MCR United Health 69 Female Black or African American 1/13/2021 1/17/2021 4 126.6 Home MCR United Health 47 Female Black or African American 1/14/2021 1/25/2021 11 79.3 Home MCR 94 Female White 1/15/2021 1/27/2021 12 67.1 Home Health MCR Humana 64 Male White 1/15/2021 1/25/2021 10 99.6 EXPIRED MCR 50 Female Black or African American 1/15/2021 1/21/2021 6 127.7 Home Health MCR 70 Male White 1/16/2021 2/13/2021 28 89 EXPIRED MCR ADV 66 Male Black or African American 1/16/2021 2/1/2021 16 87.09 EXPIRED MCR 65 Female White 1/16/2021 1/23/2021 7 78.3 STH SP 82 Male White 1/16/2021 1/22/2021 6 95.25 Home MCR 85 Male Black or African American 1/17/2021 2/3/2021 17 84 EXPIRED BCBS 30 Female White 1/18/2021 1/25/2021 7 136 Home Commercial 51 Male White 1/18/2021 1/22/2021 4 108.86 Home MCR United Health 94 Female White 1/18/2021 1/22/2021 4 49.9 Home Health Carl Vinson VA 70 Male White 1/18/2021 1/22/2021 4 87.3 SNF BCBS 66 Male White 1/19/2021 1/25/2021 6 182 Home MCR Humana 63 Female White 1/19/2021 1/25/2021 6 81.5 Home Health MCD 47 Female Black or African American 1/19/2021 1/22/2021 3 149.5 Home Health BCBS 62 Female Black or African American 1/20/2021 1/27/2021 7 90.8 Home SP 47 Female White 1/20/2021 1/25/2021 5 85 Home MCR Humana 66 Male White 1/21/2021 1/26/2021 5 78.8 Home MCR United Health 77 Female Black or African American 1/22/2021 1/26/2021 4 82.9 STH MCR 95 Female White 1/24/2021 2/3/2021 10 54.2 Home Health MCR United Health 70 Male White 1/24/2021 1/29/2021 5 94 Home MCD 61 Female Black or African American 1/25/2021 2/26/2021 32 145 SNF BCBS 66 Male White 1/25/2021 1/28/2021 3 107 Home MCR United Health 70 Male Black or African American 1/26/2021 2/14/2021 19 100.9 EXPIRED BCBS 61 Female White 1/27/2021 2/3/2021 7 146.2 STH MCR United Health 89 Female White 1/27/2021 2/1/2021 5 76.3 Home Health Commercial 62 Female Black or African American 1/28/2021 2/2/2021 5 78.3 Home Ambetter 51 Female White 1/29/2021 2/5/2021 7 142.1 Home BCBS 65 Female White 1/29/2021 2/5/2021 7 88.9 Home Health MCD 41 Female Black or African American 2/1/2021 2/5/2021 4 82.71 Home MCR 75 Female White 2/1/2021 2/4/2021 3 89.1 STH Secure Health 44 Female Black or African American 2/2/2021 2/26/2021 24 146.1 LTAC MCR 68 Male White 2/2/2021 2/8/2021 6 63.6 Home MCR Aetna 81 Male White 2/3/2021 3/3/2021 28 88.2 EXPIRED Commercial 62 Female Black or African American 2/4/2021 2/23/2021 19 92.4 EXPIRED MCR Humana 73 Male Black or African American 2/4/2021 2/9/2021 5 98.1 Home BCBS 57 Female White 2/6/2021 2/12/2021 6 95.2 Home Ambetter 45 Male White 2/6/2021 2/10/2021 4 69.7 Home Commercial 92 Male Black or African American 2/7/2021 2/19/2021 12 65.1 Home Health MCR 96 Male White 2/9/2021 2/18/2021 9 72.4 Home Health Augusta Correctional 72 Male White 2/9/2021 2/17/2021 8 89.6 Home Cigna 26 Male White 2/9/2021 2/14/2021 5 159.1 Home MCR 66 Male Black or African American 2/11/2021 2/15/2021 4 55.2 Home Augusta Correctional 51 Male Black or African American 2/15/2021 3/11/2021 24 86.9 Home Ambetter 60 Male White 2/15/2021 2/25/2021 10 123.7 Home Carl Vinson VA 67 Female White 2/15/2021 2/16/2021 1 72.6 Home BCBS 58 Female Black or African American 2/16/2021 2/21/2021 5 119.73 Home MCD 51 Female Black or African American 2/16/2021 2/21/2021 5 113.4 Home Augusta Correctional 72 Male Black or African American 2/16/2021 2/19/2021 3 73 Home Augusta Correctional 72 Male White 2/17/2021 2/21/2021 4 82.3 EXPIRED Commercial 46 Female Black or African American 2/17/2021 2/19/2021 2 127 Home MCR 76 Female White 2/21/2021 2/24/2021 3 64.4 Home Health SP 44 Male Black or African American 2/21/2021 2/22/2021 1 209.8 AMA Augusta Correctional 77 Male White 2/22/2021 3/16/2021 22 84 LTAC MCR United Health 91 Male White 2/23/2021 3/2/2021 7 93 Home Health MCR 65 Female White 2/24/2021 3/11/2021 15 76 SNF MCR United Health 56 Female Black or African American 2/24/2021 3/4/2021 8 151 Home Health MCR United Health 45 Male Black or African American 2/25/2021 3/2/2021 5 126.3 Home MCR 81 Male White 3/2/2021 3/6/2021 4 75.7 Home MCR Humana 88 Male Black or African American 3/4/2021 3/10/2021 6 48 Home Health Peach State Health Plan 43 Female Black or African American 3/14/2021 3/17/2021 3 92.2 Home MCR 77 Female White 3/17/2021 3/24/2021 7 63.9 Home Health MCR United Health 55 Female White 3/18/2021 3/22/2021 4 141 Home BCBS 31 Female White 3/19/2021 3/22/2021 3 131.2 Home MCR 89 Female White 3/27/2021 3/31/2021 4 51.6 Home BCBS 64 Female Black or African American 4/8/2021 4/21/2021 13 119.4 STH MCD HMO 41 Female Black or African American 4/9/2021 5/10/2021 31 139.4 EXPIRED SP 33 Female Black or African American 4/9/2021 4/24/2021 15 238.3 Home Ambetter 47 Male Black or African American 4/9/2021 4/13/2021 4 128.1 Home BCBS 35 Female Black or African American 4/15/2021 4/16/2021 1 82.1 Home MCR 46 Female Black or African American 4/16/2021 4/26/2021 10 174.2 Home MCR Humana 61 Male Black or Afri

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