| No. | Nama Klinik | Rekomendasi | Kegiatan | Triwulan I | Triwulan II | Triwulan III | Triwulan IV |
|---|---|---|---|---|---|---|---|
| 1 | Klinik Pratama Rawat Inap Karlina | 0 | 0 | 0 | 0 | 0 | 0 |
| 2 | Klinik Pratama Rawat Inap Srikandi | 47 | 47 | 3 | 44 | 0 | 0 |
| 3 | Klinik Utama Rawat Inap Iffah | 9 | 10 | 0 | 9 | 0 | 0 |
| 4 | SAHABAT BUNDA | 0 | 0 | 0 | 0 | 0 | 0 |
| 5 | Klinik Pratama Rawat Jalan Al-Irsyad | 20 | 22 | 0 | 0 | 18 | 0 |
| 6 | Klinik Sahabat Gandrungmangu | 0 | 0 | 0 | 0 | 0 | 0 |
| 7 | Klinik Pratama Rawat Inap PKU Muhammadiyah Kroya | 36 | 45 | 0 | 14 | 0 | 0 |
| 8 | MITRA SEHAT KARANGPUCUNG | 0 | 0 | 0 | 0 | 0 | 0 |
| 9 | Klinik Pratama Rawat Inap Arra | 61 | 122 | 0 | 61 | 61 | 0 |
| 10 | Klinik Pratama Rawat Inap Sari Asih Husada | 43 | 0 | 0 | 0 | 0 | 0 |
| 11 | Klinik Pratama Rawat Jalan Griya Sehat Cilacap | 31 | 32 | 0 | 31 | 9 | 0 |
| 12 | Klinik Pratama Rawat Jalan Sehati BNN RI Kabupaten Cilacap | 16 | 0 | 0 | 0 | 0 | 0 |
| 13 | Klinik Pratama Rawat Inap PKU Muhammadiyah Sampang | 26 | 26 | 26 | 0 | 0 | 0 |
| 14 | Klinik Pratama Rawat Inap Mulia Husada | 19 | 26 | 19 | 0 | 0 | 0 |
| 15 | Klinik Puri Lestari Medika | 0 | 0 | 0 | 0 | 0 | 0 |
| 16 | Klinik Pratama Rawat Jalan Bina Husada IV | 26 | 30 | 26 | 0 | 0 | 0 |
| 17 | Klinik Pratama Rawat Inap Hamada | 33 | 54 | 23 | 30 | 0 | 0 |
| 18 | Aisyah | 24 | 0 | 0 | 0 | 0 | 0 |
| 19 | Klinik Pratama Rawat Jalan Mediska Kroya | 30 | 30 | 29 | 0 | 0 | 0 |
| 20 | Klinik Asiyah Seotomo | 0 | 0 | 0 | 0 | 0 | 0 |
| 21 | Klinik Pratama Rawat Inap Syaeful Majid Medika | 31 | 0 | 0 | 0 | 0 | 0 |
| 22 | KPRI PKUMUHAMMADIYAH CILACAP | 46 | 0 | 0 | 0 | 0 | 0 |
| 23 | Klinik Pratama Rawat Jalan Nayaka Husada Sidakaya | 24 | 53 | 20 | 20 | 8 | 0 |
| 24 | Pratama Rawat Inap Bina Husada I | 36 | 17 | 10 | 1 | 0 | 0 |
| 25 | Klinik Bhayangkara SAR Polres Cilacap | 31 | 31 | 5 | 23 | 1 | 0 |
| 26 | Klinik Kita Medika | 39 | 44 | 0 | 39 | 0 | 0 |
| 27 | Klinik Pratama Rawat Inap Graha Amanah | 20 | 0 | 0 | 0 | 0 | 0 |
| 28 | Klinik Pratama Rawat Inap Dwi Bhakti Kedungreja | 26 | 0 | 0 | 0 | 0 | 0 |
| 29 | Rumkitban04.08.01Cilacap | 14 | 2 | 1 | 1 | 0 | 0 |
| 30 | Cahaya Husada | 23 | 46 | 0 | 23 | 23 | 0 |
| 31 | Klinik Utama Rawat Inap Latifah Medika | 26 | 26 | 0 | 26 | 0 | 0 |
| 32 | Pratama Medika | 52 | 0 | 0 | 0 | 0 | 0 |
| 33 | Klinik Pratama Rawat Inap Darussyifa | 35 | 35 | 23 | 10 | 1 | 0 |
| 34 | MARCHSYA CILACAP | 20 | 0 | 0 | 0 | 0 | 0 |
| 35 | Klinik Mitra Sehat Cinyawang | 0 | 0 | 0 | 0 | 0 | 0 |
| 36 | Klinik Pratama Rawat Inap Raja Husada | 69 | 113 | 53 | 59 | 0 | 0 |
| 37 | Klinik Pratama Rawat Inap Jaya Husada | 46 | 15 | 4 | 11 | 1 | 0 |
| 38 | Kimia Farma | 27 | 0 | 0 | 0 | 0 | 0 |
| 39 | Klinik Pratama Rawat Inap Masyithoh | 17 | 0 | 0 | 0 | 0 | 0 |
| 40 | Klinik Utama Rawat Jalan Rinjani Medika | 31 | 0 | 0 | 0 | 0 | 0 |
| 41 | Klinik Utama Rawat Inap Ummi | 26 | 26 | 0 | 26 | 0 | 0 |
| 42 | Klinik Pratama Rawat Inap Pmi Kabupaten Cilacap | 24 | 14 | 0 | 10 | 4 | 0 |
| 43 | KLINIK UTAMA RAWAT JALAN AN NUR | 14 | 1 | 0 | 0 | 0 | 0 |
| 44 | Klinik Pratama Anugrah | 33 | 37 | 33 | 11 | 3 | 0 |
| 45 | Klinik Pratama Rawat Jalan DT | 46 | 46 | 0 | 46 | 0 | 0 |
| 46 | Ladinda | 50 | 64 | 0 | 1 | 47 | 0 |
| 47 | Klinik Pratama Rawat Inap Kania Majenang | 16 | 23 | 10 | 9 | 0 | 0 |
| 48 | Klinik Pratama Rawat Inap Amanu Majenang | 20 | 20 | 20 | 20 | 0 | 0 |
| 49 | Hafy Rasyida | 13 | 21 | 13 | 13 | 0 | 0 |
| 50 | Klinik PKU Muhammadiyah Gandrungmangu | 56 | 5 | 0 | 0 | 0 | 0 |
| 51 | Klinik Pratama Rawat Inap Armina | 6 | 0 | 0 | 0 | 0 | 0 |
| 52 | PKU Muhammadiyah Majenang | 26 | 0 | 0 | 0 | 0 | 0 |
| 53 | Amanah Dinda | 47 | 0 | 0 | 0 | 0 | 0 |
| 54 | KLINIK PRATAMA RAWAT INAP NU MAOS | 30 | 23 | 0 | 2 | 0 | 0 |
| 55 | Nu Az-Zahra Husada Kesugihan Cilacap | 44 | 0 | 0 | 0 | 0 | 0 |
| 56 | Klinik Sakinah | 60 | 0 | 0 | 0 | 0 | 0 |
| 57 | Klinik Pratama Rawat Inap Indira | 36 | 0 | 0 | 0 | 0 | 0 |
| 58 | Klinik Pratama Rawat Inap Sehat Sidamukti | 22 | 23 | 0 | 22 | 22 | 0 |
| 59 | Klinik Pratama Rawat Inap Graha Amanah 2 Maos | 45 | 7 | 0 | 3 | 0 | 0 |
| 60 | Pertamina RU IV Cilacap | 7 | 0 | 0 | 0 | 0 | 0 |
| 61 | Klinik Pratama Rawat Inap Budi Asih | 30 | 0 | 0 | 0 | 0 | 0 |
| 62 | Klinik Utama Rawat Inap Panji Medika | 31 | 32 | 0 | 31 | 1 | 0 |
| 63 | Klinik Pratama Rawat Inap PKU Muhammadiyah Wanareja | 50 | 0 | 0 | 0 | 0 | 0 |
| 64 | klinik pratama Rawat Jalan TNI AL Cilacap | 21 | 0 | 0 | 0 | 0 | 0 |
| 65 | Klinik Utama Amalia Bunda Medika | 26 | 0 | 0 | 0 | 0 | 0 |
| 66 | Klinik Pratama Rawat Inap Eta Medika Wanareja | 30 | 0 | 0 | 0 | 0 | 0 |
| 67 | Natasha | 21 | 0 | 0 | 0 | 0 | 0 |
| Jumlah | 1.864 | 1.168 | 318 | 596 | 199 | 0 | |