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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Rhode Island for 2007
7 Grantees
| Payor Category |
Full
Charges This Period (a) |
Charges
as Percent of Payor |
Charges
as Percent of Total |
Amount
Collected This Period (b) |
Collections
as Percent of Payor |
Collections
as Percent of Total |
Collections
as Percent of Charges |
Collection
of recon./wrap around Current Year (c1) |
Collection
of recon./wrap around Previous Years
(c2) |
Collection
of other retroactive payments (c3) |
Penalty/Payback
(c4) |
Net
Retros |
Net
Retros as Percent of Charges |
Allowances
(d) |
Allowances
as Percent of Charges |
| 1. Medicaid Non-Managed Care |
11,794,804 |
35.4% |
19.8% |
8,681,992 |
32.3% |
24.3% |
73.6% |
0 |
0 |
|
0 |
0 |
0.0% |
2,108,381 |
17.9% |
| 2a. Medicaid Managed Care (capitated)
|
11,982,591 |
36.0% |
20.1% |
14,107,465 |
52.6% |
39.4% |
117.7% |
5,461,270 |
102,468 |
2,119,024 |
0 |
7,682,762 |
64.1% |
-803,664 |
- 6.7% |
| 2b. Medicaid Managed Care (fee-for-service)
|
9,518,090 |
28.6% |
16.0% |
4,048,358 |
15.1% |
11.3% |
42.5% |
675,125 |
0 |
146,096 |
0 |
821,221 |
8.6% |
5,804,558 |
61.0% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
33,295,485 |
100.0% |
56.0% |
26,837,815 |
100.0% |
75.0% |
80.6% |
6,136,395 |
102,468 |
2,265,120 |
0 |
8,503,983 |
25.5% |
7,109,275 |
21.4% |
| 4. Medicare Non-Managed Care |
3,144,980 |
93.1% |
5.3% |
1,719,780 |
89.8% |
4.8% |
54.7% |
0 |
74 |
|
0 |
74 |
0.0% |
702,008 |
22.3% |
| 5a. Medicare Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 5b. Medicare Managed Care (fee-for-service)
|
233,496 |
6.9% |
0.4% |
195,763 |
10.2% |
0.5% |
83.8% |
48,267 |
34,250 |
5,226 |
0 |
87,743 |
37.6% |
34,370 |
14.7% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
3,378,476 |
100.0% |
5.7% |
1,915,543 |
100.0% |
5.4% |
56.7% |
48,267 |
34,324 |
5,226 |
0 |
87,817 |
2.6% |
736,378 |
21.8% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
514,951 |
100.0% |
0.9% |
87,807 |
100.0% |
0.2% |
17.1% |
|
|
|
0 |
0 |
0.0% |
325,524 |
63.2% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
514,951 |
100.0% |
0.9% |
87,807 |
100.0% |
0.2% |
17.1% |
|
|
0 |
0 |
0 |
0.0% |
325,524 |
63.2% |
| 10. Private Non-Managed Care |
9,901,302 |
98.3% |
16.6% |
4,588,509 |
97.8% |
12.8% |
46.3% |
|
|
|
0 |
0 |
|
4,473,130 |
45.2% |
| 11a. Private Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 11b. Private Managed Care (fee-for-service)
|
173,657 |
1.7% |
0.3% |
105,484 |
2.2% |
0.3% |
60.7% |
|
|
9,728 |
0 |
9,728 |
5.6% |
49,512 |
28.5% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
10,074,959 |
100.0% |
16.9% |
4,693,993 |
100.0% |
13.1% |
46.6% |
|
|
9,728 |
0 |
9,728 |
0.1% |
4,522,642 |
44.9% |
| 13. Self-Pay |
12,240,541 |
100.0% |
20.6% |
2,239,785 |
100.0% |
6.3% |
18.3% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
59,504,412 |
|
100.0% |
35,774,943 |
|
100.0% |
60.1% |
6,184,662 |
136,792 |
2,280,074 |
0 |
8,601,528 |
14.5% |
12,693,819 |
21.3% |
|
Sliding Discounts (e) |
Sliding Discounts as a Percent of Self-Pay
Charges |
Bad Debt Write Off(f) |
Bad Debt as Percent of Self-Pay
Charges |
| 13. Self-Pay (line 14 is same) |
8,587,620 |
70.2% |
1,424,844 |
11.6% |
data as of: 7/22/2008 4:10:51
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