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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for New York for 2007
49 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 |
214,722,254 |
39.5% |
22.3% |
159,053,469 |
39.8% |
29.6% |
74.1% |
1,106,550 |
2,491,197 |
|
1,921,066 |
1,676,681 |
0.8% |
45,678,350 |
21.3% |
| 2a. Medicaid Managed Care (capitated)
|
185,942,939 |
34.2% |
19.3% |
145,410,035 |
36.3% |
27.0% |
78.2% |
52,870,443 |
14,271,267 |
4,875,980 |
401,659 |
71,616,031 |
38.5% |
40,532,901 |
21.8% |
| 2b. Medicaid Managed Care (fee-for-service)
|
142,373,553 |
26.2% |
14.8% |
95,564,794 |
23.9% |
17.8% |
67.1% |
32,730,289 |
4,611,912 |
2,925,190 |
706,787 |
39,560,604 |
27.8% |
44,311,542 |
31.1% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
543,038,746 |
100.0% |
56.4% |
400,028,298 |
100.0% |
74.3% |
73.7% |
86,707,282 |
21,374,376 |
7,801,170 |
3,029,512 |
112,853,316 |
20.8% |
130,522,793 |
24.0% |
| 4. Medicare Non-Managed Care |
64,221,974 |
79.8% |
6.7% |
33,127,766 |
87.4% |
6.2% |
51.6% |
31,194 |
163,304 |
|
47,652 |
146,846 |
0.2% |
22,509,822 |
35.1% |
| 5a. Medicare Managed Care (capitated)
|
3,114,061 |
3.9% |
0.3% |
979,964 |
2.6% |
0.2% |
31.5% |
0 |
0 |
19,682 |
0 |
19,682 |
0.6% |
2,134,097 |
68.5% |
| 5b. Medicare Managed Care (fee-for-service)
|
13,147,457 |
16.3% |
1.4% |
3,804,899 |
10.0% |
0.7% |
28.9% |
191,692 |
181,724 |
47,289 |
0 |
420,705 |
3.2% |
3,873,329 |
29.5% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
80,483,492 |
100.0% |
8.4% |
37,912,629 |
100.0% |
7.0% |
47.1% |
222,886 |
345,028 |
66,971 |
47,652 |
587,233 |
0.7% |
28,517,248 |
35.4% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
4,467,114 |
14.8% |
0.5% |
2,661,807 |
19.0% |
0.5% |
59.6% |
|
|
|
0 |
0 |
0.0% |
1,665,298 |
37.3% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
14,768,848 |
49.1% |
1.5% |
7,585,256 |
54.3% |
1.4% |
51.4% |
|
|
285,009 |
0 |
285,009 |
1.9% |
7,183,592 |
48.6% |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
10,870,303 |
36.1% |
1.1% |
3,727,452 |
26.7% |
0.7% |
34.3% |
|
|
9,870 |
0 |
9,870 |
0.1% |
6,487,155 |
59.7% |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
30,106,265 |
100.0% |
3.1% |
13,974,515 |
100.0% |
2.6% |
46.4% |
|
|
294,879 |
0 |
294,879 |
1.0% |
15,336,045 |
50.9% |
| 10. Private Non-Managed Care |
83,281,832 |
59.7% |
8.6% |
34,368,910 |
56.3% |
6.4% |
41.3% |
|
|
|
0 |
0 |
|
41,712,797 |
50.1% |
| 11a. Private Managed Care (capitated)
|
7,762,765 |
5.6% |
0.8% |
2,777,202 |
4.6% |
0.5% |
35.8% |
|
|
100,227 |
0 |
100,227 |
1.3% |
5,029,474 |
64.8% |
| 11b. Private Managed Care (fee-for-service)
|
48,435,560 |
34.7% |
5.0% |
23,879,840 |
39.1% |
4.4% |
49.3% |
|
|
798,989 |
0 |
798,989 |
1.6% |
22,056,395 |
45.5% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
139,480,157 |
100.0% |
14.5% |
61,025,952 |
100.0% |
11.3% |
43.8% |
|
|
899,216 |
0 |
899,216 |
0.6% |
68,798,666 |
49.3% |
| 13. Self-Pay |
170,234,145 |
100.0% |
17.7% |
25,283,745 |
100.0% |
4.7% |
14.9% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
963,342,805 |
|
100.0% |
538,225,139 |
|
100.0% |
55.9% |
86,930,168 |
21,719,404 |
9,062,236 |
3,077,164 |
114,634,644 |
11.9% |
243,174,752 |
25.2% |
|
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) |
111,715,286 |
65.6% |
24,980,807 |
14.7% |
data as of: 7/22/2008 3:10:05
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