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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Virginia for 2007
21 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 |
10,123,499 |
44.1% |
9.6% |
8,918,206 |
45.1% |
14.4% |
88.1% |
411,504 |
1,073,235 |
|
28,701 |
1,456,038 |
14.4% |
1,743,159 |
17.2% |
| 2a. Medicaid Managed Care (capitated)
|
464,198 |
2.0% |
0.4% |
475,983 |
2.4% |
0.8% |
102.5% |
0 |
196,637 |
0 |
0 |
196,637 |
42.4% |
-11,785 |
- 2.5% |
| 2b. Medicaid Managed Care (fee-for-service)
|
12,389,822 |
53.9% |
11.8% |
10,388,775 |
52.5% |
16.8% |
83.8% |
1,743,650 |
2,071,739 |
536,710 |
0 |
4,352,099 |
35.1% |
1,224,950 |
9.9% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
22,977,519 |
100.0% |
21.8% |
19,782,964 |
100.0% |
32.0% |
86.1% |
2,155,154 |
3,341,611 |
536,710 |
28,701 |
6,004,774 |
26.1% |
2,956,324 |
12.9% |
| 4. Medicare Non-Managed Care |
17,580,274 |
97.5% |
16.7% |
13,109,193 |
98.1% |
21.2% |
74.6% |
108,138 |
552,288 |
|
51,211 |
609,215 |
3.5% |
2,345,596 |
13.3% |
| 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)
|
445,379 |
2.5% |
0.4% |
255,186 |
1.9% |
0.4% |
57.3% |
0 |
492 |
0 |
0 |
492 |
0.1% |
194,870 |
43.8% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
18,025,653 |
100.0% |
17.1% |
13,364,379 |
100.0% |
21.6% |
74.1% |
108,138 |
552,780 |
0 |
51,211 |
609,707 |
3.4% |
2,540,466 |
14.1% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
355,849 |
100.0% |
0.3% |
209,161 |
100.0% |
0.3% |
58.8% |
|
|
|
0 |
0 |
0.0% |
122,584 |
34.4% |
| 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) |
355,849 |
100.0% |
0.3% |
209,161 |
100.0% |
0.3% |
58.8% |
|
|
0 |
0 |
0 |
0.0% |
122,584 |
34.4% |
| 10. Private Non-Managed Care |
20,328,977 |
84.9% |
19.3% |
13,701,787 |
85.3% |
22.2% |
67.4% |
|
|
|
0 |
0 |
|
5,926,589 |
29.2% |
| 11a. Private Managed Care (capitated)
|
3,128,168 |
13.1% |
3.0% |
2,004,706 |
12.5% |
3.2% |
64.1% |
|
|
0 |
0 |
0 |
0.0% |
1,239,624 |
39.6% |
| 11b. Private Managed Care (fee-for-service)
|
482,013 |
2.0% |
0.5% |
354,496 |
2.2% |
0.6% |
73.5% |
|
|
29,388 |
0 |
29,388 |
6.1% |
60,526 |
12.6% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
23,939,158 |
100.0% |
22.7% |
16,060,989 |
100.0% |
26.0% |
67.1% |
|
|
29,388 |
0 |
29,388 |
0.1% |
7,226,739 |
30.2% |
| 13. Self-Pay |
40,108,996 |
100.0% |
38.1% |
12,371,382 |
100.0% |
20.0% |
30.8% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
105,407,175 |
|
100.0% |
61,788,875 |
|
100.0% |
58.6% |
2,263,292 |
3,894,391 |
566,098 |
79,912 |
6,643,869 |
6.3% |
12,846,113 |
12.2% |
|
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) |
23,866,935 |
59.5% |
2,939,478 |
7.3% |
data as of: 7/22/2008 4:17:50
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