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TABLE 9D: Patient Related Revenue(Scope of
Project Only)
National Summary for 2006
1002 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 |
2,025,233,575 |
59.4% |
26.0% |
1,663,902,442 |
55.8% |
34.9% |
82.2% |
79,123,384 |
64,386,067 |
|
5,090,542 |
138,418,909 |
6.8% |
342,242,828 |
16.9% |
| 2a. Medicaid Managed Care (capitated)
|
638,490,207 |
18.7% |
8.2% |
681,276,030 |
22.8% |
14.3% |
106.7% |
213,947,914 |
48,495,885 |
34,146,483 |
1,235,876 |
295,354,406 |
46.3% |
-44,179,947 |
- 6.9% |
| 2b. Medicaid Managed Care (fee-for-service)
|
747,546,901 |
21.9% |
9.6% |
637,510,536 |
21.4% |
13.4% |
85.3% |
159,582,629 |
71,653,311 |
4,272,390 |
1,584,918 |
233,923,412 |
31.3% |
124,732,482 |
16.7% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
3,411,270,683 |
100.0% |
43.7% |
2,982,689,008 |
100.0% |
62.5% |
87.4% |
452,653,927 |
184,535,263 |
38,418,873 |
7,911,336 |
667,696,727 |
19.6% |
422,795,363 |
12.4% |
| 4. Medicare Non-Managed Care |
666,724,509 |
94.5% |
8.6% |
461,907,430 |
94.7% |
9.7% |
69.3% |
3,690,889 |
10,481,311 |
|
1,874,216 |
12,297,984 |
1.8% |
159,473,782 |
23.9% |
| 5a. Medicare Managed Care (capitated)
|
17,406,528 |
2.5% |
0.2% |
15,305,257 |
3.1% |
0.3% |
87.9% |
0 |
0 |
1,532,390 |
0 |
1,532,390 |
8.8% |
2,067,912 |
11.9% |
| 5b. Medicare Managed Care (fee-for-service)
|
21,576,423 |
3.1% |
0.3% |
10,605,191 |
2.2% |
0.2% |
49.2% |
23,178 |
89,846 |
103,820 |
0 |
216,844 |
1.0% |
7,909,448 |
36.7% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
705,707,460 |
100.0% |
9.1% |
487,817,878 |
100.0% |
10.2% |
69.1% |
3,714,067 |
10,571,157 |
1,636,210 |
1,874,216 |
14,047,218 |
2.0% |
169,451,142 |
24.0% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
188,018,095 |
68.4% |
2.4% |
110,261,778 |
58.7% |
2.3% |
58.6% |
|
|
|
103,239 |
-103,239 |
- 0.1% |
70,656,727 |
37.6% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
55,286,648 |
20.1% |
0.7% |
60,216,946 |
32.1% |
1.3% |
108.9% |
|
|
16,547,490 |
212,254 |
16,335,236 |
29.5% |
-4,528,381 |
- 8.2% |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
31,758,502 |
11.5% |
0.4% |
17,282,390 |
9.2% |
0.4% |
54.4% |
|
|
160,764 |
145 |
160,619 |
0.5% |
12,565,528 |
39.6% |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
275,063,245 |
100.0% |
3.5% |
187,761,114 |
100.0% |
3.9% |
68.3% |
|
|
16,708,254 |
315,638 |
16,392,616 |
6.0% |
78,693,874 |
28.6% |
| 10. Private Non-Managed Care |
813,836,226 |
84.1% |
10.4% |
475,707,411 |
84.3% |
10.0% |
58.5% |
|
|
|
35,510 |
-35,510 |
|
272,658,404 |
33.5% |
| 11a. Private Managed Care (capitated)
|
59,762,590 |
6.2% |
0.8% |
41,183,568 |
7.3% |
0.9% |
68.9% |
|
|
2,520,216 |
8,028 |
2,512,188 |
4.2% |
17,296,143 |
28.9% |
| 11b. Private Managed Care (fee-for-service)
|
93,987,135 |
9.7% |
1.2% |
47,399,126 |
8.4% |
1.0% |
50.4% |
|
|
1,232,030 |
313,717 |
918,313 |
1.0% |
41,754,465 |
44.4% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
967,585,951 |
100.0% |
12.4% |
564,290,105 |
100.0% |
11.8% |
58.3% |
|
|
3,752,246 |
357,255 |
3,394,991 |
0.4% |
331,709,012 |
34.3% |
| 13. Self-Pay |
2,438,127,208 |
100.0% |
31.3% |
547,807,173 |
100.0% |
11.5% |
22.5% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
7,797,754,547 |
|
100.0% |
4,770,365,278 |
|
100.0% |
61.2% |
456,367,994 |
195,106,420 |
60,515,583 |
10,458,445 |
701,531,552 |
9.0% |
1,002,649,391 |
12.9% |
|
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) |
1,594,325,015 |
65.4% |
220,054,522 |
9.0% |
Data as of: 7/3/2007 8:03:47
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