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|
 |
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|
Patient Related Revenue (Scope of Project
Only)
National Summary for 2007
1067 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 |
2,265,822,122 |
58.0% |
25.5% |
1,811,255,622 |
54.5% |
33.7% |
79.9% |
96,644,646 |
55,031,656 |
|
4,920,373 |
146,755,929 |
6.5% |
418,118,396 |
18.5% |
| 2a. Medicaid Managed Care (capitated)
|
714,209,323 |
18.3% |
8.0% |
757,671,065 |
22.8% |
14.1% |
106.1% |
237,539,889 |
59,366,506 |
43,388,500 |
1,106,354 |
339,188,541 |
47.5% |
-29,693,194 |
- 4.2% |
| 2b. Medicaid Managed Care (fee-for-service)
|
923,338,249 |
23.7% |
10.4% |
751,512,136 |
22.6% |
14.0% |
81.4% |
202,344,420 |
72,363,048 |
7,602,012 |
2,258,777 |
280,050,703 |
30.3% |
160,648,804 |
17.4% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
3,903,369,694 |
100.0% |
43.9% |
3,320,438,823 |
100.0% |
61.8% |
85.1% |
536,528,955 |
186,761,210 |
50,990,512 |
8,285,504 |
765,995,173 |
19.6% |
549,074,006 |
14.1% |
| 4. Medicare Non-Managed Care |
740,826,954 |
92.5% |
8.3% |
509,653,573 |
92.9% |
9.5% |
68.8% |
4,834,264 |
10,475,696 |
|
2,126,761 |
13,183,199 |
1.8% |
179,776,684 |
24.3% |
| 5a. Medicare Managed Care (capitated)
|
25,311,898 |
3.2% |
0.3% |
21,516,098 |
3.9% |
0.4% |
85.0% |
112,442 |
118,916 |
432,645 |
0 |
664,003 |
2.6% |
3,762,526 |
14.9% |
| 5b. Medicare Managed Care (fee-for-service)
|
34,760,534 |
4.3% |
0.4% |
17,187,345 |
3.1% |
0.3% |
49.4% |
278,536 |
690,592 |
884,277 |
750 |
1,852,655 |
5.3% |
10,973,099 |
31.6% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
800,899,386 |
100.0% |
9.0% |
548,357,016 |
100.0% |
10.2% |
68.5% |
5,225,242 |
11,285,204 |
1,316,922 |
2,127,511 |
15,699,857 |
2.0% |
194,512,309 |
24.3% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
246,189,324 |
67.7% |
2.8% |
147,001,054 |
61.6% |
2.7% |
59.7% |
|
|
|
17,513 |
-17,513 |
- 0.0% |
84,488,764 |
34.3% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
57,377,092 |
15.8% |
0.6% |
62,561,117 |
26.2% |
1.2% |
109.0% |
|
|
15,734,007 |
2,138 |
15,731,869 |
27.4% |
-2,629,781 |
- 4.6% |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
60,114,052 |
16.5% |
0.7% |
29,035,044 |
12.2% |
0.5% |
48.3% |
|
|
95,081 |
1,111 |
93,970 |
0.2% |
25,339,896 |
42.2% |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
363,680,468 |
100.0% |
4.1% |
238,597,215 |
100.0% |
4.4% |
65.6% |
|
|
15,829,088 |
20,762 |
15,808,326 |
4.3% |
107,198,879 |
29.5% |
| 10. Private Non-Managed Care |
980,983,489 |
84.6% |
11.0% |
560,551,088 |
84.1% |
10.4% |
57.1% |
|
|
|
74,013 |
-74,013 |
|
342,754,241 |
34.9% |
| 11a. Private Managed Care (capitated)
|
60,831,644 |
5.2% |
0.7% |
43,888,579 |
6.6% |
0.8% |
72.1% |
|
|
3,641,763 |
0 |
3,641,763 |
6.0% |
17,669,811 |
29.0% |
| 11b. Private Managed Care (fee-for-service)
|
117,911,096 |
10.2% |
1.3% |
62,081,831 |
9.3% |
1.2% |
52.7% |
|
|
1,441,719 |
44,260 |
1,397,459 |
1.2% |
50,336,126 |
42.7% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
1,159,726,229 |
100.0% |
13.0% |
666,521,498 |
100.0% |
12.4% |
57.5% |
|
|
5,083,482 |
118,273 |
4,965,209 |
0.4% |
410,760,178 |
35.4% |
| 13. Self-Pay |
2,662,326,691 |
100.0% |
29.9% |
597,170,297 |
100.0% |
11.1% |
22.4% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
8,890,002,468 |
|
100.0% |
5,371,084,849 |
|
100.0% |
60.4% |
541,754,197 |
198,046,414 |
73,220,004 |
10,552,050 |
802,468,565 |
9.0% |
1,261,545,372 |
14.2% |
|
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) |
1,754,612,428 |
65.9% |
245,368,067 |
9.2% |
|
