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H H S Department of Health and Human Services
Health Resources and Services Administration
Primary Care: The Health Center Program

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Patient Related Revenue

National Summary for 2008

1080 Grantees

Payor CategoryChargesCollections 
Full Charges
This Period
(a)		% of Payor% of TotalAmount Collected
This Period
(b)		% of Payor% of Total% of Charges
1.Medicaid Non-Managed Care2,557,944,217 57.1% 25.5% 2,052,609,477 55.0% 34.2% 80.2% 
2a.Medicaid Managed Care (capitated)798,980,395 17.8% 8.0% 801,177,028 21.5% 13.4% 100.3% 
2b.Medicaid Managed Care (fee-for-service)1,121,116,878 25.0% 11.2% 881,265,635 23.6% 14.7% 78.6% 
3.Total Medicaid (Sum lines 1+2a+2b)4,478,041,490 100.0% 44.7% 3,735,052,140 100.0% 62.3% 83.4% 
4.Medicare Non-Managed Care831,167,699 90.6% 8.3% 542,049,525 90.2% 9.0% 65.2% 
5a.Medicare Managed Care (capitated)32,865,264 3.6% 0.3% 29,812,069 5.0% 0.5% 90.7% 
5b.Medicare Managed Care (fee-for-service)53,877,121 5.9% 0.5% 28,900,341 4.8% 0.5% 53.6% 
6.Total Medicare (Sum lines 4+5a+5b)917,910,084 100.0% 9.2% 600,761,935 100.0% 10.0% 65.4% 
7.Other Public including Non-Medicaid CHIP (Non Managed Care)334,604,951 72.3% 3.3% 184,666,262 65.4% 3.1% 55.2% 
8a.Other Public including Non-Medicaid CHIP (Managed Care Capitated)65,795,352 14.2% 0.7% 64,194,308 22.7% 1.1% 97.6% 
8b.Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)62,694,978 13.5% 0.6% 33,402,022 11.8% 0.6% 53.3% 
9.Total Other Public (Sum lines 7+8a+8b)463,095,281 100.0% 4.6% 282,262,592 100.0% 4.7% 61.0% 
10.Private Non-Managed Care1,135,551,133 85.6% 11.3% 640,115,388 85.0% 10.7% 56.4% 
11a.Private Managed Care (Capitated)59,411,139 4.5% 0.6% 43,745,220 5.8% 0.7% 73.6% 
11b.Private Managed Care (fee-for-service)131,265,839 9.9% 1.3% 69,435,748 9.2% 1.2% 52.9% 
12.Total Private (Sum lines 10+11a+11b)1,326,228,111 100.0% 13.2% 753,296,356 100.0% 12.6% 56.8% 
13.Self Pay2,832,176,899 100.0% 28.3% 624,285,083 100.0% 10.4% 22.0% 
14.Grand Total (Sum lines 3+6+9+12+13)10,017,451,865  100.0% 5,995,658,106  100.0% 59.9% 

Payor CategoryRetroactive Settlements, Receipts, and Paybacks (c)Allowances
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 RetrosNet Retros
% of
Charges		Allowances
(d)		Allowances
% of
Charges
1.Medicaid Non-Managed Care121,579,033 56,276,545  6,011,843 171,843,735 6.7% 500,999,449 19.6% 
2a.Medicaid Managed Care (capitated)261,173,783 59,706,643 40,339,158 1,814,857 359,404,727 45.0% 16,292,627 2.0% 
2b.Medicaid Managed Care (fee-for-service)234,950,458 83,519,802 10,047,784 3,571,529 324,946,515 29.0% 197,365,686 17.6% 
3.Total Medicaid (Sum lines 1+2a+2b)617,703,274 199,502,990 50,386,942 11,398,229 856,194,977 19.1% 714,657,762 16.0% 
4.Medicare Non-Managed Care4,533,015 11,611,659  11,821,901 4,322,773 0.5% 222,267,873 26.7% 
5a.Medicare Managed Care (capitated)78,447  1,047,633 0 1,138,459 3.5% 2,968,365 9.0% 
5b.Medicare Managed Care (fee-for-service)870,880 1,189,299 47,444 3,766 2,103,857 3.9% 20,384,052 37.8% 
6.Total Medicare (Sum lines 4+5a+5b)5,482,342 12,813,337 1,095,077 11,825,667 7,565,089 0.8% 245,620,290 26.8% 
7.Other Public including Non-Medicaid CHIP (Non Managed Care)   81,521 -81,521 0.0% 127,456,152 38.1% 
8a.Other Public including Non-Medicaid CHIP (Managed Care Capitated)  13,616,958 823 13,616,135 20.7% 960,811 1.5% 
8b.Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)  119,008 7,910 111,098 0.2% 26,554,798 42.4% 
9.Total Other Public (Sum lines 7+8a+8b)  13,735,966 90,254 13,645,712 2.9% 154,971,761 33.5% 
10.Private Non-Managed Care   125,071 -125,071 0.0% 428,701,752 37.8% 
11a.Private Managed Care (Capitated)  1,814,184 2,911 1,811,273 3.0% 18,178,605 30.6% 
11b.Private Managed Care (fee-for-service)  1,555,341 190,502 1,364,839 1.0% 57,579,185 43.9% 
12.Total Private (Sum lines 10+11a+11b)  3,369,525 318,484 3,051,041 0.2% 504,459,542 38.0% 
13.Self Pay        
14.Grand Total (Sum lines 3+6+9+12+13)623,185,616 212,316,327 68,587,510 23,632,634 880,456,819 8.8% 1,619,709,355 16.2% 

13. Self PaySliding Discounts (e)Bad Debt Write Off (f)
1,872,654,987 271,413,094 

Percents may not equal 100% due to rounding