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The Health Center Program: Health Center Data by State

 

TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)

State Summary for California for 2007
110 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
395,580,999
63.2%
31.6%
387,031,625
64.8%
44.5%
97.8%
2,778,001
8,779,698
514,991
11,042,708
2.8%
12,496,961
3.2%
2a. Medicaid Managed Care (capitated)
122,443,394
19.6%
9.8%
125,604,271
21.0%
14.4%
102.6%
42,361,264
8,066,551
5,302,219
249,602
55,480,432
45.3%
-3,160,877
- 2.6%
2b. Medicaid Managed Care (fee-for-service)
108,139,934
17.3%
8.6%
84,429,485
14.1%
9.7%
78.1%
29,935,641
2,842,191
618,830
752,841
32,643,821
30.2%
6,866,591
6.3%
3. Total Medicaid (Lines 1 + 2a + 2b)
626,164,327
100.0%
50.0%
597,065,381
100.0%
68.7%
95.4%
75,074,906
19,688,440
5,921,049
1,517,434
99,166,961
15.8%
16,202,675
2.6%
4. Medicare Non-Managed Care
85,343,785
88.0%
6.8%
67,462,375
84.7%
7.8%
79.0%
217,464
907,167
787,922
336,709
0.4%
14,635,468
17.1%
5a. Medicare Managed Care (capitated)
11,571,161
11.9%
0.9%
12,078,410
15.2%
1.4%
104.4%
112,442
118,916
17,378
0
248,736
2.1%
-507,249
- 4.4%
5b. Medicare Managed Care (fee-for-service)
88,470
0.1%
0.0%
77,589
0.1%
0.0%
87.7%
859
35,405
0
0
36,264
41.0%
37,280
42.1%
6. Total Medicare (Lines 4 + 5a + 5b)
97,003,416
100.0%
7.7%
79,618,374
100.0%
9.2%
82.1%
330,765
1,061,488
17,378
787,922
621,709
0.6%
14,165,499
14.6%
7. Other Public including Non-Medicaid CHIP (Non Managed Care)
118,677,659
83.5%
9.5%
64,609,450
80.7%
7.4%
54.4%
211
- 211
- 0.0%
48,626,149
41.0%
8a. Other Public including Non-Medicaid CHIP (Managed Care Capitated)
14,043,315
9.9%
1.1%
9,965,469
12.4%
1.1%
71.0%
623,545
0
623,545
4.4%
4,077,846
29.0%
8b. Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)
9,423,399
6.6%
0.8%
5,496,995
6.9%
0.6%
58.3%
83,525
326
83,199
0.9%
3,890,695
41.3%
9. Total Other Public (Lines 7 + 8a + 8b)
142,144,373
100.0%
11.4%
80,071,914
100.0%
9.2%
56.3%
707,070
537
706,533
0.5%
56,594,690
39.8%
10. Private Non-Managed Care
55,832,964
78.3%
4.5%
30,414,339
72.6%
3.5%
54.5%
9,321
-9,321
23,265,205
41.7%
11a. Private Managed Care (capitated)
13,712,756
19.2%
1.1%
10,458,374
25.0%
1.2%
76.3%
980,756
0
980,756
7.2%
3,255,084
23.7%
11b. Private Managed Care (fee-for-service)
1,721,868
2.4%
0.1%
1,012,771
2.4%
0.1%
58.8%
60,680
0
60,680
3.5%
679,968
39.5%
12. Total Private (Lines 10 + 11a + 11b)
71,267,588
100.0%
5.7%
41,885,484
100.0%
4.8%
58.8%
1,041,436
9,321
1,032,115
1.4%
27,200,257
38.2%
13. Self-Pay
315,694,774
100.0%
25.2%
70,611,522
100.0%
8.1%
22.4%
14. Total (Lines 3 + 6 + 9 + 12 + 13)
1,252,274,478
100.0%
869,252,675
100.0%
69.4%
75,405,671
20,749,928
7,686,933
2,315,214
101,527,318
8.1%
114,163,121
9.1%

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)
211,266,304
66.9%
16,521,373 5.2%
data as of: 7/22/2008 11:10:11