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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Idaho for 2007 10 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 |
12,067,202 |
100.0% |
23.0% |
11,041,873 |
100.0% |
39.5% |
91.5% |
0 |
194,873 |
|
0 |
194,873 |
1.6% |
1,489,421 |
12.3% |
| 2a. Medicaid Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 2b. Medicaid Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
12,067,202 |
100.0% |
23.0% |
11,041,873 |
100.0% |
39.5% |
91.5% |
0 |
194,873 |
0 |
0 |
194,873 |
1.6% |
1,489,421 |
12.3% |
| 4. Medicare Non-Managed Care |
4,047,566 |
100.0% |
7.7% |
3,400,182 |
100.0% |
12.2% |
84.0% |
21,424 |
79,616 |
|
0 |
101,040 |
2.5% |
452,963 |
11.2% |
| 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)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
4,047,566 |
100.0% |
7.7% |
3,400,182 |
100.0% |
12.2% |
84.0% |
21,424 |
79,616 |
0 |
0 |
101,040 |
2.5% |
452,963 |
11.2% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
504,197 |
100.0% |
1.0% |
338,095 |
100.0% |
1.2% |
67.1% |
|
|
|
0 |
0 |
0.0% |
112,734 |
22.4% |
| 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) |
504,197 |
100.0% |
1.0% |
338,095 |
100.0% |
1.2% |
67.1% |
|
|
0 |
0 |
0 |
0.0% |
112,734 |
22.4% |
| 10. Private Non-Managed Care |
8,706,785 |
100.0% |
16.6% |
5,743,623 |
100.0% |
20.5% |
66.0% |
|
|
|
0 |
0 |
|
2,683,913 |
30.8% |
| 11a. Private Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 11b. Private Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 12. Total Private (Lines 10
+ 11a + 11b) |
8,706,785 |
100.0% |
16.6% |
5,743,623 |
100.0% |
20.5% |
66.0% |
|
|
0 |
0 |
0 |
0.0% |
2,683,913 |
30.8% |
| 13. Self-Pay |
27,214,669 |
100.0% |
51.8% |
7,445,685 |
100.0% |
26.6% |
27.4% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
52,540,419 |
|
100.0% |
27,969,458 |
|
100.0% |
53.2% |
21,424 |
274,489 |
0 |
0 |
295,913 |
0.6% |
4,739,031 |
9.0% |
|
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) |
17,983,653 |
66.1% |
1,625,373 |
6.0% |
data as of: 7/22/2008 1:59:39
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